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 risk assessments, enough staff and safe medicines management. Staff understood how to report concerns and learn from incidents.
- Effective?
- Good
- People's physical, mental and social needs were assessed and care plans reflected them. Staff had training for complex needs, and people received suitable food and health support.
- Caring?
- Good
- Staff treated people with dignity and respect and adapted communication to individual needs. Relatives said they were welcomed and involved in care planning.
- Responsive?
- Good
- Care was highly personalised and focused on people's independence, communication, activities and relationships. Families received regular updates and were involved in reviews.
- Well-led?
- Outstanding
- Inspectors found exceptional leadership, strong quality monitoring, openness about incidents and effective partnership working with families and health professionals.
What inspectors found, September 2019
Rated Good overall, with Outstanding leadership; inspectors found safe, kind and highly personalised care.
Inspectors made unannounced visits on 19 June and 4 July 2019. They spoke with relatives, staff and managers, observed care and reviewed care plans, medicines records, staff files, training, audits and incident records.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found robust safeguarding, safe medicines management, suitable training, good health support and care that was personalised to people's communication needs, choices and goals.
Well-led was rated Outstanding. Inspectors found strong leadership, open communication with families, detailed monitoring and a clear focus on learning and helping people become more independent. The inspection was prompted partly by concerns about a possible safeguarding incident, but inspectors found that safeguarding systems were robust and concerns were investigated.
Personalised support
Staff knew people's individual needs 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
Communication with families
Families were kept informed in the way they preferred and were encouraged to contribute to care planning and reviews.
“Relatives told us the communication from the staff at the service was excellent.” from the report
Safeguarding and risk
The home had clear systems for protecting people, assessing risks and responding to incidents. Staff understood their safeguarding responsibilities.
“There were robust safeguarding systems in place which were used effectively by staff who showed an excellent knowledge of their roles in protecting the people in their care.” from the report
Leadership and improvement
Managers monitored care closely, reviewed incidents and supported staff to improve practice. Inspectors judged the leadership exceptional.
“The quality monitoring processes in place were embraced by staff as a way to consistently improve the quality of care.” from the report
Size of the home
minorThe home supported up to 30 people across five units. Inspectors noted that this was larger than current best practice guidance, although they said the layout reduced the possible negative impact.
“This is larger than current best practice guidance.” from the report
- 01How does the five-unit layout make sure people have enough privacy and personal space?
- 02How will you keep us informed if there is a safeguarding concern or other serious incident involving our relative?
- 03How are communication tools such as picture boards, symbols or computer systems chosen and reviewed for each person?
- 04How do you make sure staffing levels are maintained when staff are off sick or on leave?
- 05How will our relative be involved in the proposed People's council or other decisions about their care?
This was an unannounced inspection covering all five key questions, including the care and premises, and it was prompted partly by concerns about a possible safeguarding incident. 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, February 2018
Broughton House and College was rated Good; inspectors found safe, kind and personalised care, with no breaches reported.
The inspection was unannounced and took place on 3 January 2018. Inspectors spoke with staff, professionals and family members, observed how staff supported people, and checked care records, medicines, accidents, complaints and quality checks.
The home supported 27 people and was registered for 30. Inspectors found enough staff, suitable risk assessments, safe medicines practices and staff who understood people's needs. People were supported to make choices, access activities and keep in touch with relatives.
All five areas were rated Good: safe, effective, caring, responsive and well-led. This was the same overall rating as at the previous inspection.
Staff understood people well
Staff knew people's triggers, preferences and routines. This helped them provide individual support and respond when behaviour became difficult.
“It's knowing people really well that's the key.” from the report
Personalised communication
The home used pictures, objects, photographs and sign language to help people make choices and communicate.
“We saw that different methods of communication were used and staff encouraged people to be independent.” from the report
Respect for privacy
Staff gave people space when they wanted it while remaining close enough to support them. Personal choices and dignity were respected.
“Dignity and privacy were upheld for people to ensure that their rights were respected.” from the report
Learning from events
The home reviewed accidents and incidents and had changed its approach to some as-needed medicines. Managers used audits to identify and address issues.
“The registered manager used a range of audits to reflect on the quality of the service and to drive improvements.” from the report
Inspectors raised no specific concerns in this report.
- 01Can you explain what happened after the serious incident that prompted this inspection, and what changes were made to reduce similar risks?
- 02When might restraint be used for my relative, who would carry it out, and how would it be recorded and reviewed?
- 03How will you decide whether as-needed medicine is required, and how will you check whether it is helping?
- 04How would you adjust staffing if my relative needed two staff members in the community?
- 05How will you keep my relative's care plan, communication methods, activities and personal preferences up to date?
This inspection looked at all five CQC questions and the overall rating, but did not examine the circumstances of the serious incident and did not cover end-of-life care because the home was not providing it at the time. This explanation was written from the published report of 14 February 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
- February 2018Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- February 2014
Report published without a new overall rating.
- December 2012
Report published without a new overall rating.
- November 2011
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.