Broomhill Care Centre

Updated 17 April 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

Two inspectors carried out this inspection.

Service and service type

Broomhill Care Centre 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.

The service had a manager registered with the Care Quality Commission. 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

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. We sought feedback from the local authority and professionals who work with the service. We used all this information to plan our inspection.

During the inspection

We spoke with three people who used the service, two care staff, domestic staff member, the compliance manager, registered nurse and registered manager and a health care professional. We reviewed a range of care records including care plans and risk assessments and medicine records.

After the inspection

We continued to seek clarification from the provider to validate the evidence we found. We looked at policies and quality audits completed by the provider.

Updated 17 April 2021

About the service

Broomhill Care Centre is a residential care home for people living with dementia and complex mental health needs. The care is provided in a purpose-built home with accommodation over three floors; bedrooms are on the first and second floor and can be accessed by a lift. There is a secure garden for people to use and there is access to public facilities. The service can support up to 16 people and there were 10 people at the time of the inspection.

People’s experience of using this service and what we found

Improvements were needed to ensure best practice guidelines were followed to maintain standards of infection prevention and control and management of COVID-19. The use of Personal Protective Equipment (PPE) was reviewed following our inspection to ensure all staff used PPE as required and regular cleaning around the home was completed. Where new people were admitted to the service, people could use the second floor to ensure there was a period of isolation.

People’s care had been reviewed to reflect any changing support needs. Risk management was generally comprehensive and guidance for staff was up to date and detailed. One person's risk plan associated with physical intervention and risks associated with personal care, needed more detail; this was discussed with the registered manager who took immediate action.

Staff understood what constituted abuse or poor practice and systems and processes were in place to protect people from the risk of harm. People were protected against the risk of abuse, as checks were made to confirm staff were of good character and suitable to work in a care environment. There were sufficient staff available to support people. Medicines were managed safely, and people were supported to take their medicine as prescribed. The provider analysed accidents and incidents and used this information as a learning tool to improve the service.

Staff had reviewed how people could be supported during the COVID-19 pandemic and restrictions in the community and supported people to be involved with activities in the home and do the things they enjoyed. People were encouraged to express their views about their care and staff were responsive to their comments and any concerns.

There were systems in place to monitor the quality of the service and enable the provider to drive improvement. Staff had regular meetings to keep them updated on training and good care practice. The provider had an ongoing action plan that showed how the service was continually improving.

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 2 July 2019).

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

This was a planned inspection based on the previous rating to review improvements and prompted in part due to concerns received regarding how people were supported, care was recorded, and medicines managed. A decision was made for us to inspect and examine those risks. 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 coronavirus and other infection outbreaks effectively.

No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

We have found evidence that the provider needs to make improvement within the key question of Safe.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broomhill Care Centre on our website at www.cqc.org.uk.

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.