Lammasmead
Broxbourne, EN10 · 0.2 km
Residential
Rated 7 years agocare home
CQC report explained · a nursing home, run by Gold Care Homes
Broxbourne Nursing Home
New River Gardens, Wormley, Broxbourne, EN10 6GU
Goodpublished 6 October 2023, 2 years ago
Rated Good: inspectors found the service performing well and meeting their expectations.
The five questions inspectors ask
- Safe?
- Requires improvement
- People generally felt safe and staffing, safeguarding and infection control had improved. However, inspectors found a missed as-needed medicine, one pressure mattress set incorrectly and food choices that did not always reduce diabetes-related risks.
- Effective?
- Good
- People's needs were assessed before admission and staff had suitable training. The home followed the Mental Capacity Act and supported people to eat, drink and access health professionals, although condiments were not always available.
- Caring?
- Good
- People were treated with kindness, dignity and respect. Staff knew people well, offered choices and involved people in decisions about their care.
- Responsive?
- Good
- Care plans were detailed and reflected people's preferences and needs. Activities and communication support were available, but some relatives reported occasional communication difficulties and mixed views about whether activities were sufficiently stimulating.
- Well-led?
- Good
- Management and governance had improved significantly. Audits, checks, meetings and feedback systems were in place, and the home had acted on the previous inspection findings.
The latest report, explained
What inspectors found, October 2023
Broxbourne Nursing Home was rated Good overall and is no longer in special measures, but Safe Requires Improvement.
This was an unannounced follow-up inspection. One inspector visited on 15 August 2023 and reviewed care records, medicines, staffing, training, incidents and quality checks. The inspection activity continued until 7 September 2023.
Inspectors found clear improvements since the previous inspection, which had rated the home Inadequate. People and relatives said they felt safe and were happy with the care. Staff were described as kind, respectful and familiar with people's needs.
There were still safety issues. These included a missed as-needed medicine, one pressure mattress set incorrectly and concerns about food for a person with diabetes. The home was rated Good overall, but Safe was rated Requires Improvement. The home was no longer in breach of regulations or in special measures.
What inspectors praised
Kind and respectful care
People were supported patiently and respectfully. Staff knew people's routines, preferences and needs.
“Staff respected people's privacy and dignity. They knew their routines to ensure privacy was not disturbed.” from the report
Improved leadership
Inspectors found better oversight, more effective checks and a stronger culture in the home.
“There had been a significant improvement to the culture in the home and the use of governance systems.” from the report
Staffing and training
People received timely support and staff had relevant training. The home had reduced its use of agency staff and had a plan for changing staffing needs.
“We saw staff were available when people needed and they responded promptly.” from the report
Personalised care and activities
Care plans reflected people's choices and interests. Inspectors saw people taking part in activities and using communal areas and the garden.
“We reviewed people's care plans and saw they were supported in their chosen way.” from the report
What inspectors were concerned about
As-needed medicines
seriousA recent incident involved an as-needed medicine not being given when the person's health needs changed. The home provided further training and changed its audit system.
“However there had been a recent incident where medicines prescribed 'as needed' had not been given when the person's health needs changed.” from the report
Pressure mattress checks
seriousOne mattress checked was set incorrectly for a person who had a pressure ulcer. The management team carried out further checks and staff observations after the visit.
“However, of the mattresses we checked, 1 was set incorrectly for a person.” from the report
Food and diabetes risks
seriousFood eaten by a person with unstable diabetes did not always reduce the associated risks. The home said alternatives, discussions and extra training were being provided.
“However, for a person who was diabetic, the food eaten did not always reduce the risks associated with this.” from the report
Communication difficulties
needs fixingSome relatives said that accents and language differences sometimes made it harder for people to hear or understand staff. The home had introduced extra language and communication training.
“However, some relatives told us that there was a communication barrier at times as some staff did not have English as their first language” from the report
Infection control detail
minorSome staff were wearing nail polish or nail extensions, which inspectors said could increase the risk of ineffective hand hygiene. The manager said this would be addressed.
“However, we did note that some staff had nail polish and or nail extensions on which increases the risk of cross infection due to risk of ineffective hand hygiene.” from the report
Questions to ask them, based on this report
- 01How do you now make sure as-needed medicines are given promptly when a person's health needs change?
- 02How often are pressure mattresses checked, who records the checks, and what happens if a mattress is set incorrectly?
- 03How do you manage food choices for people with diabetes, especially where the person does not understand the risks?
- 04What support and monitoring are in place to make sure staff communicate clearly with people who have difficulty hearing or understanding accents?
- 05How do you check that activities are suitable for people with dementia and for people who spend much of their time in their rooms?
This was an unannounced follow-up inspection checking action from the previous inspection, including a Warning Notice about governance and infection prevention and control; the inspection re-rated all five key questions. This explanation was written from the published report of 6 October 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
The story over the years
Every inspection of Broxbourne Nursing Home
2 rated inspections over a year: the service has improved, from Inadequate to Good.
- October 2023Goodcurrent ratingup from InadequateSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2023InadequateSafe: InadequateEffective: Requires improvementCaring: Requires improvementResponsive: Requires improvementWell-led: Inadequate
- June 2022
Registered with the Care Quality Commission on 9 June 2022.
Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.
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