• Care Home
  • Care home

Broadleigh Nursing Home

Overall: Good read more about inspection ratings

213 Broadway, Peterborough, Cambridgeshire, PE1 4DS (01733) 561475

Provided and run by:
Peterborough Care Limited

Latest inspection summary

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Background to this inspection

Updated 16 February 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.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was undertaken by one inspector.

Service and service type

Broadleigh Nursing Home 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. Broadleigh Nursing Home is a care home with 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

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We received 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 5 people who used the service and 5 relatives about their experience of the care given. We spoke with 8 members of staff including the registered manager, a registered manager from another of the provider’s services (they were providing support), compliance manager, activity coordinator, a nurse and 3 care staff.

We reviewed a range of records. This included 3 people's care records and medication records. We looked at 2 staff files in relation to recruitment. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Overall inspection

Good

Updated 16 February 2023

About the service

Broadleigh Nursing Home is a nursing and residential care home providing personal and nursing care for up to 37 older people, some whom may be living with dementia. At the time of the inspection there were 34 people living at the service.

The provider is also registered for the regulated activity of Diagnostic & Screening although this was not being provided at the time of this inspection.

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

Quality assurance systems were in place to monitor how well the service was running and identify any improvements that were required. For example, relating to people’s skin integrity.

The provider engaged people, their relatives and staff in giving their views about how the service could improve.

Relatives all told us their family members felt safe and well supported. Risks were identified, assessed and regularly reviewed.

We found that there was enough staff available to meet people’s needs. Staff felt well supported and received training appropriate for their roles. People were given their medicines safely and staff followed infection prevention and control procedures with the exception that not all staff were wearing their mask appropriately.

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 have made a recommendation to undertake further fire safety drills to ensure that their protocols work in the event of an emergency.

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 good (published 13 August 2022)

Why we inspected

We received concerns in relation to staffing levels, records and safety. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.