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Inspection Summary


Overall summary & rating

Good

Updated 6 February 2019

This inspection was unannounced and took place on 10 January 2019.

Broughton Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The care home is registered to provide personal care and accommodation up to 18 people. The home specialises in the care of older people including people living with dementia. At the time of the inspection there were 17 people at the home which included people receiving respite care.

At the last inspection in November 2017 the home was rated requires improvement.

Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve the key questions, safe, effective and well led to at least good. An action plan was received by CQC and at this inspection we saw that actions planned had been put into practice.

At this inspection we found improvements were needed to make sure people received care which was person centred and provided social stimulation. People were not always supported to take part in age appropriate activities. One person said, “There’s nothing wrong with the place. Staff are lovely but I do nothing all day. I do feel lonely but I make the best of it.” One visiting relative said about the activity programme, “This is an area which needs improving.”

There was a registered manager in post. 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. At the time of this inspection the registered manager was not available but the provider was available throughout the day.

People told us the registered manager was open and approachable and they felt able to raise concerns or complaints. People felt safe and staff knew how to recognise and report any suspicions of abuse. Staff were confident the registered manager would take action to make sure people were protected if they reported any concerns.

People were 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. Staff worked in accordance with up to date guidance to make sure people’s legal rights were protected.

People told us staff were kind and patient and our observations during the inspection confirmed this. Staff spoke respectfully to people and provided care in an unhurried manner.

People were happy with the food provided and told us there was always a choice of meal. One person said, “We get nice food.” Another person told us, “No complaints about the food.”

People’s health was monitored by staff and people had access to healthcare professionals according to their individual needs. People’s medicines were safely administered and clear records were kept of medicines administered or refused.

The provider was committed to making on-going improvements to the service and facilities offered at Broughton Lodge. There were ways for people to express their views and make suggestions about the home.

Further information is in the detailed findings below

Inspection areas

Safe

Good

Updated 6 February 2019

The service was safe.

People were supported by adequate numbers of staff to keep them safe.

Risks of abuse to people were minimised because staff knew how to recognise and report suspicions of abuse.

People received their medicines safely from staff who had received specific training.

Effective

Good

Updated 6 February 2019

The service was effective.

People were cared for by staff who had received up to date training.

People had access to healthcare professionals according to their individual needs.

People were happy with the food served at the home.

Caring

Good

Updated 6 February 2019

The service was caring.

People received care and support from staff who were kind and compassionate.

People and their representatives were involved in decisions about their care.

Responsive

Requires improvement

Updated 6 February 2019

The service was not totally responsive.

There was lack of social stimulation for people because staff worked in a task focussed way.

People did not always have opportunities to take part in age appropriate activities and were not supported to pursue their hobbies.

People were confident that any complaints made would be taken seriously and responded to.

Well-led

Good

Updated 6 February 2019

The service was well led.

People lived in a home where the registered manager and provider had a commitment to on-going improvements.

People were consulted with, and were able to make suggestions.

Staff felt well supported which helped to create a happy and relaxed atmosphere for people to live in.