What the CQC found at Bromford Lane Care Centre

Inspectors found that staff understood safeguarding responsibilities and that risks were assessed and managed. Fire safety and equipment checks were also in place.

“People were kept safe from the risk of abuse.” from the report

People and relatives spoke positively about staff. Inspectors saw staff showing kindness, empathy and respect, including protecting privacy and dignity.

“We saw that staff treated people with kindness and empathy; they spoke to people in a sensitive, respectful and caring manner.” from the report

Staff said they received useful training, induction, supervision and ongoing support. Inspectors found staff understood people's needs and preferences.

“Staff were trained and had the skills to meet people's needs.” from the report

People were positive about the food and choices available. Staff supported nutrition and referred people to dieticians and other health professionals when needed.

“People were supported to maintain a healthy diet which promoted their wellbeing.” from the report

Relatives said they were kept informed and involved in care reviews. People could have visitors at any time and had private areas for meeting them.

“Relatives told us the management team were good at keeping them informed about their family member's care.” from the report

Staff were very busy and some relatives and staff felt there were not always enough staff. The staffing tool had not identified the need for more staff on the nursing unit on the first inspection day.

“Our observations on the days we were on site showed staff were very busy but generally responded to calls for assistance from people in a timely way.” from the report

Some care plans missed important information about people's life histories, interests, religious practice and preferred names. Staff knew people's clinical needs but did not always know their personal histories and preferences.

“Care plans, although reviewed, had not always identified some of the more recent information had been consistently recorded throughout.” from the report

Activities were available but were not always suited to people living with dementia. Inspectors found few stimulating materials, poor toilet signs and no clear identifying material on some bedroom doors.

“Some people we spoke with told us they 'felt bored.'” from the report

One person asked twice to use the toilet and waited 50 minutes before receiving help. This shows that staff were not always responsive to an individual need.

“The person asked again fifteen minutes later and was again told they would have to wait. We found the person was eventually supported to the toilet 50 minutes later.” from the report

The home's audits did not identify several issues found by inspectors, including incomplete medicine records, missing complaint records, gaps in care documentation and weaknesses in the dementia environment.

“However, the audits had not consistently identified some of the issues we found during our inspection visits.” from the report