CQC report explained · a residential care home
What the CQC found at Broughton House Residential Home
Rated Requires improvement: inspectors found the home was not performing as well as it should and told it what to change.
What inspectors found, March 2021
Broughton House Residential Home was inspected but not rated; inspectors found strong infection control arrangements during the pandemic.
Inspectors visited on 24 February 2021. This was an announced, targeted inspection focused on infection prevention and control during the coronavirus pandemic.
They found the home was clean and hygienic. Staff and residents were tested regularly, staff were trained to use protective equipment, and a visiting pod supported safer visits.
The inspectors were assured about the home's infection control arrangements. The service was inspected but not rated, so this report does not give an overall rating or ratings for most areas of care.
Safer visiting
The home had installed a visiting pod. Visitors were supported to follow guidance on protective equipment and social distancing.
“The provider had installed a visiting pod to enable safe visiting.” from the report
Clean environment
Inspectors found the home clean and hygienic, with a daily cleaning schedule for frequently touched surfaces.
“The home was clean and hygienic throughout and staff followed a daily cleaning schedule” from the report
Staff protective equipment
Staff were trained to put on, remove and dispose of protective equipment safely. The manager also carried out regular checks.
“Staff received training sessions on how to don, doff and safely dispose of PPE.” from the report
Testing and outbreak planning
Staff and residents were tested regularly. Inspectors were assured that the home could prevent or manage infection outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Inspectors raised no specific concerns in this report.
- 01How often are residents and staff tested now, and what happens if someone tests positive?
- 02Is the visiting pod still available, and how are visits managed today?
- 03How do you identify people who are clinically extremely vulnerable and keep their shielding care plans up to date?
- 04How do you check that staff are using protective equipment safely and effectively?
- 05How do you keep the infection prevention and control policy up to date when guidance changes?
This was a targeted inspection of infection prevention and control under the Safe question; the service was inspected but not rated and the other areas were not covered. This explanation was written from the published report of 11 March 2021 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, August 2018
Rated Good; inspectors found safe, kind care and good management, but limited activities meant Responsive required improvement.
This was an unannounced comprehensive inspection on 4 and 5 July 2018. Inspectors looked around the home, observed care, spoke with people living there, relatives, staff and visiting health professionals, and checked care, medicines, staffing and management records.
The home was rated Good overall. Safe, Effective, Caring and Well-led were all rated Good. Inspectors found safe medicines practice, enough staff, suitable care planning, kind relationships and organised checks on quality.
Responsive was rated Requires Improvement because activities were limited. People had little to do for much of the day, beyond television, newspapers and crosswords. Inspectors also found faulty window restrictors and broken glass, but these safety issues were fixed within hours.
The home had improved since the previous inspection in April 2016. Earlier breaches about premises safety and lawful restrictions had been addressed, and the home was no longer in breach of the regulations.
Safe medicines
Inspectors found that medicines were administered, stored and recorded correctly. Records and stock levels matched.
“The medication administration records (MARs) we looked at were appropriately completed and the stock levels we checked matched the home's records.” from the report
Good care planning
Care plans were person-centred, kept up to date and gave staff clear guidance about people's needs and preferences.
“The care plans we looked at were person-centred, well-maintained and regularly reviewed.” from the report
Improved safety and legal practice
The home had completed the improvements requested after the previous inspection, including work on fire safety and lawful restrictions on people's liberty.
“Overall, we found that the home had made sufficient improvements and was no longer in breach of the Regulations.” from the report
Too few activities
needs fixingPeople had little to do for much of the day. The home mainly offered television, newspapers and crosswords, although some people were supported on day trips.
“The activities on offer at the home were limited and required improvement” from the report
Environmental hazards found
needs fixingSome bedroom window restrictors allowed windows to open wider than intended, creating a potential risk of injury. Broken glass was also found in an external area. The issues were fixed within hours, but inspectors asked the home to improve its safety checks.
“This meant there was a potential risk someone could climb out and suffer an injury.” from the report
- 01What activities are now available each day, especially for people who cannot go on trips?
- 02How do you check that bedroom window restrictors remain safe and effective?
- 03What changes have been made to environmental safety checks since the inspection found broken glass and faulty window restrictors?
- 04Have all staff now received the planned formal training on the Mental Capacity Act and Deprivation of Liberty Safeguards?
- 05How will my relative and family be involved in reviewing their care plan and activities?
This was an unannounced comprehensive inspection covering all five key questions, with checks of the premises, care, records, staffing, medicines and management. This explanation was written from the published report of 3 August 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 Residential Home
2 rated inspections over 2 years: the service has improved, from Requires improvement to Good.
- March 2021Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Broughton House Residential Home →
- August 2018Goodup from Requires improvementSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
Read what inspectors found at Broughton House Residential Home →
- June 2016Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- February 2014
Report published without a new overall rating.
- September 2012
Report published without a new overall rating.
- December 2010
Registered with the Care Quality Commission on 15 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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