29 April 2021
During an inspection looking at part of the service
Broadland House is a residential care home providing personal care to 20 people aged 65 and over, some of whome were living with dementia, at the time of the inspection. The service can support up to 20 people.
Broadland House accommodates 20 people in one adapted building.
People’s experience of using this service and what we found
Actions to manage risks had not always been taken. The inspection identified several environmental risks which placed people at risk of harm. Actions had not been taken to fully assess people at risk of malnutrition. Quality Assurance systems had not been effective at identifying or addressing and improving these areas in a timely manner.
The service was open and inclusive which empowered staff in caring for the people who lived at the service. There had been a change of manager and the structure of how the service was being managed was being reviewed. However, during this the time the feedback from staff and relatives of people who lived in the service was positive with the managers being approachable and proactive in supporting people and staff. The staff had felt valued during recent times of COVID-19, receiving gifts and support for their wellbeing.
People’s records were regularly reviewed, were person centred and easy to understand.
Relatives spoke positively about the service regarding how they had been kept in contact with and updated during COVID-19. They were pleased with the care received and felt they could approach staff with queries and concerns and be listened to. Professionals involved with the service said staff were always helpful, notified them of any changes and were open to consider new strategies and ways to help support the people who lived in the service.
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 26 October 2019).
Why we inspected
We received concerns in relation to the management of medicines, environment and staffing. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
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.
We have found evidence that the provider needs to make improvements. Please see the assessing risk, safety monitoring and management and continuous learning and improving care sections of this full report.
You can see what action we have asked the provider to take at the end of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broadland House on our website at www.cqc.org.uk.
Enforcement
We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection. We will continue to monitor the service.
We have identified breaches in relation to safe care and governance at this inspection.
Please see the action we have told the provider to take at the end of this report.
Follow up
We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress. We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.