CQC report explained · a residential care home
What the CQC found at Broadmeadow Court Residential Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that infection prevention and control arrangements were safe. They checked visitors, admissions, protective equipment, testing, cleaning, the layout of the premises and the infection control policy.
- Effective?
- Good
- Does the care work? Training, consent, food and drink, working with GPs and nurses.
- Caring?
- Good
- Are people treated with kindness and dignity?
- Responsive?
- Good
- Is care built around the person? Care plans, activities, complaints.
- Well-led?
- Good
- Is the home run well? The manager, the culture, how problems get found and fixed.
What inspectors found, December 2020
Inspected but not rated; inspectors were assured about infection control, while the home was asked to develop its approach further.
This was an announced, targeted inspection on 20 November 2020. It checked infection prevention and control arrangements during the coronavirus pandemic.
Inspectors were assured that the home was managing visitors, admissions, personal protective equipment, testing, cleaning and its infection control policy safely. The home was clean and well maintained, with extra cleaning in place.
The home kept relatives informed about visiting restrictions and used video calls and window visits to help people stay in contact. It was planning a visiting hub in the grounds.
The service was inspected but not rated. This was not a full review of the quality of care, and no overall rating was given.
Keeping families in touch
The home had a visiting policy and kept relatives informed. When visits were restricted, it used video calls and window visits.
“When visits had been restricted other methods were used to ensure people continued to have contact with their loved ones such as, video calls and window visits.” from the report
Clean environment
Inspectors found the building clean and well maintained. Extra cleaning had been introduced to reduce the risk of infection spreading.
“The environment was well maintained and clean. Additional cleaning had been implemented to lower the risk of cross transmission.” from the report
Support for staff
The registered manager supported staff during anxious periods and directed them to outside wellbeing services.
“Staff were supported by the registered manager during periods of anxiety and staff had been signposted to external wellbeing services.” from the report
Infection control checks
Inspectors were assured that the home was using protective equipment safely and was accessing testing for residents and staff.
“We were assured that the provider was using PPE effectively and safely.” from the report
Further development needed
minorInspectors signposted the provider to resources to develop its infection control approach. The report does not describe this as a breach.
“We have also signposted the provider to resources to develop their approach.” from the report
- 01What progress has been made with the planned visiting hub in the grounds?
- 02How do you currently manage visits when there are infection risks or restrictions?
- 03What further infection prevention and control work was identified after inspectors signposted resources to the provider?
- 04How are residents and staff currently tested, and how is protective equipment supplied and used?
- 05How will relatives be kept informed about changes to visiting arrangements?
This was a targeted inspection of infection prevention and control practices only; the service was not given an overall rating and the other four key questions were not assessed. This explanation was written from the published report of 4 December 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.
What inspectors found, August 2019
Broadmeadow Court Residential Care Home was rated Good; inspectors found kind, safe care, with improvements needed in medicines records, falls monitoring and personal-care preferences.
This was an unannounced, planned inspection on 25 July 2019. Inspectors spoke with people living at the home, relatives, staff and a health professional. They reviewed care plans, medicines records, accident records, training information and quality checks, and looked around the building.
The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. People and relatives generally said they felt safe, received medicines on time and were treated with kindness and respect. Inspectors saw friendly interactions, enough staff and person-centred activities.
Inspectors found some areas that needed improvement. Records for applying creams were not always signed. Monitoring after unwitnessed falls needed to be clearer, and risk assessments were not always reviewed promptly. Some personal-care preferences, such as requests for a bath, were not consistently followed. The home also needed to make sure everyone had the chance to record their end of life wishes.
Kind and respectful care
Inspectors saw positive, unhurried interactions. People said staff were friendly, kind and respectful, and their privacy was protected.
“We saw lots of positive interactions between people and staff, no one was rushed, and activities were person-centred.” from the report
Enough trained staff
Inspectors found staffing levels met people's assessed needs and staff responded promptly. Staff received induction, supervision and further training when needed.
“During our visit we saw there were enough staff to ensure people received support in line with their assessed needs.” from the report
Food and health support
People described the food and choice positively. Staff monitored diets, made referrals when needed and acted on advice from health professionals.
“People told us they could choose meals that were not on the menu and staff would respond to their choice.” from the report
Activities and relationships
People were offered meaningful activities, trips, exercise, arts and crafts, entertainment and spiritual support. Relatives said they could visit at any time.
“We also observed staff offering people meaningful activities throughout the inspection visit.” from the report
Medicines records
needs fixingMedicines were generally given on time, but some records did not show that topical creams had been applied. The provider said it would review its systems.
“Not all the records we looked at had signatures to indicate creams had been applied.” from the report
Monitoring after falls
needs fixingThe home needed to show more clearly how people were checked for injuries after unwitnessed falls. Risk assessments were not always reviewed immediately after an incident or fall.
“Improvements were required to demonstrate how staff monitored people for injuries that may appear following unwitnessed falls.” from the report
Personal-care preferences
needs fixingSome people's stated preferences were not consistently followed. Inspectors found that a requested bath had not been offered and recommended action on person-centred care.
“We found while people had expressed their preference, for example, to have a 'nice soaking bath', records of personal care showed this had not been offered.” from the report
End of life wishes
needs fixingThe home recorded end of life wishes for some people, but needed to make sure everyone had the opportunity to discuss and record their preferences.
“We discussed the need to ensure that all people were given the opportunity to discuss their preferences and to ensure they are recorded in their care records.” from the report
- 01How do you now check that topical creams have been applied and that the records are signed?
- 02What checks are made after an unwitnessed fall, and how quickly are risk assessments updated?
- 03How do you make sure each person's personal-care preferences, including bathing preferences, are followed and recorded?
- 04How do you give every person the opportunity to discuss and record their end of life wishes?
- 05What improvements have been made to the dementia-friendly signs and decoration mentioned in the report?
This was an unannounced comprehensive inspection covering all five key questions, and all five ratings were Good. This explanation was written from the published report of 20 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.
Every inspection of Broadmeadow Court Residential Care Home
2 rated inspections over 3 years: the service has held its Good rating throughout.
- December 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Broadmeadow Court Residential Care Home →
- August 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Broadmeadow Court Residential Care Home →
- January 2017GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- July 2012
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 16 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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