Broadway Nursing Home

Updated 2 June 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.

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

This comprehensive inspection visit took place on 01 May 2018 and was unannounced.

The inspection team consisted of one adult social care inspector and an expert-by-experience. The expert-by-experience was a person who had personal experience of using or caring for someone who uses this type of care service. The expert by experience had a background supporting older people.

Before our inspection on 01 May 2018 we reviewed the information we held on the service. This included notifications we had received from the provider, about incidents that affect the health, safety and welfare of people who lived at the home and previous inspection reports. We also checked to see if any information concerning the care and welfare of people supported by the services had been received.

As part of the inspection we used information the provider sent us in the Provider Information Return. This is information we require providers to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

We contacted the commissioning department at Blackpool Council and Healthwatch Lancashire/Blackpool. Healthwatch Lancashire & Blackpool is an independent consumer champions for health and social care. This helped us to gain a balanced overview of what people experienced accessing the service.

During the inspection visit we spoke with a range of people about the service. They included seven people who lived at the home, two relatives/visitors and two independent auditors who were visiting. We also spoke with the registered manager, two nurses, the cook and three care staff. In addition we spoke with the activity co coordinator. We observed care practices and how staff interacted with people in their care. This helped us understand the experience of people who could not talk with us.

We looked at care records of three people who lived at the home. We also viewed a range of other documentation in relation to the management of the home. This included records relating to the management of Broadway, medication records of two people, recruitment and training arrangements of staff members and staffing levels. We also checked the care homes environment to ensure it was clean, hygienic and a safe place for people to live.

Updated 2 June 2018

Broadway Care Home provides nursing or residential care for up to 30 older people. Bedrooms are on the ground and first floor and there is a passenger lift available. A ramp is provided at the front of the building. The home is situated in the south of Blackpool in a residential area close to South shore shopping centre. At the time of the visit there were 23 people who lived at the home.

At the last inspection carried out on the 12 April 2016 the service was rated Good. At this inspection we found evidence continued to support the rating of ‘Good’ and there was no evidence or information from our inspection and ongoing 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.

There was a registered manager in place. 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.

We spoke with people who lived at Broadway and relatives and comments were positive in relation to care and support provided by the staff team. One person said, “Very well cared for. Didn’t think it would be as good as this when I first came in it’s fabulous, wouldn’t go anywhere else.”

The service had systems in place to record safeguarding concerns, accidents and incidents and take necessary action as required. Staff had received safeguarding training and understood their responsibilities to report unsafe care or abusive practices.

Risk assessments had been developed to minimise the potential risk of harm to people during their daily routines and delivery of their care. These had been kept under review and were currently being updated.

Staff had been appropriately recruited, trained and supported. They had skills, knowledge and experience required to support people with their nursing care and social needs.

People had been 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.

People told us they received their medicines as prescribed and when needed. We found appropriate arrangements were in place for the safe storage of medicines.

We looked around the building and found it was clean and a safe place for people to live. We found equipment had been serviced and maintained as required.

People told us staff were caring towards them. Staff we spoke with understood the importance of high standards of care to give people meaningful lives. One person who lived at the home said, “Very caring people all of them.”

The service had information with regards to support from an external advocate should this be required by people they supported.

People who lived at Broadway told us staff who supported them treated them with respect, patience and dignity. One person said, “They’re very nice, they make us as happy as they can.”

There was a complaints procedure which was made available to people on their admission to the home and their relatives. People we spoke with told us they were happy and had no complaints.

People who lived at the home told us they enjoyed a variety of activities which were organised for their entertainment. One person we spoke with said, “[Activity person] is fantastic and puts such a lot of effort into providing social events.”

The registered manager used a variety of methods to assess and monitor the quality of the service. These included regular audits, staff meetings and daily discussions with people who lived at the home.