Background to this inspection
Updated
9 February 2021
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.
Inspection team
The inspection was carried out by an inspector, a medicines inspector and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.
Service and service type
Broughton House – Veteran Care Village is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
At the time of this inspection the home did not have a manager registered with CQC. A registered manager and the provider are legally responsible for how the service is run and for the quality and safety of the care provided. The previous registered manager had left and their replacement was in the process of completing the registration process.
Notice of inspection
We gave a short period notice of the inspection due to the Covid-19 pandemic to ensure we had prior information to promote safety. Inspection activity started on 12 January 2021 and finished on 21 January 2021, at which point we had received all the additional information we had requested from the provider and analysed this. We visited Broughton House – Veteran Care Village on 13 January 2021.
What we did before the inspection
Prior to the inspection we reviewed information and evidence we already held about the home, which had been collected via our ongoing monitoring of care services. This included notifications sent to us by the home. Notifications are changes, events or incidents that the provider is legally obliged to tell us about, without delay. We also asked for feedback from the local authority and professionals who work with the service. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We used all of this information to plan our inspection.
During the inspection
We spoke with four people living at the home about their experiences of the care and support provided. We also spoke with five care staff, the manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider.
We reviewed a range of records relating to the safe and well-led key questions. This included four people’s care records, multiple medication records, risk assessments, safety records, audits and governance information.
After the inspection
We requested additional evidence from the provider. This included care records and governance information.
Updated
9 February 2021
About the service
Broughton House – Veteran Care Village provides nursing, residential and respite care to ex-Service men and women. Accommodation is provided over two floors within a three storey purpose built facility. The home is registered to support up to 32 people. At the time of this inspection 19 people were living at the home, albeit three were currently in hospital.
People’s experience of using this service and what we found
People felt safe living at Broughton House – Veteran Care Village. Staff had received training in safeguarding and how to identify and report concerns. Risks to people and the environment had been assessed and actions taken to minimise these risks from occurring. Accidents and incidents had been documented and reviewed, to help prevent a recurrence. Enough staff had been deployed to meet people’s needs, with staff feedback confirming this. Medicines were managed safely by trained and competent staff.
The home had an updated audit and quality monitoring schedule in place, to ensure all aspects of care, support and safety were assessed and actions taken to address any concerns. People and staff spoke positively about how the home was being run, with each one confirming they would recommend the home to others. The current manager and nominated individual were reported to be approachable, supportive and a visible presence in the home.
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 requires improvement (published January 2020) and there were two 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.
Why we inspected
We received anonymous concerns in relation to risk assessments, staffing levels, management of medicines, maintenance of the premises and the overall management of the home. The home had also experienced an outbreak of COVID-19, which had affected the majority of people living there. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.
We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.
We found no evidence during this inspection that people were at risk of harm from these concerns.
Please see the safe and well-led sections of this full report.
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 coronavirus and other infection outbreaks effectively.
The overall rating for the service has improved to good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Broughton House – veteran Care Village on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.