Broomy Hill Nursing Home

Updated 17 May 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 team at Broomy Hill Nursing Home consisted of 2 inspectors and a specialist advisor in nursing.

Service and service type

Broomy Hill Nursing Home 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. Broomy Hill Nursing Home 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 13 April 2023 and ended on 27 April 2023. We visited the location’s service on 13 April 2023.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority. 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 of this information to plan our inspection.

During the inspection

We spent time seeing how people were cared for and spoke with 2 people living at the home. 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.

We spoke with 5 relatives and 3 health and social care professionals, to find out their views about the care provided. In addition, we spoke with 7 staff who worked at the home, including the registered manager, senior staff and care staff and a member of maintenance staff.

We reviewed a range of records. These included 6 people’s care records, multiple medication records, and records showing what support staff had given to people so their care needs would be met. We looked at records relating to the quality, safety and management of the home. These included checks undertaken on the premises, staff competency and training, minutes of meetings and staff recruitment records. In addition, we looked at policies and procedures and audits undertaken by senior staff and the provider.

Updated 17 May 2023

About the service

Broomy Hill Nursing Home is a residential care home providing personal and nursing care to up to 40 people. The service provides support to older people who may live with dementia or mental health support needs. At the time of our inspection there were 37 people using the service. Broomy Hill Nursing Home accommodates people in one adapted building.

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

The registered manager and senior staff had made improvements to the way people’s medication and risks were managed. This helped to ensure people had he medicines they needed to remain well and free of pain and risks to their safety were reduced. There was enough staff to care for people, who had developed the skill required to meet people’s needs. Staff’s competency to provide care to people was checked. Learning was taken from any incidents or errors.

People were now supported by staff to receive the care they need to maintain good skin health. Staff at Broomy Hill Nursing Home worked with other health and social care providers so people’s health needs were promptly met. The registered manager planned to ensure people’s records of repositioning and fluid intake were centrally recorded, so they could be assured people’s health was further promoted. The provider had made significant improvements to the premises, for people to enjoy and they planned more refurbishment. The provider now obtained the views of relatives and external professionals when people’s care needs were assessed and as their needs changed. 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.

The provider regularly checked people received safe care through reviewing electronic care records and visits to the home. The registered manager and senior staff spent time checking people received the care they wanted, and to assure themselves this was done safely. Where actions had been identified these were addressed. The registered manager and senior staff supported staff to understand what was expected of them. Staff now had access throughout the home to guidance they needed on people’s electronic care plans. Relatives, other health and social care professionals and staff told us senior staff were visible in the home and suggestions for developing people's care further were welcomed.

Rating at last inspection and update

The last rating for this service was requires improvement (published 03 February 2022) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do to improve. At this inspection enough improvement had been made and the provider was no longer in breach of regulations.

Why we inspected

We carried out an unannounced inspection of this service on 13 September 2021. Breaches of legal requirements were found. The provider completed an action plan after the last inspection to show what they would do and by when to improve safe care and treatment and good governance.

We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe, Effective and Well-led which contain those requirements.

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 changed from requires improvement to good. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broomy Hill Nursing Home 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.