15 August 2023
During an inspection looking at part of the service
Broxbourne Nursing Home is a purpose-built residential care home providing personal and nursing care to up to 77 people. The service provides support to older people, some of whom live with dementia. At the time of our inspection there were 26 people using the service.
People’s experience of using this service and what we found
There had been improvements since the last inspection. Work had been completed to minimise risks and use governance systems more robustly. Good progress had been made with the action plan developed by the provider after the previous inspection. People, relatives and staff told us they felt there had been improvements.
We found that while risk management and safeguarding was more effective, there were still some areas of practice that needed to be embedded to ensure the improvements were sustainable. We found there had been an issue with a person’s ‘as needed’ medicines, ensuring a person ate foods that did not impact on their heath and whether pressure care mattresses were consistently checked appropriately. However, the management team’s response to these points assured us that robust systems were in place.
People and their relatives told us they were happy with the care provided and living at the service. They told us they felt safe. Infection control was promoted and medicines were managed well for the most part.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People were supported to eat and drink well and choose how they spent their days. The building was decorated nicely and people had access to ample communal areas and a pleasant garden which was in use on the day of our visit.
Activities were available and people told us they enjoyed these. The provider had systems in place to aid communication between people and staff.
Complaints systems were used and people and their relatives told us they could speak up. There were meetings and contact with people, relatives and staff to get their views. Feedback was collated and shared.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update: The last rating for this service was inadequate (published 12 January 2023) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
This service has been in Special Measures since 12 January 2023. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as inadequate overall or in any of the key questions. Therefore, this service is no longer in Special Measures.
Why we inspected
This inspection was carried out to follow up on action we told the provider to take at the last inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
The overall rating for the service has changed from inadequate to good based on the findings of this inspection.
We have found evidence that the provider needs to make some further improvements. Please see the safe sections of this full report.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broxbourne Nursing Home on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.