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CQC report explained · a residential care home

What the CQC found at Broadmead Rest Home

Goodpublished 20 December 2018, 7 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control arrangements were safe. They found arrangements covering visitors, social distancing, admissions, protective equipment, testing, cleaning and outbreaks.
Effective?
Good
This area was not covered by the targeted inspection.
Caring?
Good
This area was not covered by the targeted inspection.
Responsive?
Good
This area was not covered by the targeted inspection.
Well-led?
Good
This area was not covered by the targeted inspection.
The latest report, explained

What inspectors found, November 2020

Inspected but not rated; inspectors found good infection control arrangements during a targeted COVID-19 inspection.

Inspectors visited the home on 15 October 2020. The visit was announced and looked only at infection prevention and control during the coronavirus pandemic.

They were assured that the home was managing visitors, social distancing, admissions, protective equipment, testing, cleaning and possible outbreaks safely. The infection control policy was up to date.

The home had created a sheltered visiting pod with a clear screen and intercom. It had also introduced visitor temperature screening, improved cleaning arrangements and acted early to reduce the risk of COVID-19 entering the home.

The service was inspected but not rated. This means the report does not give a full overall quality rating or ratings for care, effectiveness, responsiveness or leadership.

What inspectors praised
  • Safe visiting

    The home had made arrangements for visits to take place in a sheltered space with a sealed screen and intercom. This also helped some people with dementia communicate with visitors.

    “The provider had installed a visiting "pod" in the garden which allowed visits to take place in a sheltered, enclosed environment.” from the report
  • Committed staff team

    Inspectors found that the owner, manager and staff team were committed to keeping people safe during the pandemic.

    “The whole team were committed to keeping people safe during the pandemic.” from the report
  • Early action

    The provider acted early in the pandemic and started a home lockdown before this was included in official guidance.

    “The provider had been proactive in responding to the risk of COVID-19 early in the pandemic.” from the report
  • Improved cleanliness

    The home sourced new cleaning products and made some high-risk surfaces easier to clean thoroughly.

    “The provider had acted to make sure new standards of hygiene and cleanliness could be maintained.” from the report
  • Protective equipment

    Inspectors were assured that protective equipment was being used effectively and safely.

    “We were assured that the provider was using PPE effectively and safely.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors screened and their visits recorded?
  2. 02How is the visiting pod or another safe visiting arrangement being used now?
  3. 03How often is the infection prevention and control policy reviewed and updated?
  4. 04How are residents and staff tested, and what happens if someone tests positive?
  5. 05What arrangements are in place to prevent or manage an infection outbreak?

This was a targeted inspection of infection prevention and control measures only; the other four CQC questions were not inspected or rated. This explanation was written from the published report of 6 November 2020 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.

An earlier report, explained

What inspectors found, December 2018

Broadmead Rest Home was rated Good overall; inspectors found kind, personalised care, but some medicines records were not accurate.

This was an unannounced comprehensive inspection on 7 November 2018. One inspector and an expert by experience spoke with people, visitors, staff and healthcare professionals. They observed care, medicines and equipment, and checked care records, recruitment files, training records, complaints and quality checks.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe recruitment, suitable risk assessments and staff who understood safeguarding. People were treated with kindness, dignity and respect, and care was tailored to their needs.

There were some shortfalls. Records for two medicines needing extra security were not accurate, and tablets in one bottle could not be fully accounted for. The laundry workflow did not follow current infection control guidance. The home acted promptly on these issues, including extra staff training and changes to the laundry arrangements.

The overall Good rating means the home was meeting the relevant standards at the time of this inspection. The Safe rating improved from Requires Improvement at the March 2016 inspection, and the report says those earlier improvements had been sustained.

What inspectors praised
  • Kind and respectful care

    Inspectors saw staff treating people thoughtfully and maintaining their dignity and privacy. People said staff were kind, polite and friendly.

    “Throughout our inspection, we observed people being treated in kind, thoughtful and respectful ways.” from the report
  • Personalised support

    Care plans included people's routines, preferences and meaningful interests. Staff adapted their support when people's needs changed.

    “Care plans provided specific details of how people's needs were being met.” from the report
  • Activities and engagement

    People could join a broad programme of activities, including events with local community groups. Activities were also provided individually and in people's rooms.

    “A wide range of activities and events were planned for December.” from the report
  • Staffing and safeguarding

    Inspectors found enough staff on duty and safe recruitment checks. Staff understood how to recognise and report abuse or other concerns.

    “Staffing levels and deployment of staff were sufficient to meet the needs of people living in the home.” from the report
What inspectors were concerned about
  • Medicine records

    needs fixing

    Records for two medicines needing extra security were not accurate. One medicine had not been entered in the required book, and another record had not been updated when a person took it away.

    “We found accurate records were not maintained for two medicines.” from the report
  • Medicine stock checks

    needs fixing

    Some tablets had been halved or had broken down, so the amount in stock could not be checked accurately. The report says there was no actual administration error, and the home took prompt action.

    “Therefore the actual amounts in stock could not be accurately accounted for.” from the report
  • Supervision records

    minor

    Not all staff had supervision records at the two-month frequency set by the provider. Staff nevertheless said they felt supported.

    “Whilst not all staff had supervisions recorded at the two month frequency as stated in the provider's supervision contract, staff felt well supported.” from the report
Questions to ask them, based on this report
  1. 01How are medicines needing extra security recorded, counted and checked now?
  2. 02What extra medicines training was provided after the inspection, and how is staff practice checked?
  3. 03How do you keep dirty and clean laundry separate under the current infection control process?
  4. 04How often will staff receive supervision, and how do you make sure this is recorded?
  5. 05How are care plans and activities adapted if my relative's needs or interests change?

This was an unannounced comprehensive inspection covering all five key questions: Safe, Effective, Caring, Responsive and Well-led. This explanation was written from the published report of 20 December 2018 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.

The story over the years

Every inspection of Broadmead Rest Home

2 rated inspections over 2 years: the service has held its Good rating throughout.

  1. November 2020Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Broadmead Rest Home →

  2. December 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Broadmead Rest Home →

  3. June 2016Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. May 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. July 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. December 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2010

    Registered with the Care Quality Commission on 23 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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