Background to this inspection
Updated
2 March 2023
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
This inspection was carried out by 1 inspector.
Service and service type
Broom Cottage is a 'care home'. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Broom Cottage 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
We gave the service 24 hours' notice of the inspection. This was because the service is small, and we wanted to be sure there would be people at home to speak with us.
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 who used the service and 2 relatives about their experience of the care provided. We spoke with 6 members of staff including the registered manager and care staff. We reviewed a range of records. This included 4 people's care records and multiple medication records. We looked at 3 staff files in relation to recruitment and staff supervision. 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. We looked at training data and quality assurance records.
Updated
2 March 2023
For inspections of all specialist learning disability and autism services
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.
About the service
Broom Cottage is a residential care home providing personal care to up to 5 people. The service provides support to people with a learning disability. At the time of our inspection there were 4 people using the service. Accommodation is provided in one adapted building.
People’s experience of using this service and what we found
The registered manager had identified areas for improvement to promote people having a fulfilling and meaningful everyday life. The provider supported the improvement plan to ensure people’s wishes, needs and rights were the focus of everything they did.
Right Support:
Broom Cottage had the external appearance of a large family home and this continued inside where there was space for people to relax, eat and socialise where, and with whom, they chose. People had unrestricted access to the communal areas of the home. People’s bedrooms were personalised and people used their private space when and how they wanted to. Staff understood how people made choices and enabled this to happen day to day.
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.
Right Care:
People had lived at Broom Cottage for many years together and were cared for by staff who knew them very well. Staff understood people’s needs and how people preferred to be supported. Staff supported people to access appropriate health care when required.
Right Culture:
People and others who were important to them, including advocates, were involved in planning their care. Staff knew and understood people very well and were responsive to their needs. Staff understood the principles of person-centred care and the importance of people’s needs and wishes being the focus of everything they did.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 22 April 2019 and this is the first inspection.
The last rating for the service under the previous provider was good, published on 26 April 2016.
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.