Broadway Nursing

Since the last inspection, the service had introduced new electronic care plans. In a short period of time, staff had transferred existing knowledge of people onto the new documents. These provided rich and detailed information which showed particularly good person-centred knowledge and care. One person told us, "They are not intrusive, but they also always make sure I am ok. They have given me confidence again, which at this stage in my life I think is quite important."

People, relatives and staff were involved in the development of the service. We heard about a family-like atmosphere. An overall long-standing staff team ensured not just people living at the service were looked after, but their relatives as well. Staff were honest that the new electronic system was a big change for them and not everyone was sure about its benefits. However, staff, along with people and relatives, were also complimentary about the ongoing and reliable support from the well-respected registered manager.

We found that through external learning opportunities the registered manager had developed their confidence and creativity in supporting the team in different ways. They also worked in partnership with a variety of health and social care professionals to achieve positive outcomes for people. This included the registered manager leading a particular project on ensuring good hydration for people. The service listened to people's thoughts around the food and made changes to achieve continuous improvement. People's specialist diets, including faith-based requirements, were catered for well.

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.

A new care quality manager was working closely with the registered manager to continuously develop a clearly changing service. Staff were honest about the pressures of their work, but also praised the overall positive, hardworking team morale. This was evident in the improvements that had been achieved, resulting in the service's first overall good rating

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