CQC report explained · a residential care home
What the CQC found at Bromham House
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People said they felt safe. Risks, staffing and medicines were managed well, although not all staff followed guidance about products on their nails.
- Effective?
- Good
- Staff had relevant training and supported people with healthy eating, healthcare, communication and decision-making. Inspectors found the home was working within the principles of the Mental Capacity Act.
- Caring?
- Good
- Staff knew people well and treated them with kindness, dignity and respect. People were involved in decisions and supported to increase their independence.
- Responsive?
- Good
- Care plans and communication strategies were personalised. People were supported with relationships, work, hobbies, community activities and ways to reduce distress.
- Well-led?
- Good
- Management was described as open and supportive, with systems for training, feedback and quality checks. One allegation of abuse had not initially been reported to the relevant organisations, but this was later submitted.
What inspectors found, October 2022
Bromham House is rated Good; inspectors found safe, kind and personalised care, with minor infection control and reporting issues.
Inspectors visited on 7 October 2022 and again on the evening of 11 October. They spoke with people living at the home, relatives and staff. They reviewed care plans, medicines records, recruitment files, training records, incidents and quality checks.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough suitable staff, safe medicines practice, detailed care plans and support that helped people make choices, stay healthy and take part in work, hobbies and community activities.
There were two points to note. Some staff were wearing nail products, which could increase infection risks. One allegation of abuse had not been reported at first, although it was later submitted and the manager said action had been taken to keep people safe. This was the home's first inspection since registration.
Choice and independence
People were supported to make decisions, manage risks with as few restrictions as possible and work towards their own goals.
“People were supported to have maximum choice and control of their lives” from the report
Personalised support
Staff understood people's communication styles, preferences and support needs. Care plans gave staff detailed guidance.
“People's care plans were detailed and an accurate reflection of the support they needed and what people could do independently.” from the report
Kind and respectful care
Inspectors saw staff using calm, positive and respectful communication. People were supported with privacy, dignity and at their own pace.
“People received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to.” from the report
Activities and community life
People were supported to pursue work, hobbies, exercise, education and social activities inside and outside the home.
“Staff supported people to actively pursue their interests, work, hobbies and pastimes inside and outside the home, and to achieve their aspirations and goals.” from the report
Supportive management
Staff said they felt valued and listened to. The management team used feedback, meetings and audits to improve support.
“There were formal listening events for family and friends to share their views and discuss issues with staff and comments were actioned by the provider.” from the report
Nail products and infection control
minorSome staff did not follow guidance about products on their nails. Inspectors said these products could harbour infections and increase the risk of cross-contamination.
“Not all staff adhered to the guidance about not having products on their nails.” from the report
Late safeguarding notification
needs fixingOne allegation of abuse had not been reported when it should have been. The provider later submitted the notification and said action had been taken to keep people safe.
“However, we found one allegation of abuse which had not been reported.” from the report
- 01What checks have you made to ensure all staff follow the guidance about nail products?
- 02How do you make sure every safeguarding allegation is reported promptly to the relevant organisations?
- 03How will you support my relative to take part in work, hobbies, exercise and community activities?
- 04How will you communicate with my relative in the ways they understand best?
- 05How do you review care plans and risk plans when my relative's needs, health or behaviour changes?
This was the home's first inspection and assessed all five key questions while considering how it applied the principles of right support, right care and right culture. This explanation was written from the published report of 21 October 2022 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 Bromham House
Each visit the CQC has published, newest first, back to the day the home was registered.
- October 2022Goodcurrent ratingSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2020
Registered with the Care Quality Commission on 17 December 2020.
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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88 live-in carers within about an hour of Bedford
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 £980 to £1,260 a week. 76 can care for a couple. 12 years' experience on average.
“We can all fully relax around Nyarai and she feels like part of our family, which is no mean feat!”
“She handled the new situation in front of her with such professionalism and I felt I could trust her 100%.”
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.