Broomhill

We identified some areas of concern under the well led key question which will

require an action plan under the governance, management and sustainability quality

statement. While the provider had put in place actions to address issues CQC

identified during the last inspection, many of these actions had taken a long time to

be implemented. There had not been sufficient time to evaluate how well actions had

been implemented or embedded in practice. Some issues we identified as having

took time to address include areas of concern around catering and provision of food;

introduction of the audio welcome leaflet; working with risk and care planning

workshops, plans to commence the patient run café and the implementation of a

recovery model of care. Patient and carer forums were relatively new (introduced in

December 2023). Working in collaboration with patients needed further work. We

acknowledge that at the time of our assessment, occupancy was below 50% and

only 5 wards were open. While staff and patients said there were enough staff to

meet patients’ immediate needs, they also acknowledged that this had not been

consistent in the past when patient numbers were higher. Staff need to plan further

admissions with care to ensure needs can be met. There was still a sense of

disconnect between the board and the wards. However, we are aware that

governance arrangements had recently been reviewed and strengthened. There had

been numerous changes in hospital managers and ward managers since our last

inspection. Staff told us they would benefit from a stable management team at ward

level. Senior leaders acknowledged in the past they had not valued staff as they

should have. Work has been ongoing to improve this. Minutes of meetings we

viewed did not appear compassionate towards staff. However, leaders had continued

to work and collaborate with the Integrated Care Board and other stakeholders with

regards to their quality improvement plan.