Background to this inspection
Updated
12 July 2023
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 carried out by 1 inspector 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
Broadoak Lodge 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. Broadoak Lodge 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 provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.
At the time of our inspection there was not a registered manager in post. A new manager had been in post for six months and had applied to register. We are currently assessing this application.
Notice of inspection
This inspection was unannounced.
What we did before the inspection
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 also sought feedback from partner agencies and professionals, and information gathered as part of monitoring activity that took place on 17 November 2022 to help plan the inspection and inform our judgements. We used all this information to plan our inspection.
During the inspection
We spoke with 5 relatives and 3 people who used the service. We spoke with 9 staff members, including the provider, who was also nominated individual, the manager, deputy manager, 3 care workers, and a housekeeper and administrator. We reviewed a range of records, including 3 people's care records. We looked at 3 staff files in relation to recruitment. A variety of records relating to the management of the service were reviewed including policies and procedures.
The nominated individual is responsible for supervising the management of the service on behalf of the provider.
Updated
12 July 2023
About the service
Broadoak Lodge is a residential care home providing personal care to up to 27 people in one adapted building. The service provides support to older people including those living with dementia. At the time of our inspection there were 21 people using the service.
People’s experience of using this service and what we found
People and their relatives told us there were enough staff to meet their daily needs in a timely way.
Some staff raised concerns over the number of staff deployed for one shift. The number of staff deployed on this shift was increased.
We have made a recommendation about staffing.
Staff received regular training and supervision. Safe recruitment processes were in place and appropriate pre-employment checks were completed prior to staff starting employment.
People and relatives told us the service was safe. People were protected from the risk of abuse, and staff understood safeguarding procedures and how to raise a concern.
People and relatives told us staff were kind and caring. Staff knew people well and held positive relationships with them. Personalised care plans included details of people’s wishes and preferences.
People’s care needs were assessed, and risk assessments were in place for staff to support people safely.
The service was welcoming. Everyone we spoke with told us managers and staff were approachable and friendly. The manager was a visible presence in the service offering guidance and support where needed.
The service worked in partnership with other agencies and health professionals to ensure people received joined up care.
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 received their medicines as prescribed. Infection prevention and control procedures were in place and the environment safely managed.
Quality assurance systems were in place to monitor the quality of the service. Regular audits were carried out to ensure prompt action was taken following any shortfall identified.
The provider and manager were open and transparent and responded promptly to feedback during the inspection.
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 1 December 2020).
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 the service can respond to COVID-19 and other infection outbreaks effectively.
We undertook a focused inspection to review the key questions of safe, caring and well-led only. For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating.
The overall rating for the service has remained the same based on the findings of this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broadoak Lodge on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.