Broome Park Nursing Home

Updated 9 December 2022

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

This inspection was carried out by three inspectors and an Expert by Experience. 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

Broome Park 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. Broome Park is a care home with nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This service is required to have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. 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.

At the time of our inspection there was not a registered manager in post, however the manager had started the application process to become registered with CQC.

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 (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 eight people who used the service and six relatives about their experience of the care provided. We observed care being provided to people. We spoke with four health and social care professionals who were visiting the service. We spoke with nine members of staff including the manager, nominated individual, nurses and care assistants. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We observed people receiving care and reviewed a range of records. This included six people's care records and multiple medication records. We looked at four staff files in relation to recruitment.

Updated 9 December 2022

About the service

Broome Park Nursing Home is a care home providing personal and nursing care. The service can support up to 56 people in two separate buildings, the main house and Stable Cottage. Broome Park cares for people with a range of needs including people with learning disabilities and autism, people living with dementia and older people with nursing care needs. There were 51 people using the service at the time of the inspection.

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

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.

Right Support

People had limited access to meaningful activities and care plans were not person centred. People’s support was not always well structured and some people did not have end of life care planning in place. There was a lack of opportunity for people to identify goals and outcomes and plan the support they needed to achieve these.

Right Care

Poor risk management meant people were not always safe. There was a high use of agency staff at the service meaning that some people were supported by staff who did not know their needs well. However, people with learning disabilities lived in one part of the service which had its own settled staff team who knew people’s needs well. People were not always treated with dignity and respect. Staff understood their responsibilities to protect people from abuse and knew how to report concerns should they need to.

Right Culture

Governance at the service was not effective which placed people at risk of receiving poor care. People’s privacy was not always respected, and people and their families had limited opportunities to contribute to planning their support. Relatives told us that communication from the service was often poor and professionals said they could not always get the information from the service they needed about people. People were supported to develop their skills and to be as independent as possible.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

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 good (published 10 March 2021).

Why we inspected

The inspection was prompted in part due to concerns received about staffing and risk management. A decision was made for us to inspect and examine those risks. We have found evidence that the provider needs to make improvements.

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.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service and will take further action if needed.

We have identified breaches in relation to person centred care, dignity and respect, safe care and governance at this inspection. Full information about CQC’s regulatory response to the more serious concerns found during inspections is added to reports after any representations and appeals have been concluded.

Follow up

We will request an action plan from the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.