CQC report explained · a residential care home
What the CQC found at 32a Broadgate Lane
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Staff understood safeguarding and risk procedures, and staffing levels were planned around people's individual needs. Medicines were used and administered safely, although the home had previously experienced an accessibility problem with new medicines.
- Effective?
- Good
- People had detailed assessments and care plans. Staff received general and needs-led training, including specialist communication training, and worked with health and social care professionals.
- Caring?
- Good
- People were treated with warmth, kindness, dignity and respect. Staff used personalised ways to introduce themselves and help people express choices.
- Responsive?
- Outstanding
- Care was highly personalised and adapted to people's goals, communication needs and interests. Inspectors saw examples of support for holidays, friendships, independence, new experiences and end of life care.
- Well-led?
- Outstanding
- Leadership was described as exceptional. The home had a strong culture of learning, listened to relatives and professionals, and used feedback and incidents to improve care.
What inspectors found, September 2020
Rated Outstanding overall; inspectors found highly personalised care and strong leadership, with Safe, Effective and Caring rated Good.
This was a planned inspection on 17 February 2020. One inspector observed people and staff, spoke with staff and managers, checked care and medicines records, and contacted relatives, commissioners and health professionals afterwards.
The home supports six adults with learning disabilities and/or sensory disabilities. Inspectors found people were safe, treated with kindness, and supported by staff who knew their needs and communication methods well.
Responsive care and leadership were rated Outstanding. The home helped people build independence, maintain relationships, enjoy activities and achieve goals that had previously seemed difficult. Safe, Effective and Caring were rated Good.
The overall rating improved from Good at the previous inspection, published on 19 September 2017. The report records one past problem accessing new medicines, but says it was resolved safely and extra training, processes and storage were put in place.
Personalised care
Care plans were very detailed and focused on each person's choices, goals and independence.
“Care plans were extremely detailed. Support centred on choice and promoting independence.” from the report
Skilled communication
Staff learnt each person's communication style, including personalised signs and objects that helped people make choices.
“Some people used their own personalised version of hand signing which staff also learnt.” from the report
Life opportunities
Staff helped people take part in holidays, shows, swimming, activities and social experiences that matched their interests and abilities.
“The service was exceptional in how it considered people's goals and aspirations, hopes and dreams.” from the report
Kind relationships
Inspectors saw warm relationships between people and staff. Relatives and professionals also gave very positive feedback.
“Throughout the day we saw that people and staff laughed and joked together which demonstrated they had good relationships and enjoyed each other's company.” from the report
Previous access to new medicine
minorThere had been a problem accessing a new medicine for one person because the home was not familiar with using it. The report says this was resolved safely and extra training, processes and secure storage were put in place.
“The issue highlighted the need for additional training, processes and secure storage to be put in place” from the report
- 01How would you support my relative's particular communication method, and which staff members are trained in it?
- 02How do you check that new medicines are available, stored securely and understood by staff?
- 03What goals would you set with my relative to build independence and take part in activities?
- 04How would you support my relative to maintain relationships with family, friends and the local community?
- 05How would you adapt care if my relative's health needs changed, including at the end of life?
This was a planned inspection of the care home covering all five CQC questions, with the overall rating improving from Good to Outstanding. This explanation was written from the published report of 24 September 2020 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, September 2017
SENSE - 32a Broadgate Lane was rated Good; inspectors found safe, kind and personalised care for six people with complex communication needs.
The announced inspection took place on 8 August 2017, with a short period of notice because people living there had complex care needs. The inspector spoke with all six residents, four care staff, the deputy manager and the registered manager. They observed care, reviewed three care records and checked staffing, training and quality records. Three relatives were also contacted afterwards.
Inspectors found that people were safe and that medicines, staffing and recruitment checks were managed properly. Staff understood how to support people with their health, nutrition, communication and decision-making. People were treated with kindness and respect, and were supported to stay independent, enjoy activities and keep in touch with relatives.
The home had a registered manager, regular quality checks and an established staff team. People and relatives were involved in decisions, and there were arrangements for complaints and independent advocacy. All five areas were rated Good, and the home remained Good after also being rated Good at the inspection on 20 July 2015.
Safe staffing and medicines
Inspectors found enough staff to provide prompt individual support. Medicines were ordered, given and disposed of reliably, with staff trained to administer them.
“There were enough care staff on duty to promptly provide people with the care they needed.” from the report
Skilled communication
Staff used imaginative methods to help people recognise staff and express their wishes. This included personal identifiers and other forms of sign-assisted communication.
“These identifiers included objects such as a small dice and an enamelled flower.” from the report
Kind and respectful care
People were treated with compassion and their privacy was respected. Staff took time to understand how each person wanted to be addressed and supported.
“We saw that people were being treated in a kind and respectful way.” from the report
Listening and improvement
The home asked people for feedback and acted on it. One result was the development of a multi-activity sensory garden based on people's preferences.
“There were a number of examples of improvements being made.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you communicate with my relative using their personal form of sign-assisted language?
- 02How will you involve my relative in decisions about their medicines and daily care?
- 03What activities, work or local opportunities could my relative choose to take part in?
- 04How will you support my relative to stay in touch with family and friends?
- 05How can my relative or our family raise a complaint, and how will it be handled?
This was an announced inspection covering all five key questions, with observations of care, discussions with people, staff and relatives, and checks of care and management records. This explanation was written from the published report of 19 September 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 32a Broadgate Lane
3 rated inspections over 5 years: the service has improved, from Good to Outstanding.
- September 2020Outstandingcurrent ratingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- December 2013
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- March 2012
Report published without a new overall rating.
- September 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 29 November 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.