Inspection on 11/02/09 for Broadacres Care Home

This inspection was carried out on 11th February 2009.

CSCI found this care home to be providing an Excellent service.

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.

Other inspections for this house

Broadacres Care Home 14/03/08

Broadacres Care Home 24/11/05

Broadacres Care Home 16/06/05

Broadacres Care Home 07/12/04

Broadacres Care Home 14/07/04

Broadacres Care Home 27/10/03

Similar services:

Snydale Care Home

Abbey The

Larchfield Manor

Hawkhills

Beeches The - North Yorkshire County Council

The Grove Waltham

Carentan House

Ravensworth Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 19/06/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Broadacres Care Home Naylor Street Parkgate Rotherham South Yorkshire S62 6BP     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Ivan Barker     Date: 1 1 0 2 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Broadacres Care Home Naylor Street Parkgate Rotherham South Yorkshire S62 6BP 01709526455 01709719066 broadacres@sshc.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Name of registered manager (if applicable) Karen Hambleton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category Additional conditions: Date of last inspection Brief description of the care home Broadacres is a purpose built care home providing personal care with accommodation for fifty people over the age of 65. Downstairs is a 21-bedded unit for personal care and upstairs is a 29-bedded unit for the care of people with dementia, this unit is accessed by stairs and a lift. The home has gardens and a large care park. The home is situated in Parkgate, Rotherham close to local shops and public transport. The fees were from £329 - £400 at the time of the visit for further clarification you should contact the home. Care Homes for Older People Page 4 of 27 0 0 Over 65 29 21 care home 50 Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: We have reviewed our practice when making requirements, to improve national consistency. Some requirements from previous inspection report may have been deleted or carried forward into this report and recommendations - but only when it is considered that people are not being put at significant risk of harm. In future, if a requirement is repeated, it is likely that enforcement action will be taken. Only a limited number of the National Minimum Standards were examined at this inspection (with emphasis on the key standards), and the previous requirements. The persons present at the inspection were: Karen Hambleton manager and Michelle Mitchell senior carer. Care Homes for Older People Page 6 of 27 Within this site visit, which occurred just over a 5 hour period, we toured the building, case tracked 3 people (case tracked means looking at the care and service provided to specific people living at the home; checking records relating to their health and welfare, care plans and other records; by talking to the specific people; viewing their personal accommodation as well as communal living areas). Spoke with other people, relatives and also 3 staff and examined assessments, care plans, risk assessments, menus, complaints files, staff files and quality monitoring documents. The history of the service was examined prior to the site visit. This included the AQAA (Annual Quality Assurance Assessment) a self assessment document, telephone contacts, letters and notifications. People who use the service will be referred to within this report as people. The last inspection of the service was undertaken on the 14th of March 2008. What the care home does well: What has improved since the last inspection? Care Homes for Older People Page 8 of 27 The service has maintained its compliance to the National Minimum Standards. The managers have continued to identify areas which require attention within their monitoring systems and have acted upon these. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 6) Health and personal care (standards 7 - 11) Daily life and social activities (standards 12 - 15) Complaints and protection (standards 16 - 18) Environment (standards 19 - 26) Staffing (standards 27 - 30) Management and administration (standards 31 - 38) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Peoples needs were known to service before admission. The two assessments ensured that the service had sufficient information to assess if the service was able to meet the persons needs. Evidence: On examination of the care management assessments within 3 care plans, it was established that all 3 care plans containing the assessments. The manager identified that there was a good working relationship with social services and many of the assessments were now e-mailed to the service. The manager had undertaken extensive assessments of each person prior to their admission. These assessments fully detailed the persons needs. The manager identified that the service was now using the new Care and Health Assessment Profile (CHAP) which was very comprehensive. Care Homes for Older People Page 11 of 27 Evidence: The manager advised that intermediate care was not provided within the service. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Accurate care plans will contribute to the delivery of care. People were satisfied with the care they received. Evidence: On examination of the care plans from 3 people, it was established that the documentation was comprehensive and all three care plans were up-to-date and had been evaluated on a monthly basis. There were daily entries within the care plans. These entries recorded the care delivered on a daily basis. Comprehensive risk assessments were included within documentation and included moving and handling, nutrition, skin integrity and other risk factors. The manager advised that she undertook body mapping twice a week, on all the people at risk. This was evidenced by the examination of the documentation within the care plans. Care Homes for Older People Page 13 of 27 Evidence: People and relatives express their views, and during the inspection. Their opinions were; The care is excellent. I am happy here. I am very satisfied with the standard of care provided and would not hesitate to recommend it to others. The storage, ordering, administration and disposal of medication procedures were discussed with the manager. The procedures explained by the manager were satisfactory. On examination of the medication administration records it was found that there were no omissions of signatures. All medication records had been signed when they were being checked in from the pharmacy. There was a signature checking document, which contained the initials as written on the medication administration record and the members of staff signature. