CQC report explained · a residential care home
What the CQC found at Broadoak Lodge
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Medicines, risk assessments, recruitment, infection control and building safety checks were managed appropriately, although some staff had raised concerns about early-shift staffing.
- Effective?
- Good
- This key question was not inspected during this focused inspection, so no new rating was given.
- Caring?
- Good
- Inspectors found that staff treated people with kindness, compassion, dignity and respect. People were supported to make decisions and relatives were involved in care decisions.
- Responsive?
- Good
- This key question was not inspected during this focused inspection, so no new rating was given.
- Well-led?
- Good
- Inspectors found that the manager was visible and that audits were used to identify and address shortfalls. The provider and manager were open about challenges and worked with other agencies and health professionals.
What inspectors found, July 2023
Rated Good; inspectors found kind, safe care, but some staff had felt rushed on an early shift.
This was an unannounced, focused inspection on 20 and 21 June 2023. One inspector and an Expert by Experience spoke with people, relatives and staff, and checked care, medicines, recruitment and management records.
The home was rated Good for Safe, Caring and Well-led. People and relatives said staff were kind, respectful and approachable. Inspectors found that medicines, infection control, risk assessments and safeguarding arrangements were managed safely.
Some staff said they felt rushed and did not have enough time with people on the early shift. The provider increased staffing for that shift during the inspection. Inspectors recommended consulting staff when deciding how many people should work on each shift.
This was a focused inspection. Effective and Responsive were not inspected, so this report gives no new rating for those areas. The overall Good rating stayed the same as at the previous inspection.
Kind and respectful staff
People were treated with kindness, compassion, dignity and respect. Staff knew people well and responded when people became distressed.
“Staff respected people's individual needs and treated them with kind and compassionate care.” from the report
Safe medicines support
Inspectors observed medicines being given safely and found that records, staff training and checks were in place.
“Medicines were administered safely. Medicines required at specific intervals, such as weekly pain patches, were applied and removed as directed.” from the report
Management oversight
The manager was visible in the home and quality checks were being carried out. Action was taken when audits found problems.
“Actions were taken when shortfalls were identified during the audit process.” from the report
Early-shift staffing
needs fixingSome staff said they felt rushed and did not have enough time to spend with people between 7am and 2pm. Staffing was increased, but inspectors recommended continuing to consult staff about deployment.
“We recommend the provider and manager consult with care staff to ensure their feedback and experience is considered when calculating the number of staff to be deployed.” from the report
- 01How many care staff now work on the early shift, and how do you check that people are not left waiting or staff feeling rushed?
- 02What is the current position on the new manager's application to register?
- 03How are people and relatives involved in reviewing care and giving feedback, especially if they did not receive a questionnaire?
- 04What activities are currently available, and how has the recently recruited activities co-ordinator changed the programme?
- 05How do you monitor whether the care is effective and responsive, given that these areas were not covered by this inspection?
This was a focused inspection of Safe, Caring and Well-led only; Effective and Responsive were not inspected and the overall rating used the previous ratings for those areas. This explanation was written from the published report of 12 July 2023 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, December 2020
Broadoak Lodge was inspected but not rated; inspectors were assured that infection prevention and control measures were safe.
The inspection took place without notice on 10 November 2020. It was a targeted check of infection prevention and control during the coronavirus outbreak.
Inspectors were assured that the home was using protective equipment safely, supporting testing, managing visitors, and following shielding and social distancing guidance. Cleaning had been increased and the infection control policy was up to date.
The home was inspected but not rated. This was not a full assessment of all areas of care, so the report does not give ratings for care, staffing, responsiveness or management.
Protective equipment
Staff had been trained to use protective equipment, which was available throughout the home and used in line with current guidance.
“Staff had received training in the use of personal protective equipment (PPE), and we saw this was accessible throughout the home.” from the report
Infection control systems
The home had updated its infection control policy, increased cleaning of frequently touched surfaces and checked that actions were being completed.
“The infection control policy was up to date. We reviewed audits which reflected actions had been taken to maintain the standards within the home.” from the report
Keeping people connected
During the outbreak and national lockdown, most visits were suspended, but people were supported to stay in contact with family and friends by telephone and social media.
“People were supported to maintain contact with friends and family through social media and telephone calls.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visits currently managed, including protective equipment, temperature checks and designated visiting areas?
- 02How do you support people to keep in touch with family when visits are restricted?
- 03How are residents and staff included in the testing programme, and how is consent recorded?
- 04What procedures do you use to shield and isolate people during an infection outbreak?
- 05How often are frequently touched surfaces cleaned, and how do you check that this is being done?
This was an unannounced targeted inspection of infection prevention and control during a coronavirus outbreak; the service and the Safe question were inspected but not rated, and the other areas were not assessed in this report. This explanation was written from the published report of 1 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.
Every inspection of Broadoak Lodge
8 rated inspections over 8 years: the service has improved, from Requires improvement to Good.
- July 2023Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020Inspected but not ratedSafe: Inspected but not rated
- April 2019Goodup from Requires improvementSafe: GoodCaring: GoodWell-led: Good
- February 2018Requires improvementdown from GoodSafe: Requires improvementWell-led: Requires improvement
- June 2017Goodup from Requires improvementSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2016Requires improvementup from InadequateSafe: Requires improvementEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- February 2016Inadequatedown from Requires improvementSafe: InadequateEffective: InadequateCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- October 2015Requires improvementstayed Requires improvementSafe: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- June 2015Requires improvementSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Requires improvement
- November 2014
Report published without a new overall rating.
- May 2013
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 9 November 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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