CQC report explained · a residential care home
What the CQC found at Broadlands
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors found enough suitably skilled staff, detailed risk assessments, safe medicines systems and appropriate safeguarding arrangements. Accidents and incidents were reviewed to reduce the chance of them happening again.
- Effective?
- Good
- People's needs were assessed before admission and healthcare was well supported. Staff received induction, training and supervision, and people were supported with nutrition, consent and maintaining their health.
- Caring?
- Outstanding
- Staff were exceptionally kind and respectful. People were involved in decisions, encouraged to remain independent and supported in ways that recognised their individual histories, wishes and relationships.
- Responsive?
- Outstanding
- Care was highly personalised and adapted to people's goals and preferences. People were supported with activities, community links, relationships, accessible communication and sensitive end of life care.
- Well-led?
- Outstanding
- The home had strong, visible leadership, high staff morale and a person-centred culture. Feedback was encouraged and robust quality checks supported continued improvement.
What inspectors found, August 2019
Broadlands was rated Outstanding overall; inspectors found exceptionally caring, responsive and well-led support, with safe and effective care rated Good.
This was an unannounced inspection on 25 June 2019. One inspector and an Expert by Experience observed care, spoke with people, relatives, staff and professionals, and checked care, medicines, recruitment and management records.
People were described as safe, treated with dignity and supported by staff who knew their needs well. Medicines were managed safely, staffing levels were suitable, the home was clean, and people were supported with their health, food, activities and end of life care.
The strongest findings were about kindness, personalised support and leadership. People were involved in decisions, supported to follow their interests and encouraged to stay connected with family and the community.
The overall rating was Outstanding. Safe and Effective were rated Good. Caring, Responsive and Well-led were rated Outstanding. The overall rating stayed Outstanding since the previous inspection, while Caring improved from Good to Outstanding.
Kind and respectful staff
Inspectors found staff knew people well and treated them with warmth, dignity and respect. Staff often did more than was expected to make people's lives enjoyable.
“People were consistently treated with dignity and respect in a way that truly valued them as individuals.” from the report
Personalised activities and support
People were helped to follow their interests, achieve personal goals and maintain relationships. The home offered activities inside and outside the home, including trips and community events.
“People continued to receive an exceptionally high standard of personalised care that was responsive to their individual needs and respected their preferences.” from the report
Safe staffing and medicines
There were enough staff with suitable skills and experience. Medicines were given safely, records were clear, and staff competency was checked regularly.
“There continued to be enough staff with the right skills and experience to meet the individual needs of the people who lived in the home.” from the report
Strong leadership
Inspectors found an open, person-centred culture with effective management, staff involvement and quality checks. The home had continued to improve since the previous inspection.
“Robust quality assurance systems underpinned the governance and oversight of the home.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you assess and update my relative's risks, including falls, choking, pressure ulcers, nutrition or moving and handling?
- 02How would you support my relative to keep their own routines, interests, friendships and community links?
- 03How would you involve my relative and our family in care decisions, including decisions about mental capacity and future end of life care?
- 04What activities and one-to-one support are available for someone who is cared for in bed or cannot join group activities?
- 05How are medicines checked, and how do you make sure staff remain competent to administer them safely?
This was an unannounced planned inspection that looked at all five key questions, the premises and the care provided. This explanation was written from the published report of 7 August 2019 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, November 2016
Rated Outstanding overall; inspectors found highly personalised care and leadership, with Safe, Effective and Caring rated Good.
This was an unannounced inspection on 27 July 2016. Inspectors spoke with people living in the home, relatives, health professionals, managers and staff. They observed care and reviewed care records, risk assessments, medicines records, recruitment files and safety checks.
The home was rated Outstanding overall. Responsive care and leadership were Outstanding. Safe, Effective and Caring were rated Good. Inspectors found detailed care plans, kind interactions, safe medicines systems, suitable training and good support with health and nutrition.
People were supported to make choices and stay involved in activities, relationships and decisions about their care. The management team used people's views to make changes and had strong systems for checking and improving the service.
Personalised care
Care plans gave clear guidance based on each person's needs, preferences and abilities. People were involved in planning and reviewing their own care.
“The service provided outstanding care and support to people which was highly responsive to their needs, wishes and preferences.” from the report
Meaningful activities
People could choose from organised activities and spontaneous opportunities, including outings, music, gardening and time with staff or visitors.
“This empowered people to choose how they spent their day.” from the report
Kind and respectful care
Inspectors saw staff giving people time, respecting privacy and encouraging independence. The report also found a high standard of end of life care.
“We saw friendly and caring interactions between care workers and people.” from the report
Strong leadership
Managers were visible and staff understood the home's values. People's feedback was used to make practical improvements.
“The service had a positive, person-centred and open culture.” from the report
Health and nutrition
People had food and drink choices suited to their needs and access to health professionals. A weekly well-being clinic aimed to identify health concerns early.
“People's nutritional and hydration needs were monitored and met.” from the report
Mixed views about staffing
minorPeople's views about staffing levels varied. One person said staff were often rushed and that there were fewer staff at weekends, although inspectors observed timely responses and people were not rushed during their visit.
“The staff are often in a rush. If I use the buzzer, most times they [care workers] come quickly. There are certainly less staff at weekends” from the report
- 01How are staffing levels calculated, especially at weekends and when staff are absent?
- 02Is the weekly well-being clinic still running, and what changes has it made to people's health support?
- 03How are people involved now in planning and reviewing their care?
- 04What activities and opportunities are available for someone with my relative's interests, needs or abilities?
- 05How are medicines checked today, and how is staff competence in medicines administration reviewed?
This was an unannounced comprehensive inspection covering all five key questions and the overall rating. This explanation was written from the published report of 11 November 2016 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of Broadlands
2 rated inspections over 3 years: the service has held its Outstanding rating throughout.
- August 2019Outstandingcurrent ratingstayed OutstandingSafe: GoodEffective: GoodCaring: OutstandingResponsive: OutstandingWell-led: Outstanding
- November 2016OutstandingSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- May 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- March 2011
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 7 December 2010.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
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23 live-in carers within about an hour of Suffolk
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £1,020 to £1,260 a week. 17 can care for a couple. 7 years' experience on average.
“Not only was she professional, polite and efficient but she bought a lovely smile and laughter to my parents home.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.