Broughton Lodge

Right Support - The design of the service and accommodation was not effectively meeting everybody's needs. Broughton Lodge was institutional in style; it was large and not domestic.

Staff told us many interactions between people who lived at the home were poor and were a significant cause of their anxiety and incidents. The risk that people posed to each other was reduced by staff following strict protocols and at times intervening. However, this did not promote people naturally interacting with each other and having the opportunity to form positive everyday relationships.

Some of the adaptations to the environment had not considered people's experience.

Some areas of the home were more homely, and people had been supported to decorate and personalise their bedrooms with things that were important to them. Independent advocacy was available for people.

Right Care - The service operated within the principles of the MCA when supporting people to make significant decisions; using the best interest decision principles. However, in more day to day matters, people's perspective and opinions were not always sought.

In their interactions staff showed a warm, caring respectful approach towards people. People's family members told us that their relatives were cared for and treated well. One person's relative told us, "They seem excellent in caring, genuinely caring and supportive." Staff spoke to and about people in a dignified and respectful manner; especially when describing times when things have gone wrong.

People received effective and creative support when accessing community healthcare services.

There were a range of initiatives in place that matched different people's communication styles to help the provider and registered manager listen to people.

Right culture - Some aspects of the culture within the service were not positive. The service had not consistently promoted ordinary living and had not always dignified people as equal citizens. This was reflected in how the provider had not always considered the experience of people living at the home.

People's accommodation and care was focused on keeping people safe and was not focused on effectively listening to them and the promotion of people having control over their lives and living an ordinary lifestyle.

Opportunities for learning and improving the care provided were at times lost and not explored or acted upon.

There was evidence that some people had benefitted from the accommodation, care and support provided at Broughton Lodge. Some people had recently moved from Broughton Lodge into their own homes and other people were ready to do this and were planning this move.

Care staff were very positive about their roles. The provider had ensured that a series of checks and audits had taken place at the home to ensure the service provided for people was safe. The registered manager and provider were exploring different ways to support people in the least restrictive manner possible. There had been a recent reduction in physical interventions from staff members.