CQC report explained · a residential care home
What the CQC found at Broughton House and College
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found robust safeguarding systems, detailed and regularly reviewed risk assessments, safe staffing and safe medicines management.
- Effective?
- Good
- Staff had training for complex learning, physical and health needs. People's nutritional, healthcare and communication needs were assessed and supported.
- Caring?
- Good
- Staff treated people with kindness, dignity and respect. Relatives said they were welcomed and involved in care planning.
- Responsive?
- Good
- Care was highly personalised. People were supported to develop life skills, communicate in ways that suited them, maintain relationships and take part in activities.
- Well-led?
- Outstanding
- Inspectors found exceptional leadership, open communication and strong quality monitoring. The management team used information from incidents and health professionals to improve care.
What inspectors found, September 2019
Broughton House and College was rated Good overall, with kind and highly personalised care and Outstanding leadership.
The inspection was unannounced and took place on 20 June 2019. One inspector spoke with a person using the service, two relatives, staff and managers. They also reviewed care, medicines and staff records, audits and accident records.
The home supported five people with learning disabilities. Inspectors found people were safe, treated with kindness and supported to make choices, build skills and take part in activities. Staff understood people's communication, health and support needs.
All five areas were rated Good except well-led, which was rated Outstanding. The home had robust safeguarding, risk management and medicines systems. Relatives described communication and family involvement as excellent.
The previous overall rating was Good at the inspection on 15 February 2018. Safe, effective, caring and responsive stayed Good. Well-led improved from Good to Outstanding.
Personalised support
Staff knew people very well and used this knowledge to support independence, reduce anxiety and achieve positive changes in daily life.
“People received outstanding personalised care from a staff group who had excellent knowledge of their individual needs.” from the report
Family involvement
Relatives were kept informed in the way they requested and were invited to take part in care reviews and discussions about progress.
“Relatives told us the communication from the staff at the service was excellent.” from the report
Safety systems
Safeguarding, risk assessment, incident review and medicines processes were described as robust. Staff understood how to protect people while supporting them to take part in activities.
“The management team had robust processes in place to ensure learning from incidents and events to reduce future risk or reoccurrence.” from the report
Communication support
The home used personalised tools such as pictures, symbols, key words, sign language and technology to help people express choices and needs.
“The service had introduced innovative and individualised ways to ensure people had information in ways they could understand.” from the report
Leadership
Leadership was the strongest area in the report. Managers understood people's needs, encouraged staff development and used audits and professional input to improve care.
“This meant service leadership was exceptional and distinctive.” from the report
Inspectors raised no specific concerns in this report.
- 01What action was taken after the safeguarding concerns that prompted this inspection, and what learning was shared with staff?
- 02How would you support my relative's particular communication method, especially if they are non-verbal or have limited speech?
- 03How would my relative and our family be involved in the six-weekly and yearly care reviews?
- 04How do you check that medicines, including medicines given when needed, remain appropriate and are administered safely?
- 05How would you support my relative to develop independence and take part in activities that match their interests?
This was an unannounced inspection covering all five CQC questions; the previous rating was Good, with well-led improving to Outstanding. This explanation was written from the published report of 12 September 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, March 2018
Broughton House and College was rated Good; inspectors found safe, kind and personalised care, with no serious risks or concerns identified.
This was an unannounced, comprehensive inspection. Inspectors reviewed information held about the home, spoke with relatives, staff and managers, and checked care plans, staff files, medicines records and other records. Five people were living there, with complex learning difficulties on the autism spectrum.
Inspectors found that people were safe, received their medicines correctly and lived in a clean, well-maintained home. There were enough staff, and staff had suitable training. People received support with food, health needs, communication, choices and behaviour.
Inspectors saw kind and respectful care. Care was tailored to each person, and people were supported to take part in activities they chose. Relatives said they could raise concerns and that the management team listened.
The home was rated Good in all five areas: safe, effective, caring, responsive and well-led. The previous inspection also rated the home Good, and this inspection found that the rating should remain unchanged.
Safe staffing and training
Inspectors found enough staff to support people safely, with appropriate training and recruitment checks.
“People continued to be supported by sufficient numbers of staff who had received adequate training for their role.” from the report
Safe medicines
Medicines were given as prescribed, with clear instructions for medicines needed in emergencies or when required.
“People received their medicines as prescribed and the management of medicines was safe.” from the report
Personalised care
Staff understood people's individual needs and used detailed care plans to guide support and communication.
“People received individualised person centred care from staff who had a good understanding of their needs.” from the report
Kind and respectful support
Inspectors saw staff engaging with people in a caring, respectful and non-patronising way.
“People were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate way.” from the report
Activities and community links
People were supported to take part in activities such as dog walking, shopping, bowling, the cinema and community visits.
“People had the opportunity to follow their hobbies and take part in social activities both in the service and in the community.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative if there was short-notice staff sickness?
- 02How would you manage my relative's specific health risks, including any emergency medicines they may need?
- 03How would staff communicate with my relative if they use non-verbal communication, pictures or sign language?
- 04Which activities and community visits could be matched to my relative's interests and needs?
- 05How would you involve our family in reviewing and changing the care plan?
This was an unannounced comprehensive inspection covering all five CQC questions; the report gives 16 February 2018 as the visit date but also refers to an inspection on 7 February 2018. This explanation was written from the published report of 28 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 Broughton House and College
3 rated inspections over 4 years: the service has held its Good rating throughout.
- September 2019Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- March 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- November 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 6 December 2010.
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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9 live-in carers within about an hour of Lincolnshire
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.
8 can care for a couple. 10 years' experience on average.
“Martin was more than a carer, he managed the home and became my uncle's best friend, enriching his life during his last few years.”
“Magda was always positive and proactive about trying new things to keep dad busy. She also introduced new ideas for keeping dad healthy.”
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.