Background to this inspection
Updated
22 November 2022
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.
Inspection team
The inspection was carried out by 1 inspector
Service and service type
Broom Lane Care Home is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under 1 contractual agreement. Broom Lane Care 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
The inspection was unannounced.
Inspection activity started on 19 October 2022 and ended on 28 October 2022. We visited the home on 19 October 2022 and contacted people’s relatives and staff by phone and email following this.
What we did before inspection
We reviewed information we had received about the service since the last inspection. 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 this information to plan our inspection.
During the inspection
We spoke with 2 people using the service and 6 people’s relatives about their experience of the care provided. We spoke with 6 staff including the area manager. We reviewed a range of records. This included 3 people's care records and a sample of medication records. We looked at 3 staff recruitment files and a variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found.
Updated
22 November 2022
About the service
Broom Lane Care Home provides personal care to older people with a range of support needs, including dementia. It is divided into 3 discrete units and accommodates up to 60 people. There were no vacancies at the time of the inspection.
People’s experience of using this service and what we found
We were assured people were being cared for safely. The provider continued to demonstrate a high regard to the risks presented by the ongoing COVID-19 pandemic. Relevant risk assessments had been carried out, and staff had received appropriate training in relation to infection prevention and control.
Medicines were safely managed, and staff had been trained in relation to medicines management. Records of medicines received, administered and returned were clear, and storage arrangements for medicines were appropriate.
Staff had received training in relation to safeguarding, and the provider had suitable arrangements in place for responding to any incidents of suspected abuse. Relatives told us they believed the home to be a safe place.
Staff told us they felt supported by management within the home. The registered manager was skilled and experienced, and supported by a deputy manager and area manager. There were formal and informal arrangements in place for dialogue between staff and managers.
Recruitment was undertaken safely, with appropriate background checks before staff started work.
Governance arrangements were suitable to ensure the provision of safe care, with the area manager telling us about recent incidents and lessons learned. The management team worked transparently with external agencies, such as healthcare professionals and the local authority, to ensure people were well cared for.
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.
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 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 January 2022)
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 remains 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 Broom Lane Care Home on our website at www.cqc.org.uk.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.