CQC report explained · a nursing home
What the CQC found at Broomhouse Nursing Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found enough staff, safe recruitment, effective medicine systems and arrangements for managing risks and emergencies. They also saw an unsafe move when two staff assisted a person to stand, which the home acted on as a safeguarding matter.
- Effective?
- Good
- Care plans reflected people's needs and choices, and staff received training and supervision. People had access to health professionals and support with nutrition, although some meals were served before people were seated.
- Caring?
- Good
- Staff were observed treating people with kindness, dignity and respect. People and relatives gave positive feedback, and people were involved in choices about care, food and activities.
- Responsive?
- Good
- Care plans were personalised and regularly reviewed. The home supported communication needs, activities, relationships and complaints, and there were no open or unresolved complaints.
- Well-led?
- Good
- Inspectors found clear management arrangements, regular checks and a culture of learning. People, relatives and staff were involved through meetings and care reviews.
What inspectors found, December 2019
Rated Good; inspectors found kind, person-centred care, with a moving-and-handling incident and some meals served before people were ready.
This was an unannounced inspection on 26 November 2019. The inspector spoke with people, relatives and staff, and checked care, medicine and staff records. The home had 37 people living there and could support up to 40.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine systems, detailed care plans and good access to health professionals.
People were treated with kindness, dignity and respect. They were supported to make choices, stay involved in activities and communicate in ways they could understand. The home was clean and well maintained, and relatives gave positive feedback.
There were two points to note. The inspector saw an unsafe move when two staff helped a person to stand. At lunch, some meals were served before people were seated, so the food could not always be kept at the right temperature. The overall rating stayed Good, as did the rating at the previous inspection published in July 2017.
Kind and respectful care
Staff were observed being kind, considerate and professional. People and relatives said staff respected their dignity and privacy.
“Throughout the inspection we observed, kind, considerate and professional interactions between staff and people.” from the report
Person-centred support
Care plans recorded people's preferences, needs, interests and communication methods. Staff supported people to make choices and take part in activities.
“People using the service receive planned and co-ordinated person-centred support that was appropriate and inclusive for them.” from the report
Good staffing and training
Inspectors found enough staff to meet people's needs. Recruitment checks, induction, mentoring, training and supervision were in place.
“Staff were recruited and trained to a good standard. Staff received supervision and had checks on their knowledge and skills.” from the report
Unsafe moving and handling
seriousThe inspector saw two staff assisting a person to stand using an unsafe move. The report says the home acted appropriately when the safeguarding issue was identified.
“The inspector witness an illegal move when two staff assisted a person to stand up.” from the report
Meals served too early
needs fixingSome meals were served before people were seated. This meant the temperature of the food could not always be maintained.
“We saw meals were served before some people were seated for their meals. This meant the temperature of the meal could not be maintained.” from the report
- 01What has changed since the inspection to prevent unsafe moving and handling?
- 02How do you make sure meals are served at a suitable temperature and at the right time for each person?
- 03How will you identify and support my relative's communication needs, including if they cannot communicate verbally?
- 04What activities, community visits and opportunities for independence would be available for my relative?
This was an unannounced planned inspection covering all five CQC questions, and the ratings in all five areas remained Good from the previous inspection. This explanation was written from the published report of 21 December 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.
What inspectors found, July 2017
Rated Good; inspectors found safe, kind and personalised care, with some improvements needed to cleanliness and meal temperatures.
This was an unannounced inspection on 1 June 2017. Inspectors spoke with people living at the home, relatives, staff, the manager and a cook. They observed care and checked care records, staffing, medicines, meetings and safety checks.
The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, received safe medicines support and had their health, nutrition and personal choices understood.
People were treated with dignity and supported to take part in activities, home life and the wider community. Inspectors found some areas needing attention, including cleanliness and décor in parts of the home, meals not always being kept hot, and further work to tailor activities.
Safe care and medicines
People and relatives felt safe. Inspectors found that staff managed risks and medicines safely and had the training and checks needed for medicines support.
“People's medicines were safely managed. This included arrangements for their receipt, storage, administration and disposal.” from the report
Health support
Staff understood people's health conditions and worked with external health professionals. Inspectors found care to be thorough and well informed.
“Many people living at the service have complex health needs; care is thorough and well informed.” from the report
Kind and dignified care
Staff treated people with kindness and respect. They supported privacy, dignity, choice and independence in everyday care.
“People received care from staff who were kind, caring, respectful.” from the report
Personalised lives
Staff knew people's routines and interests and supported them to take part in activities, holidays, shopping, education and community life.
“People received timely, personalised care that met their known daily living routines and lifestyle preferences.” from the report
Management oversight
The manager and provider used checks, meetings and feedback to monitor care and make improvements.
“The provider's governance arrangements helped to ensure the quality and safety of people's care, ongoing accountability and continuous service improvement.” from the report
Cleanliness and repairs
needs fixingInspectors found two areas that were not clean or needed repair and redecoration. Cleaning schedules did not give enough detail to guide staff or monitor the work, although an improvement plan had started.
“two areas which were either not kept clean or in need of décor repair and renewal.” from the report
Meal temperature
needs fixingSome meals were not kept hot or covered and were almost cold when served. The manager agreed to take action.
“At lunchtime we observed a few people's meals were not kept hot or covered, which meant they were almost cold when they received them.” from the report
Further tailoring of activities
minorThe home was asked to consider developing more individually tailored activities for people's benefit.
“The registered manager agreed to consider this.” from the report
- 01What work has been completed since the inspection to improve cleanliness and repair or redecorate the areas identified?
- 02How do you now check that meals are kept hot, covered and served at the right temperature?
- 03How are activities planned around each person's individual interests, abilities and health needs?
- 04How do you check that people's risk assessments and care plans remain up to date?
- 05What improvements have been made to staff recruitment and selection procedures since the inspection?
This was an unannounced inspection covering all five CQC questions and the overall quality and safety of the home; the previous overall rating from December 2015 remained Good. This explanation was written from the published report of 26 July 2017 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 Nursing Home
3 rated inspections over 4 years: the service has held its Good rating throughout.
- December 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2015GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- October 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- January 2011
Registered with the Care Quality Commission on 11 January 2011.
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.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
62 live-in carers within about an hour of Derbyshire
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 £1,010 to £1,260 a week. 51 can care for a couple. 12 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
“We particularly appreciate the companionship Dawn gives in the evenings when she plays cards and Scrabble with my mother.”
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.