Broadway House

Updated 6 July 2023

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 Health and Social Care Act 2008.

Inspection team

Two inspectors carried out the inspection. An expert by experience made calls to the people who used the service and their families for feedback on the service. An expert by experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

This service provides care and support to people living in 9 supported living settings, so that they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

Registered manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was not a registered manager in post. A manager had recently been appointed and had submitted an application to register. We are currently assessing this application.

Notice of inspection

This inspection was announced. We gave a short period notice of the inspection because some of the people using it could not consent to a home visit from an inspector. This meant that we had to arrange for a ‘best interests’ decision about this.

Inspection activity started on 20 June 2023 and ended on 28 June 2023. We visited the office location and 4 supported living accommodations.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually 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 visited the office and met office staff which included the manager, head of operations, director of service and development and the chief executive. We visited 4 supported living settings and met and spoke with 9 people who used the service to get their feedback about the care provided. Each supported living setting had a locality manager that oversees the day to day running of the service. We met 3 locality managers at the supported living settings we visited and also spoke with 3 care staff.

We had phone contact with 7 family members and 1 person who received care from the service to obtain feedback about their experiences. We also spoke with 6 care staff.

We viewed a range of records. This included 8 people’s care records and multiple medication records. We looked at 9 staff files in relation to recruitment and staff supervision.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at a variety of records relating to the management of the service, including policies and procedures. We looked at training records and quality assurance records.

Updated 6 July 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Broadway House is a supported living service providing personal care to 26 people at 9 supported living settings. Support is primarily provided to people with a learning disability and autistic people. People live in individual flats and shared houses.

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

The service was able to demonstrate how they were meeting the underpinning principles of right support, right care and right culture.

Right Support

People were protected from the risk of abuse and harm. A positive and person-centred approach was taken to the management of risks to people. Staff were recruited safely and trained appropriately to ensure they were competent for their role. 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. People accessed specialist health and social care support in the community. Staff supported people to have an active role in maintaining their own health and wellbeing. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

Right Care

Staff spoke respectfully about people and treated them with compassion. People’s privacy and dignity was respected. Staff understood and responded to people’s individual needs. People received care and support from the same staff team so that they were supported by staff who knew them well, understood their needs and considered their wishes, goals and preferences. People’s care and support plans reflected their range of needs, and this promoted their wellbeing. People and those important to them, were involved in planning their care. People were fully supported to live a life of their choosing and to increase their independence. Staff worked in partnership with health and social care professionals to ensure people had access to the right care and support.

Right culture

The service was well-managed. There was a strong person-centred culture and ethos that valued the individual. The organisation had a culture which put people and their needs at the heart of the service, and this was widely understood and practiced by staff. The service had enough appropriately skilled staff to meet people’s needs and keep them safe. Staff felt valued and there was a low turnover of staff. Management carried out quality checks and made improvements where necessary. Management evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.

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

Rating at last inspection and update

The last rating for this service was Good (published 5 April 2019).

Why we inspected

The inspection was prompted in part due to an incident that occurred at one of the addresses. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe, effective and well led only. We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We found evidence the provider had reviewed their risk assessments in relation to this concern to minimise risks to people. Please see the Safe, Effective and Well Led sections of this full report.

The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service remains good. This is based on the findings at this inspection.

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.