We carried out a review of the data available to us about Broomhouse Mews on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Broomhouse Mews, you can give feedback on this service.
We found the following examples of good practice.
The provider had policies and procedures in place to ensure they followed effective infection control guidance.
Staff and visitors had access to PPE and this was in plentiful supply. We saw staff wearing PPE in line with current guidance.
Professional visitors were required to show a negative lateral flow test and evidence of COVID-19 vaccination status. Visitors completed a form confirming they were not showing any symptoms of illness.
Social distancing was observed as far as it was practicable to do so. Staff had completed training in infection control, COVID-19 and putting on and taking off PPE.
Staff and people using the service were tested regularly for COVID-19 and action taken if a test was positive.
Broomhouse Mews 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 can accommodate up to two people. It is situated in Edlington close to Doncaster.
The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.
At the last inspection in January 2016, the service was rated Good. At this inspection we found the service remained Good.
You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for ‘Broomhouse Mews’ on our website at www.cqc.org.uk’
The service had a registered manager in post at the time of our inspection. 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.
People continued to feel safe. Staff understood their roles and responsibilities to safeguard people from the risk of harm and risks to people were assessed and monitored regularly.
Staffing levels ensured that people's care and support needs continued to be met safely and safe recruitment processes continued to be in place.
People continued to receive their medicines in a safe manner and received good healthcare support. People received a nutritious and balanced diet and their dietary needs and choices were met.
Infection control was adhered to by staff. However the registered provider did not have formal systems in place to monitor or review that infection prevention and control was effective.
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.
Risks continued to be assessed and recorded by staff to protect people. There were systems in place to monitor incidents and accidents. There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service.
People had good relationships with the staff, who were caring and kind. Staff respected people’s privacy and dignity and promoted their independence.
The service had an open culture which encouraged communication and learning. People, relatives and staff were encouraged to provide feedback about the service and it was used to drive improvement.
There were policies in place that ensured people would be listened to and treated fairly if they complained about the service.
We saw that the registered provider continued to effectively monitor and audit the quality and safety of the service and that people who used the service and their relatives were involved in the development of the home and were able to contribute ideas.
Further information is in the detailed findings below
Broomhouse Mews provides accommodation and support for one person with learning disabilities and autistic spectrum disorders. On the day of the inspection one person was receiving care services from the provider. The home had a registered manager. 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.
During our inspection we spoke with one person who used the service. We also spoke with a member of senior care staff.
During our visit to the service we looked at the care records for one person and looked at records that related to how the service was managed.
People who used this service were safe. The care staff knew how to identify if a person may be at risk of harm and the action to take if they had concerns about a person’s safety.
The care staff knew the people they were supporting and the choices they had made about their care and their lives. People who used the service, and those who were important to them, were included in planning and agreeing to the care provided.
The decisions people made were respected. People were supported to maintain their independence and control over their lives. People received care from a team of staff who they knew and who knew them. The registered manager had procedures for informing people which staff would be carrying duties. This meant people knew who they would see each day.
People were treated with kindness and respect. People we spoke with told us, “I like living here a lot.”
The registered manager used safe recruitment systems to ensure that new staff were only employed if they were suitable to work in people’s homes. The staff employed by the service were aware of their responsibility to protect people from harm or abuse. They told us they would be confident reporting any concerns to a senior person in the service or to the local authority or CQC.
There were sufficient staff, with appropriate experience, training and skills to meet people’s needs. The service was well managed and took appropriate action if expected standards were not met. This ensured people received a safe service that promoted their rights and independence.
Staff were well supported through a system of induction, training, supervision, appraisal and professional development. There was a positive culture within the service which was demonstrated by the attitudes of staff when we spoke with them and their approach to supporting people to maintain their independence.
The service was well-led. There was a comprehensive, formal quality assurance process in place. This meant that all aspects of the service were formally monitored to ensure good care was provided and planned improvements and changes could be implemented in a timely manner.
There were good systems in place for care staff or others to raise any concerns with the registered manager.