Broomhouse Nursing Home

Updated 21 December 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

The inspection was carried out by one inspector.

Service and service type

Broomhouse Nursing Home 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 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. We sought feedback from the local authority and professionals who worked with the service. We used all this information to plan our inspection.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with three people and five relatives about their experience of the care provided. We spoke with ten members of staff including the deputy manager, quality compliance officer, a nurse, four care support staff, health and safety officer, lifestyle facilitator and the head cook. We reviewed a range of records. This included three people’s care records and their medicine records. We looked at three 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 reviewed information received from the clinical quality manager from Derbyshire CCG. No concerns were identified.

Updated 21 December 2019

Broomhouse Nursing Home specialises in providing nursing and personal care for up to 40 people who have a learning disability or autism or other associated and complex needs across four separate units, each of which has separate adapted facilities. All units had people living with complex needs, however, people living on the ground floor were slightly more independent. Nursing staff work across the two floors to support people with their nursing needs. There were 37 people living in the service on the day of our inspection.

People’s experience of using this service and what we found

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 was appropriate and inclusive for them.

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.

Systems were in place to monitor the safety of the service which ensured peoples' risks were mitigated and lessons were learnt. Action plans had been put into place to ensure the service continuously improved. People were supported by staff who routinely promoted privacy and dignity. Comments from relatives and people were positive.

People had access to a range of health and social care professionals for advice, treatment and support. Nurses and care staff monitored people's health and well-being effectively and responded quickly to any concerns. Medicines were managed, stored, administered and disposed of safely. Nurses had their competencies checked at regular intervals they also received clinical supervision from the registered manager and had opportunity to attend training to maintain their professional registration.

Staff were recruited and trained to a good standard. Staff received supervision and had checks on their knowledge and skills. There was enough staff to meet people’s needs.

Quality monitoring systems were in place and the registered manager had responsibility to report and significant events including accidents and incidents to the quality monitoring manager.

The service was safe clean, tidy and well maintained. People had access to a complaints procedure which had been developed in pictorial and easy read format for those people who found written procedures hard to understand.

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 July 2017).

Why we inspected

This was a planned inspection based on the previous rating.

You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Broomhouse Nursing Home on our website at www.cqc.org.uk.

We will continue to monitor information we receive about the service until we return to visit as per our reinspection programme. If we receive any concerning information we may inspect sooner.