This inspection was unannounced and took place on the 1 June 20172017. Broomhouse Nursing Home provides accommodation and personal care for up to 40 adults with learning disabilities or autistic spectrum disorder. Some were also living with a range of medical or chronic health conditions. At the time of our visit, there were 37 people living at the service, within an age range of 51 to 90 years old. There was a registered manager at this service. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons.’ Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.
At our last inspection in December 2015 we rated the service as ‘Good’ overall. At this inspection we found the service remained ‘Good’ overall.
People, relatives and staff were confident people received safe care. The environment was mostly clean, safe and well maintained. Related improvements in progress and emergency planning measures helped to further ensure this.
People were protected from the risk of harm or abuse. Risks to people’s safety associated with their health and environment were assessed before they received care and regularly reviewed. Staff supported people in a safe, skilled and timely manner. People’s medicines were safely managed. Staffing arrangements helped to ensure people’s safety.
People and relatives were happy with the care provided. People were supported to maintain and improve their health and nutrition by staff who were supported, trained and knowledgeable to ensure this. Staff consulted with and supported people to access external health professionals when they needed to. Staff understood and followed related instructions for people’s care when required.
Staff understood and followed the Mental Capacity Act (2005) to obtain people’s consent or appropriate authorisation for their care when required; to ensure their rights and best interests.
Staff were caring, treated people with respect and promote their dignity people’s dignity, independence and rights in care.
People and their families were informed and supported to understand the care they could expect to receive from staff at the service. Staff knew people well and had good relationships with them and their families. Staff understood and they followed what was important to people for their care and relationships with others.
People received personalised, timely care that met with their known wishes, lifestyle preferences and promoted their social inclusion. Exploration of ways to help further tailor people’s individual arrangements for their occupation and leisure was agreed.
Staff often supported people to engage and participate in home life and the extended community; to do things they enjoyed there that were meaningful to them. Environmental equipment, specialist aids and adjustments for vehicle access helped to promote people’s independence.
Staff shared relevant information about people’s care with external care providers when required; to ensure people’s personalised and consistent care if this needed to be provided outside the service.
People and relatives knew how to make a complaint about the service if they needed to. The provider regularly sought the views of people, relatives and staff; to inform and make service improvements when required.
The service was well managed and led. Staff were informed, supported and understood their role and responsibilities for people’s care. The provider’s governance arrangements helped to ensure the quality and safety of people’s care, ongoing accountability and continuous service improvement.