Updated 27 August 2025
This assessment was carried out between the 15 September and 8 October 2025. We visited the home on 16 September and 25 September 2025.
At the time of the assessment there were 17 people using the service. One person was in hospital at the time of our visit.
At the previous inspection, published in May 2023, the provider was found to be in breach of a regulation in relation to safe care and treatment and governance. This assessment found improvements had been made, and the provider was no longer in breach of these regulations.
The registered manager, appointed in May 2025, demonstrated compassionate leadership, a clear commitment to the wellbeing of people living at Broughton Lodge. They worked with the provider and local authority quality team to implement a service improvement plan addressing identified concerns.
Environmental safety was upheld through regular checks. The home had been redecorated to create a pleasant and well-maintained setting.
Staff were appropriately trained, with efforts ongoing to ensure completion of mandatory training for new staff.
Recruitment processes were overall robust and staff were recruited safely.
Cleaning routines were effectively managed, and the home was clean and no malodours present.
Medicines were generally managed safely and improvements made during the assessment to monitoring medicine room temperatures, monitoring stock control of controlled drugs, and oversight of prescribed creams.
The registered manager acknowledged that there was limited dementia signage at the home and was actively exploring options to address this.
Feedback from health and social care professionals was positive, highlighting caring staff and a supportive environment, though concerns were noted regarding delayed professional contact during an incident. We discussed this with the registered manager, assured us no harm had been caused.
Staff understood the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). The registered manager was carrying out additional checks to ensure all DoLS applications were monitored.
Staff meetings were held regularly, with evidence of staff involvement and support.
Quality audits were routinely conducted, with actions taken where needed.
Accidents and incidents were reviewed regularly to ensure appropriate responses and identify trends.