Broadhurst Residential Care Home

Updated 23 September 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

The inspection was completed by two inspectors.

Service and service type

Broadhurst 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. Broadhurst 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 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 7 September 2022 and ended on 14 September 2022. We visited the service on 7 and 9 September 2022.

What we did before the inspection

We reviewed the information we had received about the service, including the previous inspection report and notifications. Notifications are information about specific important events the service is legally required to send to us. 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 about their experience of the care provided. We spoke with nine members of staff including the registered manager, the health and safety manager, the service auditor, a chef and five care staff.

We reviewed a range of records, including five people’s care records in detail, and 10 people’s medicines records. Four staff files were reviewed in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including audits, training, staff rota’s policies and procedures were also reviewed. We received feedback from four health and social care professionals and seven relatives.

Updated 23 September 2022

About the service

Broadhurst Residential Care Home is a care home providing personal care and accommodation in one adapted building for up to 25 people. At the time of our inspection there were 21 people using the service, all of who were over the age of 65 and some of which were living with dementia.

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

People were happy living at Broadhurst Residential Care Home and spoke very positively about the care they received and the running of the service. The home was clean and there was a homely, welcoming and happy environment.

People's care plans and risk assessments contained consistent and detailed information in relation to people’s needs and how these should be managed. People’s health needs and wellbeing was monitored in line with the information highlighted in their care plans and risk assessments.

Environmental risks had been considered and acted on were required. Infection, prevention and control processes and up to date policies were in place. The provider, management and staff adhered to the latest government guidance in relation to infection, prevention and control.

People received their medicine as prescribed. Medicine administration care plans and ‘as required’ (PRN) plans provided staff with clear and detailed information on how people liked to receive their medicines and when these medicines should be given.

Recruitment practices were effective and there were sufficient numbers of staff available to meet people's needs in a safe and unhurried way. People were protected from avoidable harm.

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.

Staff had received appropriate training and support to enable them to carry out their role safely. They received regular supervision to help develop their skills and support them in their role.

People’s needs were met in a personalised way. Staff knew the people they supported well and had a good understanding of their needs. People were supported to partake in a range of activities centred around their particular interests.

There was a person-centred culture within the service. People were actively involved in making decisions about their care and were asked for their views about all aspects of the service.

The service worked in partnership with other agencies to aid joined up, person centred care provision.

Effective and robust quality assurance systems had been developed and implemented to continually assess, monitor and improve the quality of care people received.

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 21 February 2018). However, we recommended that the provider seek resources to ensure the home is redecorated and updated to ensure people can access all areas comfortably. We also recommend that the service seek advice and guidance from a reputable source, about supporting people to express their views and involving them in decisions about their end of life care, treatment and support.

At this inspection we found the provider had acted on these recommendations and improvements had been made in these areas.

Why we inspected

This inspection was prompted by a review of the information we held about this service.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.