Archived: Broughton Court

We spoke with four people who lived at the home who told us: 'They are always up-beat and happy.' 'If you are going into a home it is a nice place to be.' 'The staff are very helpful; they will do anything for you.' 'I am very happy the look after me very well.'

We looked at a sample of three care plans and found an assessment of care needs had been carried out prior to admission. This was to ensure staff had the skills and experience to meet people's needs.

We saw; where necessary specialist advice from occupational therapists, dieticians, speech and language therapists (SALT) and GP's had been sought.

We found care plans had been reviewed monthly or when there were changes. This meant the care plans were up to date and accurate.

During our visit we looked at the care plans of four people living at the home and relevant provider records and monitoring processes. We also spoke with the home manager. The records and documentation we reviewed and information provided by the manager assured us that some improvements had been made and steps were being taken to ensure people were protected from the risks of unsafe or inappropriate care and treatment.

During this inspection we had some concerns that people's personal care needs and preferences were not always being met. We raised these concerns with the manager who told us that staff would start to include in their records if a person refused personal care.

The people we spoke with told us they were quite happy with some of the improvements they had seen. One person told us: 'I am happy with the help I receive from the staff. They always consider what I need and what is best for me.'

People using the service knew who to talk to if they had any concerns and they were confident that any concerns would be dealt with. One person's relative told us, 'As a family we want to see that any improvements are maintained and kept going'. One person told the expert by experience, 'If I need anything, I only have to ask. They are good to me".

During our visit we saw some shortfalls in the support provided to people at mealtimes. The provider told us action would be taken in relation to the deployment of staff.

As part of this review we contacted Salford Local Authority who monitored the care of the people who had been placed at Broughton Court. They told us that they continued to have some concerns in relation to the management of the service and these concerns were in the process of being addressed.

During this inspection we found that records about the care, treatment and support of people who used the service were not always appropriately detailed. This means that people could be at risk of not having their needs appropriately met.

The relatives we spoke with were generally satisfied with the care their family members received. During our inspection we observed where some people's rights to privacy, dignity and independence were not fully respected. From our observations, the documentation we looked at and the staff we spoke with we saw there were not always sufficient staff to meet people's needs.

We saw some evidence of good practice and from discussions with the managers and a review of the provider's action plan it was evident there have been improvements to the service provided over recent weeks. Some of the concerns identified in this report led us to conclude that we did not have confidence in the robustness of the providers quality assurance and monitoring systems.

As part of this review process we contacted Salford Local Authority who monitor the care of the people who had been placed at Broughton Court. They told us that some concerns had been raised that related to the management of the service but these concerns were being addressed.