CQC report explained · a residential care home
What the CQC found at Broomhouse Mews
Rated Good: inspectors found the home performing well and meeting their expectations.
What inspectors found, February 2022
Inspected but not rated; inspectors found good infection control arrangements and no reported shortfalls in the areas checked.
This was a targeted inspection on 1 February 2022. It focused on infection prevention and control during the COVID-19 pandemic, and asked about staffing pressures.
Inspectors found that the home had up-to-date infection control arrangements. Staff and visitors had plenty of protective equipment, staff used it correctly, and people and staff were tested regularly.
The home was also following arrangements for visitors, social distancing, admissions and vaccination checks. The service was inspected but not rated, so this report does not give an overall quality rating.
Protective equipment
Staff and visitors had access to plentiful PPE, and staff were seen using it in line with guidance.
“Staff and visitors had access to PPE and this was in plentiful supply.” from the report
Regular testing
People living at the home and staff were tested regularly, with action taken after a positive result.
“Staff and people using the service were tested regularly for COVID-19 and action taken if a test was positive.” from the report
Visitor safety
The home checked visitors for symptoms and required professional visitors to provide testing and vaccination information.
“Professional visitors were required to show a negative lateral flow test and evidence of COVID-19 vaccination status.” from the report
Infection control systems
Inspectors found that the home had policies and procedures in place to follow infection control guidance.
“The provider had policies and procedures in place to ensure they followed effective infection control guidance.” from the report
Inspectors raised no specific concerns in this report.
- 01How are you currently managing staffing pressures and covering shifts when staff are unavailable?
- 02What infection prevention and control arrangements are in place now, including PPE and testing?
- 03How do you currently manage visits and protect people from catching infections?
- 04What are the current ratings or inspection findings for caring, effectiveness, responsiveness and leadership, which this inspection did not assess?
- 05How do you safely admit new people and manage a COVID-19 outbreak?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not assess the other four quality questions. This explanation was written from the published report of 24 February 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.
What inspectors found, March 2018
Broomhouse Mews was rated Good; inspectors found safe, kind and personalised care, but infection control monitoring was not formalised.
This was a comprehensive inspection on 25 and 30 January 2018. The first day was unannounced. Inspectors spoke with a resident, a relative, staff and health care professionals. They also observed care and checked care records, medicines, staff files and quality checks.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. Inspectors found that people felt safe, staff managed risks and medicines safely, and staffing levels met people's needs.
People were treated with kindness and respect. Their care was personalised, and they were supported to make choices, stay independent and take part in activities. The home had good leadership and used feedback to improve.
The main shortfall was that there was no formal system to monitor and review whether infection control measures were effective. The provider agreed to address this. The home remained Good, the same rating as at the January 2016 inspection.
Safe risk management
Risks were assessed across daily life and reviewed. Health care professionals told inspectors that staff sought appropriate guidance and managed risks well.
“The risk assessments had been kept under review and health care professionals we spoke with told us the staff managed risks well.” from the report
Kind and respectful staff
Inspectors saw warm relationships between staff and residents. Staff respected privacy and dignity and supported people to be independent.
“Our observations showed that staff treated people with dignity and respect.” from the report
Personalised support
Care plans included people's history, preferences, interests and aspirations. People were involved in planning their care and choosing activities.
“The plans included a personal history, individual preferences and peoples interests and aspirations.” from the report
Good leadership
The registered manager and staff worked as a team. Relatives and health care professionals said the home was well run and focused on people's needs.
“Everyone we spook with said the service was well run and put the needs of people who used the service first.” from the report
Infection control monitoring
needs fixingStaff managed infection prevention in practice, and bathroom improvements were made during the inspection. However, the provider did not have a formal system to check and review whether infection control remained effective.
“However, there was no formal process to monitor or review the processes to ensure the infection control measures were effective.” from the report
- 01What formal infection prevention and control checks have been introduced since the inspection?
- 02How are my relative's risks assessed and reviewed as their needs change?
- 03How will my relative be involved in their care plan, daily choices and activities?
- 04How are medicines stored, administered and checked for safety?
- 05How will the home keep our family informed and respond if we raise a concern?
This was a comprehensive inspection covering all five areas of the home, including accommodation, care, medicines, staffing and management systems. This explanation was written from the published report of 7 March 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.
Every inspection of Broomhouse Mews
2 rated inspections over 2 years: the service has held its Good rating throughout.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- March 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2014
Registered with the Care Quality Commission on 12 December 2014.
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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92 live-in carers within about an hour of Doncaster
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. 77 can care for a couple. 11 years' experience on average.
“Carla has been a god send with the implementation of bringing mum back home from respite care.”
“I can honestly say without Petros I don't believe he would have lived an extra 2 years”
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.