Broadview

Updated 27 May 2020

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.

Inspection team

The inspection was conducted by two inspectors.

Service and service type

Broadview 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

We reviewed the information we had received about the service, including previous inspection reports and notifications. Notifications are information about specific important events the service is legally required to send to us. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection-

We spoke with four people who used the service about their experience of the care provided. We spoke with five members of staff including the provider’s representative, registered manager, deputy manager, and care workers.

We reviewed a range of records. This included four people’s care records and multiple medication records. A variety of records relating to the management of the service, including policies and procedures, training data and quality assurance records, were reviewed.

After the inspection

We looked at two staff files in relation to recruitment and staff supervision. We sought further clarification from the registered manager and reviewed records relating to residents’ meetings and care plan records. We spoke with four relatives of people and sought feedback from external professionals who regularly visit the service.

Updated 27 May 2020

About the service

Broadview is a care home that is registered to provide accommodation and personal care for up to six people and predominantly supports people living with a learning disability and autism. The home consisted of three separate accommodations, a main house and two one-bedroom flats that supported people who were more independent. At the time of the inspection there were six people living at the service. The care provider is a national care organisation with locations of care homes across England.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

The registered manager and staff demonstrated a real commitment to providing person centred support to people. There was an extremely responsive culture that focussed on providing many opportunities for learning and development for the people living there.

People told us they were very happy living at Broadview, and it was clear that it was their home, where they were listened to and supported by a dedicated staff team. One person said, “I love it here, we all get on, it’s very good.”

People were protected from abuse. Staff knew people well and encouraged and supported them to express any concerns. Staff had received training in safeguarding and understood their responsibilities. People received their medicines safely and as prescribed. Appropriate arrangements were in place for obtaining, recording, administering and disposing of prescribed medicines.

Staff were recruited safely, and sufficient numbers were employed to ensure people had person-centred care that included individual support to meet their social needs.

Staff had received appropriate training and support to enable them to carry out their role safely. People received support to manage their health needs when required and the registered manager and staff had developed positive partnerships with external health and social care professionals.

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 service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People were treated with care and kindness by staff who had built positive relationships with them. There was a strong focus on people having as many opportunities as possible to develop their confidence, gain new skills and become as independent as they could. Equipment had been purchased that had considered all aspects of people’s life and how independence could be actively promoted.

People were supported by staff who were determined to ensure people could make their own choices. Staff assisted people to make their wishes a reality. Staff worked in partnership with people and their relatives to develop and review their support plans and these reflected people's aspirations and goals.

People were a part of their local community and were supported to access a wealth of activities and opportunities. People took part in social, cultural, religious and recreational pursuits and continual learning and development was embedded into the culture of the service.

Staff supported people and showed a good understanding of equality and diversity and people were treated with dignity, and their privacy was respected.

The registered manager had ensured the service was a home for people that was inclusive and recognised their individual needs and wishes. There was a stable and committed staff team that enabled people to build positive, caring relationships.

The registered manager worked with external agencies to ensure the quality of the service was monitored and continuous improvement was embedded, through best practice guidance. They ensured people and staff were involved in the development of the service and used a range of methods to gather feedback.

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 01 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

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.