The inspection took place on 12 and 17 January 2017 and was unannounced.

Broadland House Residential Care Home provides residential care for up to 20 people, some of whom may be living with dementia. At the time of this inspection there were 18 people living in the home. Most of these people were living with dementia.

Accommodation is over two floors and is serviced with a lift. The home has 16 single rooms and 2 double rooms. Six rooms have en suite facilities with others housing a sink. A number of communal areas are available to those living there as well as an enclosed and accessible garden.

There was a registered manager in post. 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.

The service had procedures in place that minimised the risk of employing people not suitable to work at Broadland House Residential Care Home. New staff received an induction and support. All staff received on going and regular training that assisted them to provide appropriate, safe and effective care and support to those living at the home.

Staff morale was good amongst the staff and people benefited from receiving support from staff who were happy in their roles. Staff felt valued, supported and listened to. They received regular supervisions and support. Good team work was evident and this contributed to a service that was organised and efficient.

There were enough staff to meet people’s individual needs. Staffing levels were consistent and the provider employed additional staff not included in the care staff numbers to ensure needs were met. This meant that, if the service experienced any last minute staff shortages, additional staff were available to help meet people’s practical care and support needs.

Care and support was delivered in a kind hearted, courteous, patient and respectful manner. People’s dignity, privacy and confidentiality were maintained and choice was encouraged and supported. Staff understood the importance of gaining people’s permission before assisting them.

Procedures were in place to help protect people from the risk of abuse. Staff had knowledge of how to prevent, protect and identify potential abuse although not all staff had knowledge in how to report concerns outside of their organisation. The management team liaised with the local safeguarding team as required, although not all concerns had been reported to CQC as expected.

The risks to individuals had been identified and staff had knowledge of these and how to minimise them. However, the risks had not always been recorded. Risks relating to the building, working practices and potential adverse events had been identified and appropriately managed. Accidents and incidents were recorded and used to minimise future risk.

People received their medicines as the prescriber intended and the service followed good practice guidelines. Medicines records were accurate and complete although it was not always easy to quickly locate relevant information. The service ensured actions were taken to rectify this following our inspection.

The CQC is required to monitor the Mental Capacity Act (MCA) 2005 Deprivation of Liberty Safeguards (DoLS) and report on what we find. The service adhered to the principles of the MCA but staff knowledge on the legislation was variable. However, this did not negatively impact on the service people received but the risk of this in the future was present.

People had individual care plans in place that they, or their family members if appropriate, had been involved in. People’s needs had been regularly reviewed and the care and support changed as appropriate to meet those needs. People had given their consent for care, support and treatment although these

This inspection took place on 11 November 2014 and was unannounced. This meant that the provider did not know that we were coming.

Broadland House Residential Care Home is a residential care home that provides accommodation, care and support for up to 20 older people, some of who are living with dementia. At the time of the inspection, there were 18 people living at Broadland House Residential Care Home.

There was a registered manager in place. 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 and associated Regulations about how the service is run.

People told us that they liked living at the home and felt safe. They said that their care and support needs were met by staff who were friendly, caring and polite. They also told us they found the staff and manager approachable and could speak to them if they were concerned about anything. We saw that staff treated people with respect and used a kind and thoughtful approach when talking with and assisting them.

People had their independence encouraged and they had access to healthcare professionals and specialists when they became unwell or needed more help. Medicines were stored correctly and people received them as prescribed. People living at the home said that they and their relatives were consulted and involved in reviewing their plans of care to ensure their needs were met.

A survey questionnaire had been sent to people to gain their view of the care and support provided. Regular checks were made on the way staff worked, the records held and the premises to make sure the home was well run and people received the care and support they needed. People told us their concerns and complaints were quickly dealt with and resolved to their satisfaction.

Staff had completed training and had the skills and knowledge they needed to provide care and support to people. They knew how to make sure that people were safe and protected from abuse and had completed training in the Mental Capacity Act (2005). They understood when best interest decisions were needed and an application was required to be sent to a local authority Supervisory Body.

Staff told us that they felt listened to by the management team and that changes in care practice were implemented when concerns had been raised. They also said that they were happy working at the home and that the manager was approachable.

.