Broadland View Care Home

Safeguarding concerns had not always been referred to the local authority for investigation or reported to CQC. Where safeguarding concerns had been identified by the provider, they did not always take prompt and effective action to protect people. Staff had not always been appropriately referred to the Disclosure and Barring Service (DBS) to review their safety and suitability to work with vulnerable people. DBS checks provide information including details about convictions and cautions held on the Police National Computer. The information helps employers make safer recruitment decisions.

Risks relating to choking, falls management for people taking blood thinning medicines and some environmental risks were not robustly managed and fully understood by staff. Some environmental risks had been identified but not addressed which placed people at risk of harm.

Records were person centred and had recently been reviewed. However, further work was needed to make sure all records were accurate, and information recorded in the correct place to ensure effective oversight of people's health and welfare.

Medicines were well managed, and people received their medicines as prescribed. Some recent medicines administration errors had not been fully investigated at the time they occurred. The registered manager assured us better medicines management systems had been put in place following this and records confirmed this.

There were enough staff and staff knew people's preferences well. They were very kind and relationships were good. The service had a 'homely' feel which relatives commented on. One relative stated, 'I find the service responsive to people's needs'.

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.

This inspection reflected a mixed picture. Feedback about the service was positive and people who used the

service were happy. However, poor management of safeguarding and risk led us to question the quality of leadership and provider oversight.