50 Broadfields

Updated 16 November 2019

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 - This inspection was carried out by one inspector.

Service and service type

50 Broadfields is a ‘care home’. People in care homes receive accommodation and nursing or personal care as 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 information we had received about the service since the last inspection. The provider was not asked to complete a provider information return prior to this inspection. They were asked to complete it during our inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with two people who used the service about their experience of the care provided. We spoke with two members of staff, the registered manager and development director.

We reviewed a range of records. This included two care plans, medicines records and risk assessments. We looked at three files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including training data and quality assurance were reviewed.

After the inspection

We contacted four healthcare professionals who regularly visit the service for their feedback. We also contacted one relative on the telephone and a further two members of staff.

Updated 16 November 2019

About the service

50 Broadfields is a small residential care home providing personal care for up to two people. There were two people living at the home at the time of our inspection. The home was in a quiet residential street In Pewsey with its own gardens.

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

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 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 supported to take their medicines safely by staff who had been trained. There were sufficient numbers of staff available to provide safe care and support. Risks had been identified, assessed and were managed with staff making sure people could maintain independence as much as possible. Accidents and incidents were recorded and reviewed by management, so trends could be identified.

Staff were trained and supported so they could provide effective care and support. People chose their own food and did their own shopping with support from staff. People’s needs were assessed and when needed, referrals to healthcare services were made. Staff worked together with healthcare professionals to meet people’s needs.

People, relatives and professionals all told us staff were caring. Staff had worked with people to achieve lifelong goals which had resulted in positive wellbeing. People told us how they had been supported to go on holidays to do things they had always wanted to do. People were valued by staff and supported to spend their time how they wished. One person had started a voluntary job and was looking at potential opportunities for paid work. Activities were provided, and people were encouraged to access their local community.

People, relatives, staff and professionals told us the service was well-led. Staff were supported by an on-call system 24 hours a day which they told us helped them feel safe. Quality monitoring systems were in place and the provider continuously looked to improve. A development director was employed who researched good practice and monitored service developments.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive interventions practices (restraint, seclusion and segregation) when supporting people. This service did not use any restrictive interventions or practices.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update) - The last rating for this service was Requires Improvement (report published 15 November 2018) where we found one breach of Regulation.

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

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.