What the CQC found at Broomy Hill Nursing Home

Staff understood signs that might indicate abuse and said concerns would be escalated to protect people.

“People were supported by staff who understood what signs to look for which may indicate abuse may have occurred.” from the report

Staff listened to people's choices about where they spent their time and what they wanted to do.

“Staff listened to people's decisions about where they wanted to spend their time and what they wanted to do.” from the report

Inspectors were assured about several infection control arrangements, including visitors, protective equipment, testing and social distancing.

“We were assured that the provider was using PPE effectively and safely.” from the report

Medicines were not always given at the prescribed time. There were also no daily records showing that pain medicine patches remained in place.

“Systems and practices did not consistently support people to have their medicines at the times prescribed.” from the report

Care plans and staff information did not consistently explain how to manage skin problems or thickened drinks. One person's repositioning intervals were much longer than planned.

“Some people were prescribed thickener, to reduce the risk of choking. Information senior staff had provided to staff on people's individual thickener needs was not consistent.” from the report

Fluid targets were not always set or achieved, and staff did not consistently encourage people to eat and drink or offer alternatives.

“The introduction of a robust system for monitoring peoples nutritional and hydration needs was required to ensure people consistently achieved good health outcomes.” from the report

The provider's quality systems did not identify or address important problems. Staff roles were not always clear, and the electronic monitoring system did not give managers a full view of people's needs and risks.

“The provider had failed to ensure there was adequate oversight of the care provided at the home.” from the report

Some staff had not received training relevant to people's conditions or equipment. Medicine competency assessments were incomplete or recorded as passed when further training was needed.

“The provider and manager could not be assured staff had the skills to manage people's medicines safely.” from the report

Refurbishment was incomplete, and inspectors found concerns about fire doors, combustible materials and inconsistent evacuation information.

“Key areas of the premises required the completion of refurbishment, to ensure the likelihood of the spread of infection was reduced and to ensure effective fire management practice.” from the report