Updated 9 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
The inspection was carried out by three inspectors.
Service and service type
Broadwater Lodge 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 the information we held about the service. This included the statutory notifications that had been submitted since the last inspection. Notifications are changes, events and incidents that the service must inform us about. We also used the information the provider sent us in the provider information return (PIR). 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. We used all of this information to plan our inspection.
During the inspection-
During the inspection we spoke individually with seven people about their experience of the care provided. We also joined people at lunchtime and in communal areas throughout the day and talked to them more generally about their life at Broadwater Lodge. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.
We met with five relatives/visitors of people who used the service who provided us with their views of the care their loved ones received. We also spoke with eight members of staff, including the registered manager.
We reviewed a range of records. This included five people’s care and medicine records. We also looked at the recruitment files for three staff and information relating to their training and supervision. The registered manager showed us documents relating to the management of the service. These included how feedback is gathered and acted upon and the audits in place to maintain the safety and quality of the care delivered.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We also contacted the lead GP for the service to gain feedback about how managers and staff engage with other professionals.