Broome Park Nursing Home

Right Support People had limited access to meaningful activities and care plans were not person centred. People's support was not always well structured and some people did not have end of life care planning in place. There was a lack of opportunity for people to identify goals and outcomes and plan the support they needed to achieve these.

Right Care Poor risk management meant people were not always safe. There was a high use of agency staff at the service meaning that some people were supported by staff who did not know their needs well. However, people with learning disabilities lived in one part of the service which had its own settled staff team who knew people's needs well. People were not always treated with dignity and respect. Staff understood their responsibilities to protect people from abuse and knew how to report concerns should they need to.

Right Culture Governance at the service was not effective which placed people at risk of receiving poor care. People's privacy was not always respected, and people and their families had limited opportunities to contribute to planning their support. Relatives told us that communication from the service was often poor and professionals said they could not always get the information from the service they needed about people. People were supported to develop their skills and to be as independent as possible.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.