Inspection on 27/02/06 for Broad Lane

This inspection was carried out on 27th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Broad Lane 22/12/08

Broad Lane 21/11/06

Broad Lane 06/10/05

Broad Lane 19/10/04

Broad Lane 15/04/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Whitwood House

Whitwood Hall

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 Broad Lane 199 Broad Lane Bramley Leeds West Yorkshire LS13 2NJ Lead Inspector Linda Trenouth Unannounced Inspection 27 February 2006 10:10 Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Broad Lane Address 199 Broad Lane Bramley Leeds West Yorkshire LS13 2NJ 0113 255 8659 0113 2558659 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) www.c-i-c.co.uk. Community Integrated Care Care Home 5 Category(ies) of Learning disability (2), Learning disability over registration, with number 65 years of age (3) of places Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th October 2005 Brief Description of the Service: Community Integrated Care, a registered charity, provides the care and services at the home whilst South Yorkshire Housing Association owns the property. The care home provides personal care and support to five ladies with learning disabilities. The manager has recently left and the deputy manager is acting up in the interim. Interviews for the new manager have taken place. The home is a single storey building; bedrooms are single occupancy, with shared facilities in the lounge and dining room. The house is surrounded by gardens, and is situated in Bramley, a suburb of Leeds. Nearby is a large shopping and leisure complex with a wide range of amenities regularly used by the ladies. The home has its own mini bus that enables the ladies to participate fully in community life. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on the 6th October 2005 and there have been no additional visits made to the home. This was an unannounced inspection carried out by one inspector who was at the home from 10.10 until 14.00. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records; observing working practices, reviewing the environment and talking to the staff and residents. Comment cards were sent to the home to provide residents and visitors with the opportunity to comment on the service. Feedbacks from comment cards are included in this report. Feedback of the requirements and recommendations were given to the staff at the end of the inspection. The acting manager was later contacted by telephone. Requirements and recommendations made from this visit can be found at the end of the report. What the service does well: The acting manager and staff team are to be commended in maintaining the housemates at the centre of all decision relating in the running of the home. The person centred approach reaches all aspects of care at the home. The range of experiences and opportunities for individuals are innovative and encourage residents to reach their individual potential. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 6 A motivated and competent staff team supports the choices that residents make in their lives. All new staff at the home complete the induction and mandatory training. The possibility for further development training is encouraged and the home meets the 60 care staff trained to NVQ level 2, which is commendable. What has improved since the last inspection? What they could do better: The organisation has always had a robust recruitment and selection procedure. But unfortunately the procedure was not followed in a recent recruitment to the home. The maintenance of the building was generally good but the noise form the tumble dryer was excessive and as the laundry is sited next to the lounge and a residents bedroom which greatly effected the ongoing comfort of the ladies in the home. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 7 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not reviewed. EVIDENCE: Not reviewed. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not reviewed. EVIDENCE: Not reviewed. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 17. Staff support residents to become part of, and participate in, the local community, in accordance with their wishes. EVIDENCE: Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 12 Many of the housemates attend day centres and also choose from integrated activities at the local colleges. Housemates talked about day centre that they had attended that morning and that they had enjoyed the activities there. The staff help housemates choose from a mixed and interesting programme both within the home and wider community. All individuals choose where they want to go. Many interesting trips had been organised in the last few months to places such as Millstones, York Races, Abbey House, and Day trips. Individuals had also enjoyed going to see Alice in Wonderland and Disney on Ice. Shopping trips had also been arranged to the Meadow Hall, White Rose centre and Leeds. The housemates and staff were preparing for a holiday to Blackpool and two individuals had a holiday to London in October and went to see the musical Mama Mia. Some housemates also attended leisure clubs at PHAB and Gateway. The housemates regularly meet with their key worker to update their life plan and decide what needs changing or picking up. A part of the plan is the my dreams which moves beyond the day to day care plan and brings a focus of ideas into individuals lives, that they may not have had the opportunity to try before. A computer has been introduced into the dining room where the ladies can access the Internet. The staff help them choose holidays and book for shows or special events on line. The manager and staff continue to help and support housemates to see family and friends and maintain relationships. The housemates are involved with the domestic routines within the home such as the laundry and mealtimes. They decide what food is to be prepared and regularly help with the shopping. The menus are varied and nutritious and meet with the individuals personal choices. Individual bedrooms were decorated and furnished to Individuals wants and tastes, key workers spent a lot of time helping housemates get their bedrooms just how they wanted them. The residents bedrooms were seen and all were comfortable and relaxing. Each room clearly reflected the personality of the individual and were unique. From the bedrooms seen it was clear that residents are encouraged to buy furniture and items to individualise their rooms. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 13 The bedrooms and home are spacious and there is provision for specialistdisabled facilities throughout the home for the safety and comfort of the residents. