Bromford Lane Care Centre

Updated 19 February 2026

Date of Assessment: 03 March 2026 to 08 April 2026. The site visits took place on 03, 04, 05, 17 and 31 March 2026. The assessment was prompted by reviewing information we held about the service and concerns raised with us about the safety and well-being of people at the service.

Bromford Lane Care Centre is a care home, providing nursing and personal care for up to 116 people, in a purpose-built building. At the time of our assessment the service was supporting 110 people. The service supports people with dementia, mental health, older people, physical disability and younger adults. At the time of the assessment, they were not supporting anyone with learning disabilities or autistic spectrum disorder. We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities. The service provides 47 Emergency Assessment Beds for discharge from hospital before moving to the most suitable place of care. Most people using this pathway had very complex needs.

At the previous assessment we found breaches of regulations relating to people’s dignity and respect, gaining consent, safe care and treatment and good governance. At this assessment we found not enough improvement had been made and they remained in breach of these regulations. We found since our last assessment the service had deteriorated, and we identified 4 new breaches of regulations relating to person centred care, managing complaints, staffing and fit and proper persons employed.

The provider did not ensure people’s individual needs and preferences were met. Staff failed to consistently uphold people’s dignity and respect or to gain their consent. Staff had insufficient guidance and knowledge for the management of people’s known health conditions and risks. Complaints were not managed effectively. The care environment was not always maintained to a safe and hygienic standard. We found on-going maintenance of the premises and equipment needed improvements, due to the lack of robust systems and timely actions by the provider.

The provider’s quality assurance and auditing systems were not effective and had failed to identify many of the issues highlighted during the assessment. Systems to ensure care was provided safely and appropriately were not always robust.

At this assessment, we also found a lack of robust training and support were offered by the provider to ensure staff had the correct skills and knowledge to support people.

There was also a failure to ensure staff recruitment was robust.

In instances where CQC has decided to take civil or criminal enforcement action against a provider, we will publish this information on our website after any representations and/or appeals have been concluded.

This service is being placed in special measures. The purpose of special measures is to ensure that services providing inadequate care make significant improvements. Special measures provide a framework within which we use our enforcement powers in response to inadequate care and provide a timeframe within which providers must improve the quality of the care they provide.

Updated 19 February 2026

Most people receiving support and relatives told us they felt their loved ones were safe in the care of the staff team and spoke positively about the staff who supported them. Most people and relatives felt they were kept informed; however, we continued to hear from some relatives they felt communication could be improved. Two relatives told us they had struggled to get any up-to-date information about their loved ones when they had sustained injuries. A relative said, “When I need to know about my husband’s progress the carers say speak to the nurses and nurses say ask carers. This can be frustrating as he is not able to tell me what has been going on.” Feedback on the service had been gained from some people or their relatives via questionnaires, which had been analysed and actioned via the ‘You said, we did’ system which was displayed in the service to show people and visitors what actions had been take based upon feedback. People and relatives told us they knew how to make complaints about the service; however, not all were confident that their concerns would be acted upon and responded to with changes being made. We were told that activities took place, but some felt that these could be improved particularly for those who stayed in their rooms and required more stimulation. People’s relatives gave mixed feedback on their experience of raising concerns with the registered manager. Whilst some felt they had been responded to quickly and were happy with the outcome, others were frustrated by the poor communication and lack of actions taken to resolve issues. People and relatives continued to report they were not consistently involved in the initial assessment process and developing of the care plans. This particularly applied to those moving into the Emergency Assessment Bed (EAB) unit. Most people told us they were aware of care plans, and most relatives said they were kept up to date with changes to loved one’s support needs. Most people and relatives told us they were generally happy with the standard of care they were receiving from the service.