Archived: Broadview

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.

We reviewed staff records and spoke with staff. This told us that staff were supported and valued. Evidence showed that staff were provided with the necessary and ongoing training in order to meet the needs of the organisation, the team and the service users.

One service user demonstrated to us that he was trusted by staff, with supervision, to carry out some small day to day tasks such as making a cup of tea for visitors. We also saw the companionship shared between service users. We saw that people had access to activities such as dancing, horse riding and swimming.

The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people using the service and others. The home was clean, tidy, well presented and comfortable and suitable precautions were in place to keep the service user's safe and free from harm.

We saw that people were involved in the planning of their care, with people's choices being respected. The provider had the necessary systems in place to plan and review the delivery of care and support.

We saw that the premises and environment were safe and clean. Both individual and communal areas were comfortable and adapted to people's needs and wishes. We observed health and safety information, and the staff we spoke with could explain how to reduce the risk of infection.

We observed there was sufficient staff on each shift to meet the needs of the people using the service. We saw evidence that staff received appropriate training and one staff member said 'I love working here. All the staff support each other and the people living here are cared for really well'.

We looked at the different policies and procedures relating to quality and risk management. This included the reporting of complaints and incidents. We saw that the reports were monitored and audited, with action plans to address any concerns.