Broadmead Rest Home

Updated 6 November 2020

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.

This was a targeted inspection looking at the infection control and prevention measures the provider has in place. As part of CQC’s response to the coronavirus pandemic we are conducting a thematic review of infection control and prevention measures in care homes.

This inspection took place on 15 October 2020 and was announced. The service was selected to take part in this thematic review which is seeking to identify examples of good practice in infection prevention and control.

Updated 6 November 2020

Broadmead Rest home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Broadmead provides accommodation with personal care for up to 38 people. At the time of our inspection 28 people were living in the home.

At the last inspection, in March 2016, the service was rated overall as good, and in the key questions: is the service effective, caring, responsive and well-led. The key question for: is the service safe was rated requires improvement. This was because safe recruitment procedures had not always been followed and where people were prescribed variable doses of medicines, the amounts given were not always recorded. Actions were taken before the end of the inspection process to address the shortfalls we had identified.

We carried out a comprehensive inspection on 7 November 2018. At this inspection, we found the improvements that had been made following the last inspection had been embedded and sustained.

At this inspection, we found shortfalls in the recording of medicines that required additional security.

The service overall, remains Good.

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.

Sufficient numbers of staff were deployed at the time of our visit. Staff performance was monitored. Staff received supervision and training to ensure they could meet people’s needs.

Most medicines management shortfalls were promptly acted upon and actions taken to make improvements. However, there were shortfalls in the recording and checking of some medicines.

Staff demonstrated a good understanding of safeguarding and whistle-blowing and knew how to report concerns.

People were helped to exercise support and control over their lives. People were supported to consent to care and make decisions. The principles of the Mental Capacity Act (MCA) 2005 had been followed.

Risk assessments and risk management plans were in place. Personal and nursing care was delivered in line with assessed needs and accurate monitoring records were maintained.

Incidents and accidents were recorded and showed that actions were taken to minimise the risk of recurrence.

People’s dietary requirements and preferences were recorded and people were provided with choices at mealtimes.

Staff were kind and caring. People were being treated with dignity and respect and people’s privacy was maintained.

Care was personalised, highly responsive and sensitive to individual needs.

A wide range of activities were offered and provided people with entertainment and engagement in communal areas, in their rooms and outside of the home.

Systems were in place for monitoring quality and safety. Where shortfalls were identified these were acted upon.