Background to this inspection
Updated
19 June 2021
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 Care Act 2014.
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 one inspector.
Service and service type
Broomfield Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a manager registered with CQC. 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.
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. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.
During the inspection
We spoke with four people who used the service about their experience of the care provided. We spoke with six members of staff including the registered manager, deputy manager, senior care workers, care workers and domestic staff.
We reviewed three staff files in relation to recruitment and medicines records. A variety of records relating to the safe management of the service, including safety checks were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at five care plans, checks and audits and quality assurance records. We spoke with four relatives.
Updated
19 June 2021
About the service
Broomfield Lodge is a residential care home providing personal and nursing care to 18 older people who may be living with dementia at the time of the inspection. The service can support up to 21 people in one large adapted building.
People’s experience of using this service and what we found
People and relatives told us they felt the service was safe. Potential risks to people’s health and welfare including Covid-19 had been assessed and there was guidance in place for staff to mitigate the risks.
Medicines were managed safely; people received their medicines as prescribed. People told us there were enough staff to meet their needs. We observed staff supporting people to remain safe and call bells were answered quickly. Staff had been recruited safely.
Checks and audits had been completed to check the quality of the service; action was taken when shortfalls were identified. People, relatives and staff were asked their opinion of the service. People and relatives were confident to raise any concerns with the registered manager and they were kept informed of any changes.
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 had been involved in developing their care plans and making decisions.
The provider followed all government guidance during the Covid-19 pandemic, and we were assured infection control risks were managed. People were supported to receive visitors in a safe way and regular Covid-19 tests were completed.
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 27 January 2020) and there was one breach of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 20 December 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
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.
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 has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broomfield Lodge on our website at www.cqc.org.uk.
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.