This inspection took place on 16 April 2018 and was unannounced.

Broadway Residential is a residential care home situated in the middle of a housing estate in a suburb of Liverpool, providing support for up to 17 people. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. At the time of the inspection, there were 16 people living in the home.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in April 2017 we identified a breach of regulation 12 of the Health and Social Care Act 2008 because; care plans were not in place for all identified health needs to guide staff how to support people with these needs, and risk assessments were not all up to date to enable risk to be monitored and mitigated. Following the inspection the provider submitted an action plan which detailed how they would become compliant with regulation. As part of this inspection we checked to see if the necessary improvements had been made and sustained.

The four care records that we saw had been extensively re-written following the last inspection and in accordance with the timescales submitted in the action plan. Each of them was well-detailed and reflected the full range of people’s care needs including any risk to their health, safety or wellbeing. The provider was no longer in breach of regulation in this regard.

Each of the people we spoke with told us they felt safe living in Broadway Residential. Staff were safely recruited and deployed in sufficient numbers to meet people’s needs and keep them safe.

The staff we spoke with understood their responsibilities in relation to safeguarding people from abuse and neglect. They were able to explain different types of abuse, potential signs of abuse and how they would report any concerns.

Medicines were stored and administered safely in accordance with best-practice. Staff had completed training in relation to safe medicine administration and had their competency assessed to ensure they were sufficiently skilled to manage medicines safely.

The home was clean and free from obvious odours. The risk of infection was reduced because staff had easy access to personal protective equipment (PPE) including gloves and aprons and acted in accordance with the provider’s policy.

We looked at accident and incident reporting within the home and found that they were reported and recorded appropriately. The registered manager maintained a monthly log of all accidents and incidents within the home and reviewed them each month to look for any potential themes or trends.

During the last inspection we identified that records relating to the Mental Capacity Act 2005 (MCA), and in particular capacity assessments were not always completed in accordance with best-practice guidance. We made a recommendation regarding this. As part of this inspection we checked to see if the necessary improvements had been made and sustained.

The records that we saw provided evidence that people’s capacity to consent was assessed appropriately and in relation to a range of decisions.

Staff we spoke with told us they were well-trained and felt well-supported through supervision. They also said they could raise any concerns they had with the registered manager at any time.

People told us they enjoyed the food at Broadway Residential. As part of the inspection we joined people living at Broadway Residential for lunch. The menu offered a good choice of nutritionally balanced meals, and people could request an alternative if they wished

This inspection took place on 12 and 13 April 2017 and was unannounced.

Broadway Residential is a residential care home situated in the middle of a housing estate in a suburb of Liverpool, providing support for up to 17 people. It is an old school building converted into a residential care home. During the inspection, there were 15 people living in the home.

A registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. Feedback regarding the management of the service was positive.

We found that consent was not always sought in line with the principles of the Mental Capacity Act 2005 (MCA). The registered manager was aware this process required improvement and had developed new tools for staff to use. We viewed a completed assessment using the new tool and saw that it followed the principles of the MCA. We made a recommendation regarding this process.

Care plans were not in place for all identified needs and risk assessments had not all been updated to accurately reflect current risk to people.

Systems were in place to assess and monitor the quality and safety of the service and it was evident that actions were taken to address identified issues, however these systems did not identify the concerns highlighted during the inspection.

All of the people we spoke with told us they felt safe living in Broadway Residential and their relatives agreed that they were safe. Staff had completed risk assessments to assess and monitor people’s health and safety. We found that appropriate support was being provided to people to manage identified risk.

Staff we spoke with were knowledgeable regarding safeguarding procedures and how to raise any concerns they had.

We found that medicines were managed safely within the home. A policy was in place to guide staff and staff had received training and had their competency assessed.

We looked at how the home was staffed and found that there was sufficient staff on duty to meet people’s needs in a timely way. We looked at how staff were recruited within the home and found that safe recruitment practices were followed.

Arrangements were in place for checking the environment to ensure it was safe. External contracts were maintained and regular internal checks were also completed to help ensure the building and equipment remained safe. The home was clean and well maintained.

The registered manager had a clear understanding of their responsibility in relation to Deprivation of Liberty Safeguards and appropriate applications had been made.

