Inspection on 20/01/06 for Broad Oaks

This inspection was carried out on 20th January 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Broad Oaks 16/11/09

Broad Oaks 12/11/07

Broad Oaks 11/10/06

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Broad Oaks 30 Gaul Road March Cambridgeshire PE15 9RQ Lead Inspector Nicky Hone Unannounced Inspection 20th January 2006 13:45 Broad Oaks DS0000063390.V286628.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 Oaks DS0000063390.V286628.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 Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Broad Oaks Address 30 Gaul Road March Cambridgeshire PE15 9RQ 01345 656022 01345 656934 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) Active Care Partnerships Ltd Mrs Melissa Renee Whymark Care Home 38 Category(ies) of Learning disability (38), Learning disability over registration, with number 65 years of age (15) of places Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th September 2005 Brief Description of the Service: Broad Oaks is a care service for people with learning disabilities. The service consists of four bungalows, two blocks of four flats, and a leisure and education centre. The home has accepted groups of people with a range of needs, and covering a wide age range: two of the bungalows have groups of much older service users, several of whom are over 65 years of age and one bungalow offers a home to young serrvice users who are currently all under 25 years of age. Built around a central courtyard, and backing onto a small estate of new houses in a residential area of March, the bungalows and flats blend in well with neighbouring properties. Each bungalow consists of single bedrooms all with ensuite toilet and washbasin, a kitchen/dining room, lounge, laundry, bathroom, shower room and cloakroom. The flats are in blocks of four, each for two people, with two bedrooms, bathromm, living room and kitchen. An additional building on the site, the leisure and education centre, contains offices and rooms where a range of activities can take place, both during the day, during the evening and at weekends. There is an art room, a sensory room and a large room which houses a piano and an organ. This room can be divided into two. There is also a kitchen, and toilet facilities. Adjacent to a public recreation park, the home is situated about five minutes walk from the centre of the busy market town of March, which offers a range of shops and leisure facilities, and within easy driving distance of Peterborough which has additional leisure facilities such as bowling and ice-skating. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second inspection of Broad Oaks in the 2005/6 inspection year, and was unannounced. There were 34 residents accommodated, although one was in the process of moving out. The inspector spent time talking to service users and staff in one of the bungalows, and in discussion with the manager. A pre-inspection questionnaire and self-assessment were completed by the manager in October 2005, and CSCI questionnaires given to service users: two of these were returned. Following the inspection, questionnaires were sent to relatives/representatives: eleven responses were received, ten of which were very positive. The information from the manager and from the questionnaires has been incorporated into the report and in the summary below. What the service does well: What has improved since the last inspection? It is pleasing to note that all four of the requirements made following the last inspection have been met, and this inspection has only resulted in one requirement. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 6 What they could do better: 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 Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 7 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 Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 8 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): 1, 2 Up to date information is available for new services so that they can make an informed decision about whether they would like to live at the home. Thorough assessments ensure that the home can meet service users’ needs. EVIDENCE: A revised statement of purpose and service user guide, the documents which give service users and their representatives information about the home, had been sent to the inspector and contain all the required information. This had been updated to reflect the home’s recent application to the CSCI to vary the number of service users over 65 years of age who are accommodated. Thorough assessments are carried out by the person’s care manager, and by the home, before a new service user is offered a place. The information is used to determine whether the home, and the place available, will meet the person’s needs. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 9 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): 7, 8 Service users are supported to make decisions about their lives, and are consulted about all aspects of life in their home. EVIDENCE: Service users said they are able to make choices about all aspects of their lives, and they have regular meetings to discuss what goes on in the bungalow. Each person has a detailed care plan which contains information about the support that person wants, and includes details about the way they want to lead their life. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 10 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): 11, 12, 13, 14, 15, 16 A range of opportunities for education, personal development and leisure activities is offered so that on the whole service users are able to lead full and satisfying lives. EVIDENCE: Service users spoken to said they are given a lot of opportunities to go out. They said they are able to go anywhere they want to go, providing there are drivers on duty. On the morning of the inspection three of the six people who live in the bungalow had been shopping, and that evening two people were going to a fortnightly club and the other four had opted to have a take-away meal. Two people have a regular evening out at the pub and two people attend a gym weekly. All six people had decided to use some of their weekly housekeeping budget to have a meal out all together later in the week. One service user who responded to the CSCI questionnaire wrote that suitable activities are not provided, and one person spoken to is having difficulty in finding things to do outside the home which are adequately stimulating. