About the service:

Broomgrove provides accommodation and personal or nursing care for up to 40 older people with a range of support needs, including some people living with dementia. The home is an adapted building over two floors. At the time of the inspection 39 people were using the service.

People’s experience of using this service:

People who used the service and their relatives were very positive about the care they received at Broomgrove Trust Nursing Home.

People were safe because there were effective risk assessments in place, and systems to keep them safe from abuse or avoidable harm.

People received their medicines in a safe way. We discussed and advised on some improvements that could be made surrounding medicines management with the registered manager. These improvements were implemented on the day of inspection.

Observations and discussions with staff indicated there were enough staff on duty to make sure people’s needs were met in a timely manner, further improvements in the deployment of staff, particularly at busy times, would further improve the availability of staff.

People received personalised support from staff who knew them well. People’s likes, dislikes and social histories were recorded in their care records. This helped staff care for them in a personalised way.

Staff were competent, knowledgeable and skilled. They received regular training, supervisions and appraisals which supported them to conduct their roles effectively.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People were happy with the food provided at Broomgrove. The service catered for people's special dietary requirements and staff monitored food and fluid intake levels of people who were assessed to be at risk.

The registered manager, nurses and care staff recognised the importance of promoting equality and diversity. Staff maintained people’s privacy and dignity when providing personal care and support.

A range of activities were provided for people living at Broomgrove which considered people’s interests and wishes.

The service offered end of life care medicines required to help keep people comfortable along with the equipment needed to administer them.

The provider had an effective complaints procedure in place. Information about how to complain was displayed in the entrance to the home. People and their relatives knew how to complain if they needed to.

The provider and registered manager understood the regulatory requirements and monitored the quality and safety of the service on a regular basis.

Staff told us they enjoyed their jobs, felt supported by the registered manager and provider and told us the staff team worked very well together.

The home worked well with local authorities who commissioned the service and health care professionals to achieve the best outcomes for people.

Rating at last inspection:

At the last inspection the service was rated Good (report published 1 November 2016)

Why we inspected:

This was a planned comprehensive inspection based on the rating awarded at the last inspection.

Follow up:

We will continue to monitor the service to ensure that people receive safe, compassionate, high quality care. We plan to complete a further inspection in line with our re-inspection schedule for those services rated good.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The inspection took place on 27 September 2016 and it was unannounced. The last inspection of this service took place on 21 June 2013 when no breaches of regulation were found.

Broomgrove Trust Nursing Home is operated by a registered charity which was established in 1964 to meet the needs of older people in Sheffield. Nursing care is provided by a team of nurses and care staff. The home provides care for those who have recently been in hospital and respite care for people whilst their family or carers take a holiday; it also offers a number of places for permanent care. Sheltered accommodation is provided in three flats situated within the service. End of life care is also provided. They can accommodate up to 40 people at the service.

The service had 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 2008 and associated Regulations about how the service is run.

People were positive, along with their relatives and visitors about the care and facilities provided.

Health care professionals confirmed people received the care and support they required to maintain their health. They said staff acted upon their advice to promote people’s wellbeing.

Staff understood they had a duty to protect people from harm and abuse. Staff knew how to report abuse and confirmed they would report any issues straight away. This helped to protect people.

People living at the service had their needs met by adequate numbers of trained and skilled staff. People told us they felt safe living at the service. Staff gained help and advice from relevant health care professionals which helped maintain people’s wellbeing.

A physiotherapist and music therapist was provided at the service. Support was provided to help people gain their strength during respite stays so people were able to go back home. Some people chose to take a holiday at the service whilst their carers had a break.

There were good links in place with the local hospital and hospice. The service offered end of life care medicines required to help keep people comfortable along with the equipment needed to administer them.

Medicine systems in operation were robust. Any issues identified with medicines were quickly addressed to help to protect people’s wellbeing.

People living at the service were provided with home cooked food. Their fluids and food intake was monitored to make sure their nutritional needs were maintained. People who required prompting or support to eat were assisted by patient and attentive staff.

People’s privacy and dignity was respected. People were involved in making their own decisions about their care and treatment. They made decisions about what they wanted to do and how they wanted to spend their time. Staff reworded questions or information to help people living with dementia to understand what was being said. This promoted people’s independence and choice.

There was a complaints procedure in place. Complaints received were investigated and issues raised were dealt with.

People and their relatives were asked for their opinions about the service and their views were acted upon.

Regular audits of the service were undertaken which helped to monitor, maintain or improve the quality of service provided. A board of trustees supported the registered manager, they had health care backgrounds and promoted effective care within the service. The registered manager monitored the service and acted swiftly to correct any shortfalls which helped people to remain satisfied with the service they received.

The registered manager promoted good links within the community. They undertook talks at a local school about care of the elderly as well as writing a column for a local newspaper about the health and care secto

Records checked showed that before people received any care or treatment they were asked for their consent and the staff acted in accordance with their wishes.

People told us that the staff looked after them well and they were happy with the care they received. One person said, "on the whole it’s very good. I have a nice view of the garden. I find everything alright, it’s a good place, I’ve settled.”

People using the service said they felt 'safe' living in the home.

The provider had a satisfactory recruitment and selection procedure in place to ensure that staff were appropriately employed.

The home had an effective complaints system available. We found that comments and complaints people made were responded to appropriately.

People who we were able to communicate with told us that they were happy living at the

home and that they were satisfied with the care they received. People said, "I can ask for anything and the staff get it for me." "It's a wonderful home." "I am very settled." "The staff are well trained and there are no restrictions on what I can do."

We spoke with one relative. They spoke very highly about the home and the care that was

provided. They told us "I have no worries or concerns about the home and think its good in

every aspect."

Sheffield Local Authority Contracting and Commissioning had carried out a full monitoring visit on 10 May 2011. Their report showed that they believed that the service met all aspects of the Essential Standards of Quality and Safety.