About the serviceBroomhill Lodge provides personal care and accommodation for up to eight adults with a learning disability and/or autistic people. At the time of our visit, six people were using the service.
People’s experience of using this service and what we found
We expect health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.
The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were given choices which were appropriate to their needs and level of understanding and ability. Care was person-centred and promoted people's dignity, privacy and human rights.
Staff had knowledge of safeguarding and were able to demonstrate the procedures they needed to follow. Risks to people’s individual health and wellbeing were identified and care was planned to minimise the risks. There were enough staff deployed to provide the care and support people needed. The staff recruitment process was robust and medicines were appropriately stored, administered and checked. The service had processes for the prevention and control of infection.
Staff had been trained in a variety of areas and were supported to maintain their skills through supervision and refresher training. People had access to appropriate health professionals when required and were provided with a diet and drink that met their individual preferences.
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. Where people did not have the capacity to consent, the staff acted in accordance with legal requirements.
Staff had a good knowledge of people they supported and respected their privacy and dignity. They promoted people’s independence. Confidentiality of people’s personal information was maintained. People’s care needs were documented so staff could provide personalised care and support. Staff monitored people’s health and wellbeing and sought advice or guidance from healthcare professionals as needed.
There was a complaints procedure which provided information on the action to take if someone wished to make a complaint and what they should expect to happen next. The provider welcomed suggestions on how they could develop the service and make improvements. There were systems in place to manage, monitor and improve the quality of the service provided. Staff were aware of their roles and responsibilities and felt supported by the management team.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
At the last inspection the service was rated good (published 29 November 2017). Since this rating was awarded the registered provider of the service has altered its legal entity. We have used the previous rating to inform our planning and decisions about the rating at this inspection.
Why we inspected:
This was a planned inspection based on the registration date of the 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 that the service can respond to COVID-19 and other infection outbreaks effectively.
Follow up
We will continue to monitor information we receive about the service until we return to visit. If we receive any concerning information we may inspect sooner.