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 11 Service users talked excitedly about the holidays they went on last year, and told the inspector of their plans for this year. Last year, for example, two people chose to go to Florida and four went to Blackpool. This year one service user is hoping to go abroad with his girlfriend, and three people will probably go to Ireland. For one service user this will be the first time he has been on an airplane. Service users attend daytime opportunities in the community, and are also offered a range of activities such as cooking, drama sessions, quizzes and music in the on-site education centre. One person said his off-site activities include swimming, two clubs, and computer work at a local centre. One member of staff from a different bungalow attends a weekly dance class and takes three service users with her, and they all have a really enjoyable time. Staff assist service users, if they need assistance, to maintain contact with their families and friends, who are all invited to special events at the home, such as parties and barbeques. Relationships are encouraged, and support offered where needed, with education available for service users who request it. Staff receive training in how to offer people support with personal relationships. Service users’ rights are respected and their responsibilities recognised: for example, each person has chores to do in the bungalow, in line with his abilities. Service users in the bungalow decide between them what is going to be on the menu each week, and then help with the shopping and the cooking. Staff assist with this to ensure a healthy diet is maintained by each person. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 12 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): 19 Service users’ healthcare needs are met. EVIDENCE: One service user said he had recently changed his doctor because he had been made ill by prescribed medication from his previous doctor: he was satisfied that the home had supported him very well to make the change, and his current doctor is very good. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 13 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): 22, 23 Service users know that their concerns will be listened to, and that staff receive training so that they are protected from abuse. EVIDENCE: Two of the service users spoken to in the bungalow said they would be happy to talk to any of the staff, or the manager, is they had any concerns. Eight of the eleven relatives who returned the questionnaires indicated that they had never had to make a complaint: one person wrote that complaints are dealt with properly. The manager reported that following one more training session to be held in February, all staff would have had training in the protection of vulnerable adults. A recent incident between two residents had been appropriately referred to the POVA team and dealt with, with a very satisfactory result for both people. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 14 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, 27 Generally service users benefit from a comfortable, clean, homely environment which is maintained to a high standard. EVIDENCE: Generally, the standard of decoration in the home is being maintained at a high standard. The manager reported that since the last inspection floor coverings in some areas of the bungalows have been replaced. One service user chose to have wood laminate flooring in her bedroom. The carpets in the bathrooms of two of the bungalows are stained and need to be cleaned or replaced. Staff said that the bath in the bungalow visited is not accessible to all the residents. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 15 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): 33, 35, 36 Service users benefit from an effective staff team which is well trained, supervised and supported. EVIDENCE: Staff in the bungalow visited said they work as a very good team, ably supported by a very efficient team leader who is excellent with paperwork, service users and with the staff. They appreciate being given the responsibility to run the bungalow and do the best job they can. One relative who responded to the CSCI questionnaire wrote “the staff are very open and pleasant”. There was a warm, friendly atmosphere in the bungalow, and service users appeared comfortable with the staff and with chatting to the inspector. Some of the service users praised the staff team: one said “everything’s good here – it’s very sociable”. Staff commented that sometimes staff from this bungalow have to go and help when there are shortages elsewhere, which leaves the bungalow a little short of staff. Tasks such as the cleaning, laundry and cooking still have to be done so there is then less time to spend with the service users. The manager said that agency staff were employed when one service user was not well and needed one-to-one care at all times. The use of agency staff decreased when this person left the home. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 16 All staff spoken to said they have regular one-to-one supervision sessions with the team leader, and they are pleased with the amount of training that they are offered. They recently attended a course on preventing crises which they said was excellent. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 17 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): 39 Service users can be confident that their views are sought and acted on. EVIDENCE: The organisation has developed a questionnaire for service users which will be sent out twice a year. This printed booklet contains words and pictures and is colourful and professionally produced. The organisation intends to produce action plans from the responses received. Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 18 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 3 2 3 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 X 26 X 27 2 28 X 29 X 30 X STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X 3 3 X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 X X X X 3 X X X X Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? No 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 Standard YA24 Regulation 16(2)(c) Requirement Carpets identified as being stained must be cleaned or replaced Timescale for action 30/06/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 Refer to Standard YA27 Good Practice Recommendations The registered person should ensure that baths are accessible to all service users who wish to have a bath Broad Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Oaks DS0000063390.V286628.R01.S.doc Version 5.1 Page 21 - 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. 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