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Inspection carried out on 1 May 2018

During a routine inspection

Broadway Care Home provides nursing or residential care for up to 30 older people. Bedrooms are on the ground and first floor and there is a passenger lift available. A ramp is provided at the front of the building. The home is situated in the south of Blackpool in a residential area close to South shore shopping centre. At the time of the visit there were 23 people who lived at the home.

At the last inspection carried out on the 12 April 2016 the service was rated Good. At this inspection we found evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We spoke with people who lived at Broadway and relatives and comments were positive in relation to care and support provided by the staff team. One person said, “Very well cared for. Didn’t think it would be as good as this when I first came in it’s fabulous, wouldn’t go anywhere else.”

The service had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.

Risk assessments had been developed to minimise the potential risk of harm to people during their daily routines and delivery of their care. These had been kept under review and were currently being updated.

Staff had been appropriately recruited, trained and supported. They had skills, knowledge and experience required to support people with their nursing care and social needs.

People had been supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People told us they received their medicines as prescribed and when needed. We found appropriate arrangements were in place for the safe storage of medicines.

We looked around the building and found it was clean and a safe place for people to live. We found equipment had been serviced and maintained as required.

People told us staff were caring towards them. Staff we spoke with understood the importance of high standards of care to give people meaningful lives. One person who lived at the home said, “Very caring people all of them.”

The service had information with regards to support from an external advocate should this be required by people they supported.

People who lived at Broadway told us staff who supported them treated them with respect, patience and dignity. One person said, “They’re very nice, they make us as happy as they can.”

There was a complaints procedure which was made available to people on their admission to the home and their relatives. People we spoke with told us they were happy and had no complaints.

People who lived at the home told us they enjoyed a variety of activities which were organised for their entertainment. One person we spoke with said, “[Activity person] is fantastic and puts such a lot of effort into providing social events.”

The registered manager used a variety of methods to assess and monitor the quality of the service. These included regular audits, staff meetings and daily discussions with people who lived at the home.

Inspection carried out on 12 April 2016

During a routine inspection

At the last inspection we carried out an unannounced inspection of this service on the 24 and 28 October 2014. Breaches of legal requirements were found. We found three breaches of regulations. The registered person had not taken proper steps to ensure each person was protected against the risks of receiving unsafe or inappropriate care. This was a breach of Regulation 9 of the Health and Social Care Act 2008 (Regulated Activates) Regulations 2010. (Care and welfare of people who use the service). Also People were not protected against the risks associated with poor record keeping because the registered person did not have appropriate and accurate information about the care and treatment of each person. This was a breach of Regulation 20 of the Health and Social Care Act 2008 (Regulated Activates) Regulations 2010 (Records). The registered person did not operate effective infection control practices. This was a breach of Regulation 12 of the Health and Social Care Act 2008 (Regulated Activates) Regulations 2010. (Cleanliness and Infection Control).

After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to the breaches.

We visited the service on 12 April 2016 to complete an unannounced comprehensive inspection. The inspection was comprehensive and included to check they had followed their plan and to confirm they now met legal requirements. We found the registered provider and registered manager addressed the breaches and taken action to comply with the requirements of those regulations.

Broadway Care Home provides nursing or residential care for up to 30 older people or people who live with dementia. Bedrooms are on the ground and first floor and there is a passenger lift available. A ramp is provided at the front of the building. The home is situated in the south of Blackpool in a residential area close to South shore shopping centre. At the time of the inspection there were 26 people living at the home.

During this inspection undertaken on 12 April 2016 we found no breaches of legal requirements.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found the registered manager had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report any unsafe care or abusive practices.

We found recruitment checks were carried out to ensure suitable people were employed to work at the home. We also found sufficient staff were on duty to meet people’s needs. This was confirmed by our observations during the inspection visit and talking with staff and people who lived at the home.

We found medication procedures in place at the home were safe. Staff responsible for the administration of medicines had received training to ensure they had the competency and skills required. Medicines were safely kept and appropriate arrangements for storing were in place.

The registered manager understood the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). This meant they were working within the law to support people who may lack capacity to make their own decisions.

The management team had developed individual training programmes for staff and had a programme of mandatory training courses. Staff told us access and management support for training events was very good.

People were happy with the variety and choice of meals available to them. During the day we observed drinks being served as and when people who lived at the home requested them. People w

Inspection carried out on 24 and 28 October 2014

During a routine inspection

This inspection took place on 24 and 28 October 2014 and was unannounced. This meant the staff and provider did not know we would be visiting.

