Background to this inspection
Updated
17 February 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.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by 1 inspector.
Service and service type
Broomfield Residential Care is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Broomfield Residential Care is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
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 a registered manager in post.
Notice of inspection
We gave a short period notice of the inspection because we wanted to ensure the registered manager would be at the service to support the inspection.
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 (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. We used all this information to plan our inspection.
During the inspection
We spoke with 5 people using the service and had discussions with 5 relatives to gain their view of the service. We spoke with 10 staff including the registered manager and the Nominated Individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We also had discussions with the cook, a housekeeper and 6 care and support staff and received written feedback from a further 2 staff members. In addition, we met and talked with a visiting health professional.
We reviewed a range of records. This included 4 people's care records and medication records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service, including quality assurance audits, training records, key policies and meeting minutes were reviewed.
Updated
17 February 2023
About the service
Broomfield Residential Care is a residential care home that can provide care and support for up to 40 people, including people who may be living with dementia. At the time of the inspection 32 people were using the service. Accommodation is provided over the ground and first floors with various lounge and dining areas and a garden room.
People’s experience of using this service and what we found
People received safe care and support and they told us they felt safe living at Broomfield Residential Care. Staff understood safeguarding procedures and were confident in reporting any concerns. Risks to people's safety were assessed and well managed, and people’s care plans detailed current risks and individual needs.
There were sufficient numbers of staff who were safely recruited to meet people's needs. Staff received training in relation to the safe administration of medicines and their competencies were checked to ensure safe practice. Infection control measures were robustly followed, and staff had access to sufficient PPE.
People's care needs were assessed before they went to live at the service, to ensure their needs could be fully met. Staff received an induction when they first commenced work at the service and ongoing training that enabled them to have the skills and knowledge to provide effective care.
People were supported to eat and drink enough and staff placed a strong emphasis on the dining experience to ensure it was enjoyed by all. Staff supported people to live healthier lives and access healthcare services.
The service had a vibrant and welcoming atmosphere where visitors were welcomed and encouraged. The premises was homely and adapted to meet the needs of people using the service.
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 were supported by kind, caring and compassionate staff that often went the extra mile to provide people with good quality care. The staff team were passionate about providing people with support that was based on their individual needs, goals and aspirations.
An activities programme was in place, and care plans were personalised to each individual detailing their likes, dislikes and personal preferences. People and their family were involved in the care planning process as much as was possible. A complaints system was in place and was used effectively. There was no one receiving end of life care at the time of our inspection. However, there were systems in place to care for people at the end of their life with support from other health professionals.
The service was well managed. People, relatives and staff were very positive about the leadership of the service and praised the management team highly. There were systems in place to monitor the quality of the service. Actions were taken and improvements were made when required. Staff felt well supported and said the registered manager was open and approachable. The service worked in partnership with outside agencies.
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 04 September 2020)
Why we inspected
We undertook this focused inspection to check if improvements had been made since the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broomfield Residential Care on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.