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 and 21. The housemates lead fulfilling lives and are central to the decision-making processes within the home. EVIDENCE: The manager and staff team are to be commended in keeping the housemates at the centre of decisions relating to the running of the home. Staff and housemates continue to have joint house meetings. No decisions relating to plans of care and support are completed without input by the individual housemates and if necessary their family or advocate. The care planning system used at the home make sure that central to all decision making is the individual. The key worker supports this decision making both verbally and with pictorial images. The life books contain an overview of how the individual sees their day and what their favourite things to do are. A creative plan is drawn which allows a brainstorming approach where imaginative and different ideas can be put forward. As well as essential needs been identified in the care plan, the inspirational, my dreams, also forms part of the planning for the individual. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 15 The health plan is well managed and run. The health assessments are clear and the health action log supports the individual making sure that no health needs are overlooked. The health plan covers manual handling, nutrition, chiropody, GP, Optician, Dental and other specialist health needs. The changing health needs of one housemate were recorded. There was written evidence that a range of external health professionals had been consulted. The district nurse is visiting the home regularly to support the resident. The ladies were in the home during the inspection and were sensitively supported by the staff. The atmosphere was relaxed and friendly, with clearly an excellent rapport between the staff and the residents in the home. Medication was reviewed the home uses a monitored dosage system and manages the system safely. The records were satisfactory and evidence of stock control and drugs returned to the chemist was available. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The home has robust procedures for the management of residents personal money to ensure that the residents are protected from financial abuse. The home has complaints and adult protection procedures in place, which protect the residents. EVIDENCE: No complaints had been received since the last inspection. The complaints procedure is available to all housemates and their relatives The organisation is undertaking POVA first checks on all new staff and full CRB checks are also completed. Staff confirmed that they had attended training relating to adult abuse. All personal allowances are recorded and any purchases made on behalf of residents are recorded in the financial documents. Residents have access to their personal money at all times. The financial accounts are checked daily by staff and audited by the acting manager. The residents are encouraged to save for expensive items and holidays and have savings accounts for this purpose. The complaints procedure is clear and easy for residents and relatives to follow. A copy is included in the Service User Guide. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 17 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. Broad Lane provides a good homely environment. The bedrooms are appropriate to the needs of the individuals and reflect their individuality. The home generally was well maintained but a noisy tumble dryer undermined the comfort for the housemates. EVIDENCE: Residents bedrooms that were seen were comfortable and decorated individually reflecting different their tastes and personalities. The heating and lighting levels in all areas was found to be good. The communal areas of the home were in good order and well maintained but the noise from the tumble dryer was excessive and concerns were raised. The home is a bungalow with the laundry sited between the lounge and a residents bedroom. The staff stated that attempts had been made to quieten this machine, but with no success. If the machine cannot be repaired then a new machine must be provided for the comfort of the ladies in the home. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 18 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 34 and 35. Staff recruitment procedures must be followed to ensure the safe recruitment of staff and protection of the housemates. Competent and well-trained staff support the residents. EVIDENCE: The home is owned by CIC a national organisation. All staff receive job descriptions as part of the recruitment process. The home’s staff undertake an induction programme where their roles and responsibilities are discussed. In house training by the manager and deputy provide staff with appropriate skills and knowledge to ensure an effective staff team. One new member of staff was able to explain their induction training with further training in manual handling, first aid, medication, health and safety. They also confirmed that they had regular review and support of their work with a probationary six weeks supervision session. Recruitment and training files of two newly recruit staff were reviewed. There was written evidence of application forms, POVA first checks and C.R.B. (Criminal Record Bureau) checks being undertaken. Unfortunately one recruitment file only had one reference available. The organisation has always Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 19 had a robust recruitment and selection procedure. This seems to have been an oversight during the change of manager at the home. Staff also have completed training in areas such as communication, assertiveness, diversity and stress management. Commitment to the NVQ award continues with 60 care staff trained to NVQ level 2 or above which is commendable. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 20 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 38 and 43. In the absence of a manager the home is being well managed by the deputy and staff with further support from the service manger for CIC. EVIDENCE: The manager has recently left the home for promotion to another post within the organisation. The deputy manager Doreen Holmes is undertaking the role until the appointment of a new manager. During this period the service manager has been supporting the home. The service manager visits the home on a monthly basis to conduct a management audit and supervision with the homes manager. The CSCI has received the regulation 26 visit report regularly throughout the inspection year. The interviews for a new manager have been taking place and it is hoped a new manager will be appointed soon. The new manager must be registered with the CSCI as soon as is practically possible. Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 4 26 3 27 3 28 3 29 4 30 3 STAFFING Standard No Score 31 3 32 x 33 4 34 2 35 3 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 4 13 4 14 4 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 4 4 3 3 2 3 x x x x 3 Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 22 no Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 2. 3 Standard YA24 YA34 YA37 Regulation 16 18 8 Requirement The tumble dryer must be replaced or made substantially quieter. To ensure safe recruitment of staff two references must be undertaken. A manager must be appointed and registered with the CSCI. Timescale for action 30/04/06 30/04/06 30/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Broad Lane DS0000001428.V283466.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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