The Broadway care home is a detached building in a residential area of South Shore, Blackpool. It provides nursing or residential care for up to 30 older people including people living with dementia. At the time of our visit there were 23 people who lived at the home. Accommodation was arranged around the ground and first floor with office accommodation on the second floor. There was a passenger lift for ease of access and the home was wheelchair accessible.

There was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service and has the legal responsibility for meeting the requirements of the law; as does the provider.

Some areas of the home were not clean and hygienic and were an infection control risk. Although these improved between the two days of the inspection, there were still areas of poor cleanliness. You can see what action we told the provider to take at the back of the full version of the report.

Risks to people were minimised because the provider had procedures in place to protect them from abuse and unsafe care. People we spoke with told us they felt safe and well cared for. However, although some areas of staff recruitment were thorough and effective others were not robust with gaps in employment not explored. This lessened the protection from unsuitable staff working in the home.

Care records were not person centred and were not always fully completed, as sometimes relevant information was missing from them. You can see what action we told the provider to take at the back of the full version of the report.

We saw sometimes the information written in the care plan was not carried out in practice. This included moving and positioning of people and the use of bumpers with bed rails. This meant staff did not respond to people’s needs in an appropriate way and provide safe and effective care. You can see what action we told the provider to take at the back of the full version of the report.

Most people we spoke with were satisfied with staffing levels. We saw staffing levels were sufficient to provide nursing and personal care and keep people safe. Although this did not extend to social and leisure activities which were limited and left more dependent people unstimulated. The registered manager was also the nurse on duty for several shifts each week. This limited her opportunities to carry out managerial duties. The management team assessed and monitored the quality of the service, although not always regularly enough to be alerted to poor practice.

Although care records were limited, staff spoken with had awareness of people’s needs and preferences. We saw good care and support was provided around eating and drinking. Staff were knowledgeable about people’s dietary requirements including special diets.

We looked at how medicines were prepared and administered. We saw medicines were managed safely and given as prescribed.

Although staff involved and informed people, and where appropriate, their relatives, in decisions about their care, there was no formal system in place. They were kind and compassionate and treated people with respect. People and their relatives were pleased with the care and support they received. They felt there was a positive relationship with staff and felt secure sharing any information or concerns with them. They were very positive about the way staff listened to them.

Staff spoken with said they worked well as a team and were supported by the registered manager and management team. There was a low turnover of staff within the home and staff were familiar with the needs of individuals.

Inspection carried out on 11 July 2013

During a routine inspection

We talked with people in the home either individually or in small groups. They said the care and support they received was very good. We also spoke with a small number of relatives. They said staff were caring and supportive.

People told us that the staff were excellent and that they received care and support when they wanted it. One person said, "The staff are marvellous. They are always cheerful and willing”. A relative told us, “The staff are so caring and supportive. They are able to manage so well.”

We observed people living in the home being treated with respect and dignity. We also spoke with staff. We saw that staff assisted people with personal care discretely and sensitively, in a timely manner. We saw satisfactory numbers of staff on the inspection to respond to people's needs.

We observed a mealtime. Staff supported people in in a way the person wanted. The mealtime was relaxed and unhurried, with people chatting to each other and to staff.

The home was comfortable and pleasantly warm. There were two lounges on the ground floor, and a dining room. Most people had brought some possessions from home to make to their bedrooms more homely and familiar.

Staff received training which assisted them to support people effectively. Systems were in place for monitoring the quality of the service people received. People living in the home and relatives told us that they were well supported by the manager and staff team.

Inspection carried out on 14 August 2012

During a routine inspection

We spoke with a range of people about the home. They included, the manager, staff and people who lived at the home individually and in a group setting. We also had responses from external agencies such as social services in order to gain a balanced overview of what people experienced. This home provides care for people who had nursing needs and they ensured a qualified nurse was on duty at all times.

Residents spoken with told us they could express their views and were involved in decision making about their care. They told us they felt listened to when discussing their care needs. Staff confirmed to us they also involved relatives where possible to ensure people received the right care and support. One staff member said, "If residents struggle to communicate we always try and involve relatives in the care planning and reviews.

Residents said routines were relaxed and the standard of food was very good. They also said activities organised kept people entertained. One resident spoken with said, "It's dominoes today, there is usually something going on in the afternoons."

We spent time in the lounge area and throughout the day we saw staff talking to people respectfully. We saw they spent time with people on an individual basis and were patient when needed. One staff member said, " I have been here over fifteen years and respect of each individual is very important to me."

We contacted Blackpool contracts monitoring team. They told us they currently had no concerns with the service being provided by the home.

Reports under our old system of regulation (including those from before CQC was created)