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Activities were organised and people were able to exercise the right of choice within the service, therefore this provided stimulation and enhanced the quality of life. Evidence: The manager advised that 2 activity co-ordinators were employed. The 2 members of staff worked 2 days providing activities and 2 days providing care. When clarification was sought regarding the provision of activities, outings and care provision, the manager identified that the staff did manage to cover 5 days with outings and activities. The manager showed us copies of the staff rotas to evidence this. The manager advised that the people went out to cafes, public houses, restaurants, and the local Playhouse Theatre. A barge trip had also been organised. Within the service there was a programme of activities which included movement and exercise and craft work. We were shown evidence of the handpainted mugs which people had made. People and relative express their views, during the inspection. Care Homes for Older People Page 15 of 27 Evidence: Their opinions were; We enjoyed the barge trip. We enjoy all sorts of things. The exercises are very good for me. Regarding the meals the manager advised that the cook obtained the likes and dislikes from the people on admission. Also surveys were sent out to the people and families on a 12 weekly basis. Evidence of the surveys were seen. The manager advised that should there be any comments within the surveys, these were acted upon. When asked about offering a choice of meal, the manager advised that a choice was available and that the choice was offered at mealtimes rather than by pre-booking. We observed meals being served and people were offered a choice from the trolley. We received positive comments regarding the meals. There was a people and family committee which met four times a year and minutes of the meetings were displayed on the notice board and within the bedrooms. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service has a complaints procedure and it was operating according to the company policy, this should provide confidence that complaints were taken seriously and acted upon. Safeguarding adult training made staff aware of their responsibility regarding the protection of vulnerable adults. Evidence: A copy of the complaints procedure was displayed at the entrance. A copy was also available within the Service User Guide. On discussing complaints with the manager, she produced a complaints file. Within the complaints file it detailed the complaints and the action which had been taken. All complaints had been acted upon and resolved within a 28 day period. Regarding Safeguarding Adults, the service had policies and procedures which were available to staff. Staff had undertaken safeguarding adult training and the manager was able to evidence this by showing training records and certificates. The manager advised that she was a representative on the Adult Protection Safeguarding Group within Social Services, and she had 2 safeguarding officers within Care Homes for Older People Page 17 of 27 Evidence: the service. Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People lived in environment that needs to be maintained to a good standard to provide a safe and homely environment. Areas of the home were not accessible at all times to allow people to benefit from the full facilities. Evidence: On touring the building, the home was found to have a reasonable decor in some areas, however other areas of the service looked tired and will require redecoration in the near future. The smoking room carpet was showing signs of wear and was considerably stained. The manager advised that this service was the next one for refurbishment by the company. On discussing the service with the inspector who undertook the previous inspection, it has been established that the service was to have received attention last year. Therefore it was agreed with the manager that a programme of redecoration and refurbishment including timescales, would be submitted to us. Two of the bathrooms had become storage areas. One of the bathrooms contained 10 wheelchairs. Behind the wheelchairs and inaccessible was a hoist. Within another Care Homes for Older People Page 19 of 27 Evidence: bathroom they were mattresses, boxes and tables. Since the inspection the manager has contacted us and advised us that the mattresses, boxes and tables have been removed and the wheelchairs and hoist have been relocated. A staff room / training room had been created at the base of one of the stairwells. It was discussed that the upper floor had two other stairwells at each end of the building, therefore the middle stairwell may not need to be a means of escape. It was agreed that the manager should contact the Fire Authority and seek their advice. The sign outside of the service detailed that the service provided nursing. This is incorrect as the service is not registered to provide nursing care. The manager agreed to discuss this with the regional manager and to obtain permission to amend the sign. People and relative views were obtained during the inspection. Their general comments were; Yes, we dont mind waiting for a bathroom. Its nice and clean here. The peoples rooms had been personalised and many contained photographs, personal belongings and items of furniture, which the individual or family had provided. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The manager was able to provide evidence that staff had received all the necessary training which reflected on the quality of care being delivered to the people. The staff recruitment process provided protection for the people. Evidence: On examination of the staff rotas and examination of the staff on duty, the following was established: A.M. 2 senior carers and 6 carers. P.M. 2 senior carers and 5 carers. N. 2 senior carers and 3 carers. Plus a manager, a receptionist, anciliary staff and activity coordinators. Caring for a present occupancy of 47 people. A full assessment of the dependency levels of the people was not undertaken and Care Homes for Older People Page 21 of 27 Evidence: compared with the indicated staffing levels. On examination of the 3 staff files, all contained the required documentation, including the Criminal Records Bureau and POVA (Protection of Vulnerable Adults) checks. On examination of the staff training records, it was established that all staff had undertaken moving and handling, fire and other necessary training. The comments from people and relatives were: The staff are very good. They look after my mother very well. The staff are very helpful. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. An experienced manager was in post. This contributed to the effective organisation and operation of the service. Evidence: There was a registered manager in post. The manager advised that she had 8 years experience in a management and a 17 years experience in the provision of care. She also advised that she had obtained the NVQ level 3 and 4. Regarding Quality Assurance, the manager undertook comprehensive auditing of the care and service provision. The regional manager monitored these audits and undertook further monitoring during her visits. The necessary action identified within these audits was then planned. The service had a credit and debit system regarding persons moneys, which were held for safekeeping. Care Homes for Older People Page 23 of 27 Evidence: Regulation 26 documentations, which are records of the registered persons monthly visits, were up to date. Regulation 37 notices, which are documents that are sent to the Commission regarding untoward occurrences, including falls, accidents etc; have been received by CSCI (Commission for Social Care Inspection). The information showed that appropriate action had been taken. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action 1 19 23 The premises should be in a good repair and reasonable decoration. People should live in a service which is maintained to a good standard. 03/06/2009 Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations Care Homes for Older People Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: or Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!