Archived: Broadleas Residential Care Home

Updated 31 May 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

This was a comprehensive inspection. The inspection took place on 4 and 5 April 2018 and was unannounced. It was completed by one inspector.

Before the inspection visit we reviewed all the information we held about the home since the last inspection in January 2016. This included all statutory notifications and the Provider Information Return (PIR). Statutory notifications must, by law, be sent to us by the provider. These inform us of important and significant events which have happened in the home. We used information the provider sent us in the PIR to help plan the inspection. This is information we require providers to send us at least once annually, to give us some key information about the service, what the service does well and improvements they plan to make.

During the inspection we spoke with three people who used the service and three relatives. We reviewed the care records of three people. These included information collected about their life history, support plans, risk assessments and other care and treatment related information. We reviewed records relating to the Mental Capacity Act 2005. We spoke with the activities co-ordinator, deputy manager, maintenance person and one care assistant. We also spoke with the registered manager and a Director of the registered provider. We sought the views of commissioners of the service and one health care professional.

We also reviewed records related to the management of the home. These included the home’s main staff training record, two staff recruitment files, complaints records and minutes of staff meetings. We reviewed various audits, the last monitoring check completed by the Director and the home’s development plan for 2018.

Updated 31 May 2018

Broadleas Residential Care Home is a care home for 20 older people of whom some live with dementia. At the time of the inspection 19 people lived in the home. The building had been adapted to meet people’s needs. Accommodation was provided across two floors and a passenger lift allowed access to all floor levels. The outside of the home had been improved to help people access the building and use the garden safely.

At our last inspection on15 and 16 January 2016 we rated the service as overall ‘Good’. At this inspection we found the evidence continued to support the rating of ‘Good’. There was no evidence or information, from our inspection and on-going 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.

Improvements had been made to the key question, ‘Is the service effective?’ as this had been rated as Requires Improvement at our previous inspection. The service had made improvements to ensure they could demonstrate that the requirements of the Mental Capacity Act 2005 were fully met when supporting people who lacked mental capacity. People who could not consent to their care, had continued to be supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in accordance with current legislation. The policies and systems in the home supported this practice. Advice had been sought by the provider in relation to this, which enabled the rating for this key question to improve to ‘Good’.

Why the service is rated ‘Good’.

People were kept safe. Risks were identified, managed and reduced. Staff were recruited safely and they were trained and supported to meet people’s needs effectively.

People’s medicines were managed safely and they received these as prescribed. The environment was kept clean and well maintained.

People’s nutritional wellbeing had been maintained and they continued to have access to health care professionals when needed.

People’s needs were assessed and their care planned and delivered in a way which met their needs and preferences. People were treated equally and their differences accepted and celebrated. Relatives were provided with opportunities to speak on behalf of their relative and to visit when they chose to.

Staff were kind, caring and compassionate. There were arrangements in place to help people feel included and to take part in social activities. Staff had the skills and knowledge to support people’s end of life needs.

The home was well managed and managers ensured people’s needs and wishes were the primary focus. Effective and appropriate systems, processes and practices ensured the home ran smoothly and that necessary regulations were met. Complaints could be raised and these were investigated and addressed. All feedback was welcomed and used to improve the service further.

Further information is in the detailed findings below.