Background to this inspection
Updated
11 February 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
Inspection team
The inspection was carried out by one inspector.
Service and service type
Broad Oak Manor Nursing Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with two people who used the service and five relatives about their experience of the care provided. We spoke with 12 members of staff including housekeepers, chef, care pathway facilitator, nurses, care staff, the registered manager and the provider. We also spoke with a visiting health professional. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at two staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two professionals who regularly visit the service.
Updated
11 February 2020
About the service
Broad Oak Manor Nursing Home provides nursing care for up to 23 older people. At the time of our inspection 12 people lived at the home.
The home is an adapted manor house, with several reception rooms, dining room and lounge. People have access to an enclosed well-maintained garden where they can enjoy the outside space.
People’s experience of using this service and what we found
People and relatives spoke highly of how kind and caring staff were. They used words such as ’extraordinary’, ‘highly’ and ‘outstanding’ when they described staff’s behaviours, kindness and attitude when caring for people.
Strong caring values and ethos run through the core of the organisation. These placed people at the centre of their care and created a warm and friendly family like environment. People and their relatives felt at home at the service and considered staff being their extended family members. Many relatives told us their loved ones were alive due to the loving care they received from staff.
People and their relatives were involved in every aspect of their care and this made them feel valued and empowered to talk freely about their wishes or worries. This had a positive impact on people’s psychological wellbeing.
People felt safe. Staff knew how to report their concerns under the whistleblowing and safeguarding procedure internally and externally to local safeguarding authorities. Staff knew how to promote people’s safety and mitigate risks to people’s health and welfare. Medicines were administered safely by staff. There were enough staff employed through robust procedures to meet people’s needs in a timely way.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People’s needs were assessed and regularly reviewed. This ensured their needs could be met effectively. Dietary needs were catered for and when needed other health professionals were involved in people’s care.
Activities organised in the home were based on people’s interests. There were good links developed with the local community and relatives of people were regularly attending a range of organised events at the service.
People’s care plans were developed in an electronic format. These were under review and further development to reflect better people’s likes, dislikes and preferences. There was a complaints procedure in place, however relatives told us they never had a cause to complain as any concerns they had were resolved promptly.
The provider worked with other organisations to ensure people achieved positive outcomes and lived comfortably. A range of audits were in place to accurately measure the quality and safety of the care provided and improve where needed.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 31 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.