Staff were supported in their role through regular training, supervision and an annual appraisal and staff told us they felt well supported. A comprehensive induction was in place; however this had not yet been fully completed by new staff.

People told us they enjoyed the food and that there was plenty to eat and drink. The chef and staff were aware of people’s dietary needs and preferences to ensure people’s nutritional needs were met.

People told us that staff were kind and caring and treated them with respect. We observed people’s dignity and privacy being respected by staff in a number of ways, such as staff knocking on people’s door before entering their rooms.

People we spoke with told us that they had choice regarding how they spent their day and care plans we viewed showed that choice and independence were promoted within the home. We observed independence being encouraged during the inspection.

We observed relatives visiting throughout both days of the inspection. The registered manager told us there were no restrictions in visiting, encouraging relationships to be maintained. For people who had no family or friends to represent them, c

Through talking to staff and people using services at Broadway we found that care plans were reviewed on a monthly basis and included confirmation of gaining consent to care and treatment albeit verbal consent at times. During our inspection, we observed people taking part in activities with staff and enjoying themselves. They were continually offered choices during the day relating to food, drinks and participating in any suggested activities. We spoke with several people who spoke positively about the care they received. One said "we can go out when we want to" while another stated "we went to Blackpool last week and next week we are going out dancing". Individual care plans were present and included evidence of the monthly reviews and daily routines.

People who used services at Broadway were safe within accessible surroundings that were properly maintained. The care home was a converted school but offered appropriate care within a safe environment. There was an effective recruitment process in place which ensured appropriate staff were employed which included a comprehensive induction package alongside on-going relevant training. Records indicated appropriate staff training was being delivered to staff. We found that people who used services at Broadway would, if necessary, have their complaints listened to and acted upon within an acceptable time-scale. There was a system in place to deal with complaints that supported people in the process.

People using the service told us that they were "more than happy with the care" they received at the home and that they were "happy with the way they look after you".

People who use the service and their relatives told us the staff were very friendly and approachable and have always been very respectful towards them.

People said that staff were very caring and told us that "it feels like home here".

People living in the home appeared relaxed and comfortable in their surroundings and they

told us that they felt safe living at Broadway and were treated well by the staff.

This inspection took place on 29 and 30 October 2014 and was unannounced. We last inspected the home in September 2013. At that inspection we found the service was meeting all of the essential standards that we inspected.

There was a registered manager in place who had been the registered manager for some years. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated regulations about how the service is run.

The service shares a site with a nursing home called ‘Broadway Nursing’ which is also owned by the provider. The residential home occupies a spacious and long, mainly single storey building which had formerly been a school. The bedrooms were large and airy and bathroom facilities were found at spaced intervals along the corridor which linked the rooms in the home. The home was in the process of being redecorated and re-furbished and we saw there was a range of pictorial information and memory stimulating items ready to be mounted to the corridor wall.

The home is registered to provide residential social care for 17 older people and at the time of our inspection, there were 16 people living in the home.

People were safe and well cared for. People told us that they, and their families, had been included in planning and agreeing to the care provided. The staff on duty knew the people they were supporting and the choices they had made about their care and their lives.

The decisions people made were respected. People were supported to maintain their independence and control over their lives. The management team followed the requirements of the Mental Capacity Act (MCA) 2005 Code of Practice and Deprivation of Liberty Safeguards (DoLS). This helped to protect the rights of people who were not able to make important decisions themselves.

People were treated with kindness and respect. People we spoke with told us, “The staff are kind, thoughtful and helpful”. We saw that most of the staff in the home took time to engage with the people they were supporting.

People were able to see their friends and families as they wanted. There were no restrictions on when people could visit the home. All the visitors we spoke with told us they were made welcome by the staff in the home.

Safe systems were used when new staff were employed. All new staff completed thorough training before working in the home. The staff employed at Broadway Residential were aware of their responsibility to protect people from harm or abuse. They knew the action to take if they were concerned about the safety or welfare of an individual. They told us they would be confident reporting any concerns to a senior person in the home.

The home had a range of equipment to meet people’s diverse needs and to promote their independence. The home was well maintained and throughout our inspection we found that all areas were clean and free from odours.