Broadwindsor House

Updated 28 June 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

Broadwindsor House 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. Broadwindsor House 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 a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 26 May 2023 and ended on 2 June 2023. We visited the service on 26 May 2023.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. 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 used all this information to plan our inspection.

During the inspection

We spoke with 3 people who used the service and 8 relatives about their experience of the care provided. We spoke with and received written feedback from 9 members of staff including the registered manager, deputy manager, head of care, senior care assistants, care assistants, a volunteer, kitchen and housekeeping. We received feedback from 2 health professionals who visit the home regularly.

We reviewed a range of records. This included 3 people’s care records and multiple medication records. We looked at three staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

Updated 28 June 2023

About the service

Broadwindsor House is a residential care home providing personal care to 20 people at the time of the inspection. The service can support up to 24 people.

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

People told us they felt safe living at the home. Relatives agreed. Staff told us they would feel confident whistleblowing if they observed or heard about poor practice.

Risks to people were assessed, recorded and regularly reviewed. This included those related to any health conditions and the home environment. There were enough staff on duty to meet people’s needs.

People told us they received their prescribed medicines on time. Relatives confirmed this. Medicines were only administered by staff with the relevant training and ongoing competency checks.

Infection and control procedures were robust and protected people, staff and visitors from harm. People told us their family and friends could visit without restriction.

Accidents and incidents were recorded and analysed. This supported the timely identification of themes and trends and the action required to help prevent a recurrence. Learning was shared.

The home had a positive culture. Staff enjoyed working with their colleagues and fully supported each other. Staff felt supported both in their work and with challenges that arose in their personal lives.

Professionals who visited the home regularly spoke positively about the management and care people received.

The registered manager and staff had a clear understanding of their roles and responsibilities.

The registered manager was highly thought of. There was unanimously positive feedback about them from all stakeholders. People and relatives felt the home was well managed.

The home undertook annual satisfaction surveys to gather the views of people, relatives, staff and professionals. Feedback was entirely positive.

The registered manager and deputy manager undertook various audits providing a robust oversight of quality and risk in the home. Staff were encouraged and supported to develop their skills and obtain further qualifications.

The home had established and maintained good working relationships with other organisations such as GP surgeries, social workers, district nursing teams and local frailty team.

Management recognised the part the home played in the local community. This included strong links with volunteers, a village school, college and donating to local events.

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 14 October 2017).

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 that the service can respond to COVID-19 and other infection outbreaks effectively.

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 good based on the findings of this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broadwindsor House 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.