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Inspection on 17/08/09 for Broadway North Resource Centre

Also see our care home review for Broadway North Resource Centre for more information

This is the latest available inspection report for this service, carried out on 17th August 2009.

it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Excellent.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

Annual service review Name of Service: Broadway North Resource Centre The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Wendy Grainger Date of this annual service review: 0 3 0 7 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service Address of service: Broadway North Walsall West Midlands WS1 2QA 01922649640 01922647829 hicklinm@walsall.gov.ukorlashforda@walsall.go v.uk Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : mental disorder, excluding learning disability or dementia Conditions of registration: Walsall Metropolitan Borough Council Number of places (if applicable): Under 65 Over 65 10 0 The maximum number of service users who can be accommodated is: 10 The registered person may provide the following category of service only: Care Home Only (Code PC); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Mental disorder, excluding learning disability or dementia (MD) 10 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Since the last Annual Service Review the management for the service has changed. The person who has the responsibility is Ms Ann-Marie Lashford. The service has changed its e-mail contact to: lashforda@walsall.gov.uk Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Broadway North Resource Centre provides a short-term residential service for people with mental health problems aged 18-65. The residential service contains a Crisis Unit Annual Service Review Page 2 of 7 that offers a twenty-four hour response to the needs of adults experiencing mental health crisis, and a respite service, which enables admissions to be planned throughout the year. The residential service is located on the first floor of the building (which also houses a day service and various social care teams). Broadway North is located one and half miles from the centre of Walsall, facing the local Arboretum. The building is easily accessible from all areas by car, with local bus services running frequently from Walsall town centre. The reader may wish to contact the service to obtain current up to date information in respect of the services fees. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at the information that we have received, since the last annual service review in July 2008. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service within the requested timescale. The AQAA is a self assessment tool that focuses on how well outcomes are being met for the people who use the service. The AQAA is a legal requirement; it also gives us some numerical information about the service. The previous Annual Service Review. What the service has told us about things that have occurred in the service these are called notifications and are a legal requirement. We did not have access to any completed surveys from the people who use the service or staff members. We contacted the service and spoke to a senior carer who assisted in the clarification of some details and provided information that confirmed items in the AQAA. What has this told us about the service? The service sent us the AQAA within the requested time scale. The document was very informative and detailed all the information we required. The service outlined its commitment to met individuals equality and diversity, which includes staff training to promote continued positive links with all the services available to them. The service states that equality and diversity is intrinsic to individuals well being and complex needs. The service has recently made changes to the way they collate feedback ensuring a more diverse response to the service. We were told that the only barrier to improvement has been the lack of finances for the decor and on going updating and refurbishment to the service. The unit offers specialist care and support within the Walsall area; accommodation is offered on short term and respite stay. Referrals to the unit are made via the specialist teams in the area including: Mental Health Social Workers, Emergency Duty Teams, Home Treatment Team, Independent person wishing to use the service, Community Psychiatric Nurses, A formal referral and risk assessment is required and an integrated care plan is required by the service at the point of referral. The service told us that since the last annual service review, that the average length of stay has reduced from 10-12 days to 9 days, this highlights that the service is meeting Annual Service Review Page 4 of 7 the objectives of short term intervention and individuals recovery enabling them to return home. We were told by the senior carer that following a referral and discussion the person referring has the responsibility for ensuring the person arrives at the service. One of the aims of the service is to empower people and to avoid the dependency culture that can be associated with a hospital admission. Individual action and care plans are based on the individuals expectations. The service promotes independence, self-development and self motivation. It recognises that each person has unique needs. Visits to the service are encouraged and family and friends are able to visit. People using the service have the opportunity to provide meals for their visitors. Having a service that is constantly changing it is important that the service has a robust medication procedure, this is ensured by the manager having a medication policy that staff have to adhere to; procedures must include receipt of medication, signatures, storage, administration and disposal. The completed AQAA told us that a risk assessment would be instrumental for people who are able to self-administer their medication. The completed AQAA told us that the service in the last twelve months had received four complaints. We contacted the service, two of the complaints it appears were from people using the service about a member of the staff team. From information received we are satisfied at this time that the manager is dealing with the situation. There have been no referrals to the safe guarding team or us. We are informed that the service has a robust and effective complaints procedure, which is reviewed and timescales adhered to. Within the last twelve months the service has completed an audit of surveys from people using the service. Accommodation at Broadway North is for ten adults in single rooms. We are told that the service is well maintained with good quality fittings and fixtures. There has been no changes to the service in the last twelve months, this is due to the service waiting for funding to be agreed by Walsall Council. It is hoped that the quote will allow the service to improve the decor and purchase new furniture for the bedrooms. From the information in the completed AQAA and discussions with the senior carer we were told that over 71 of the staff had achieved the National Vocational Qualification (NVQ) levels 2 and 3. The services recruitment and selection policy is robust and well coordinated. No person would be employed without the required checks which would include: Two references, Criminal Record Bureau check, Protection of Vulnerable Adults check, Identification, A probation period and induction. We are told that people using the service are actively encouraged to take part in interviews. From our discussions with the staff member we were told that training was on going for some people and current for others, this was dependant on the dates training was undertaken. The AQAA told us that the service had a good retention of staff with only two people leaving in the previous twelve months. We were told in the completed AQAA that the registered manager has 14 years experience in the caring profession, eight of which have been at the service. Details of her qualifications demonstrate that she has the knowledge to ensure that the service is Annual Service Review Page 5 of 7 effective in its aims and objectives. Audits have been introduced since the last Annual Service Review to ensure the staff have easy access to how the service is operating. The AQAA details told us that the majority of the policies and procedures were up dated during 2009. The service contacted us in respect of an incident that occurred outside the service. The situation was dealt with appropriately by the staff who alerted other professional agencies. We have looked at the information available to us in the comprehensive AQAA and by a discussion with a member of the staff and in our judgement the service continues to provide an excellent service. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 8th July 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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