Broadway Nursing

Updated 25 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

The inspection was carried out by two inspectors.

Service and service type

Broadway Nursing 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 service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with five people who used the service and eight relatives about their experience of the care provided. We spoke with nine members of staff including the registered manager, senior staff, nursing and care staff, the activities coordinator and the facilities manager. We spoke with the new care quality manager, who is the provider’s nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included multiple people’s care and medication records. We looked at three staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including checks and procedures were reviewed.

Updated 25 September 2019

About the service

Broadway Nursing is a care home providing personal and nursing care to 41 people living with different health needs, including dementia, at the time of the inspection. The service can support up to 48 people in one adapted, single-floor building.

People’s experience of using this service and what we found

People living at Broadway Nursing and their relatives told us that their experience of using the service was overall positive. Staff planning and deployment to ensure people’s needs were met could at times be improved. We made a recommendation regarding this, as well as staff support through supervision and training, which the registered manager was addressing. The service environment and people’s medicines were overall managed safely, however we identified some improvement needs.

Since the last inspection, the service had introduced new electronic care plans. In a short period of time, staff had transferred existing knowledge of people onto the new documents. These provided rich and detailed information which showed particularly good person-centred knowledge and care. One person told us, “They are not intrusive, but they also always make sure I am ok. They have given me confidence again, which at this stage in my life I think is quite important.”

People, relatives and staff were involved in the development of the service. We heard about a family-like atmosphere. An overall long-standing staff team ensured not just people living at the service were looked after, but their relatives as well. Staff were honest that the new electronic system was a big change for them and not everyone was sure about its benefits. However, staff, along with people and relatives, were also complimentary about the ongoing and reliable support from the well-respected registered manager.

We found that through external learning opportunities the registered manager had developed their confidence and creativity in supporting the team in different ways. They also worked in partnership with a variety of health and social care professionals to achieve positive outcomes for people. This included the registered manager leading a particular project on ensuring good hydration for people. The service listened to people’s thoughts around the food and made changes to achieve continuous improvement. People’s specialist diets, including faith-based requirements, were catered for well.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

A new care quality manager was working closely with the registered manager to continuously develop a clearly changing service. Staff were honest about the pressures of their work, but also praised the overall positive, hardworking team morale. This was evident in the improvements that had been achieved, resulting in the service’s first overall good rating

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was requires improvement (published 30 January 2019). At the last the provider was in breach of regulations regarding safe care and treatment. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.