Archived: Broadview

Updated 3 October 2018

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We gave the service 48 hours’ notice of the inspection visit because it is small and we needed to be sure that the provider or registered manager would be available.

This inspection took place on 8 August 2018 and was unannounced. It was conducted by one inspector.

We used a range of different methods to help us understand people's experiences. People who lived at the home had variable verbal communication. Therefore, we observed the interaction between people and the staff who supported them in communal areas throughout the inspection visit.

We spoke with the registered manager, the area operations manager, and two members of care staff. We reviewed care plans and health records for two people to check that they were accurate and up to date. Following the inspection visit, we spoke with two health professionals.

We also looked at the systems the provider had in place to ensure the quality of the service was continuously monitored and reviewed to drive improvement. We reviewed audits and quality checks for infection control, medicines management, accidents and incidents, and health and safety checks. We reviewed two staff files to ensure they were recruited safely.

Updated 3 October 2018

This inspection took place on 8 August 2018 and was announced. At our last inspection in February 2016 we rated the service as Good. At this inspection we found the found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring, that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Broadview is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. It provides care and support for up to four people, and on the day of our inspection there were four people living at Broadview.

We found some environmental risks, such as uncovered radiators and pipework which could pose a scalding risk if people were to fall against them. When we brought this to the attention of the registered manager and provider they immediately arranged to undertake a risk assessment and order radiator covers to prevent people burning themselves.

Infection control procedures needed to be more robust, and we found that some areas of the service required more effective cleaning. The registered manager sent us information that this was being addressed promptly, and new audits were implemented immediately.

Medicine audits were basic, and did not include checks on the quality of recording in medicine administration records. Some documentation, such as medicines which are given 'when required' needed a protocol to describe when these might be needed to provide greater guidance for staff. Action was taken to address these issues promptly following the inspection.

People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to health and social care services was made when required.

We found systems and processes were in place to keep people safe. Staff understood their responsibilities for safeguarding people they cared for and assessed risks to their health and safety. Measures were in place to reduce these risks and people were supported to stay safe, whilst not unnecessarily restricting their freedom.

Staff received appropriate training for their role and they were supported to further develop their knowledge and skills.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed.

Although most people were unable to fully express themselves verbally, they were seen to be relaxed and happy in the company of staff. Staff had developed caring relationships with people and treated them with kindness and respect. People felt able to express themselves in a safe and supportive environment. Staff had a good understanding of people's preferences and knew them well.

People led full and active lives. They engaged in a wide range of activities based on their personal choices. People were treated equally, without discrimination and information was presented to them in a way they could understand.

The registered manager and provider provided good leadership and support to staff. The provider had put processes in place to support the manager and staff.

Further information is in the detailed findings below.