Background to this inspection
Updated
3 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to the COVID-19 pandemic we are looking at how services manage infection control and visiting arrangements. This was a targeted inspection looking at the infection prevention and control measures the provider had in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 9 February 2022 and was unannounced.
Updated
3 March 2022
Broad Oak Manor Care Home is registered to provide accommodation and personal care for up to 42 older people who have complex health conditions requiring nursing care. There were 37 people living at the service on the day of our inspection. The accommodation was spread over two floors with a lift to help people move between the floors easily.
At the last inspection, on 11 February 2015, the service was rated as Good. At this inspection we found the service had remained Good.
People continued to be safeguarded from abuse by staff who knew and understood the procedures in place and what their own responsibilities were within these. Staff were confident concerns would be acted on immediately by the management team. People were protected from the risks they faced as an individual. The nursing staff identified risks and made sure guidelines and management plans were in place to control the risks. Accidents and incidents continued to be recorded well and improvements made to keep people safe by close analysis.
There were sufficient numbers of nursing and care staff available to support people and to meet their needs. Safe recruitment practices were still in place to make sure the service employed only suitable staff. New staff were given the training and support they needed to do well in their new role. Refresher training continued to make sure staff updated their skills.
People were supported to have their healthcare and nutritional needs met. Specialist advice was sought by the nurses when necessary to make sure the advice was available to care for people’s needs well.
Although the staff completed daily charts to record people’s food and fluid intake as well as changes to their position in bed, these were not always recorded consistently. We have made a recommendation about this.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People were supported by nurses and staff who knew them well and were therefore able to support them in a person centred way. The atmosphere in the service was relaxed and friendly where people and staff interacted well.
People had access to a range of activities to suit most preferences. Outings to places such as the theatre were regular. Residents meetings and regular surveys ensured people’s involvement and views were sought.
People, their relatives and staff thought the service was well run and thought the new registered manager was making further improvements to an already good service. The registered manager and deputy manager reacted quickly and positively to areas for improvement. The provider and registered manager effectively used monitoring and auditing tools to ensure the quality and safety of the service continued to be maintained and improved.
Further information is in the detailed findings below.