Inspection on 14/03/08 for Broadacres Care Home

This inspection was carried out on 14th March 2008.

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 11/02/09

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 08/07/2008.

CARE HOMES FOR OLDER PEOPLE Broadacres Care Home Naylor Street Parkgate Rotherham South Yorkshire S62 6BP Lead Inspector Sarah Powell Key Unannounced Inspection 14th March 2008 09:30 X10015.doc Version 1.40 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 Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 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 Older People. 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. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadacres Care Home Address Naylor Street Parkgate Rotherham South Yorkshire S62 6BP 01709 526455 01709 719066 broadacres@sshc.co.uk www.fshc.co.uk Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Karen Hambleton Care Home 50 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) Category(ies) of Dementia - over 65 years of age (29), Old age, registration, with number not falling within any other category (21) of places Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24/11/2005 Brief Description of the Service: 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. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 3 star. This means that the people who use this service experience excellent quality outcomes. This was an unannounced visit, which took place on the 14th March 2008 it commenced at 09:30 and finished at 15:00 hours. The visit included talking with people living at the home, a number of relatives, the manager and seven staff. A walk around the building to gain an overview of the facilities and we checked a number of records. Some survey forms were sent to people who live at the home and their relatives. At the time of this visit three were completed and returned to the Commission. The comments received were very positive. The manager completed an annual quality assurance assessment (AQAA) and returned this prior to the visit this focuses on how well outcomes are being met for the people using the service. It also gives us some statistical information about the service. What the service does well: Health care needs are identified and met by suitably qualified staff. A District Nurse said, “we have an excellent working relationship with Broadacres staff, they provide a very high standard of care”. The environment was well maintained and an excellent standard of cleanliness was observed for the people who lived there. One relative told us “The home is always very clean whenever I visit”. The manager also told us the home was to be re-decorated in April and new furniture and carpets were ordered for communal areas and some bedrooms. This will further improve the environment for the people. Good meals were provided giving people a wholesome, balanced diet. Choices were available and one lady said, “The meals are very good here”. Staff training and recruitment was excellent protecting the people who live in the home. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 6 There was a good health and safety policy. We were able to evidence that regular maintenance of equipment was carried out thereby safeguarding the people. Staff interaction with the people was excellent, respect and dignity was maintained. The people we spoke to praised the staff they told us, “staff are lovely, they look after us very well”. What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 2&3 People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People in the home had their needs assessed prior to moving into the home and each was provided with a written contract and statement of terms and conditions to ensure these could be met. EVIDENCE: Suitably qualified staff carried out the pre admission assessments on people who wanted to move into the home. The assessments were very detailed with all peoples needs identified, ensuring that the home could meet their needs before a place was offered to them, Every person in the home had a contract, and terms and conditions issued at the time of moving in. The home does not offer intermediate care so standard 6 does not apply. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Each person in the home had a plan of care with clearly identified needs, these were met, and people were treated with respect. Medication procedures protected people. EVIDENCE: Three people in the home were case tracked; this meant their plans of care were looked at in detail. The plans had identified the needs of the people with good recordings of the measures to take to meet their needs. The plans were regularly reviewed; people and their relatives were involved in this process. This ensured their views were listened to and their needs met. People spoken to were aware of the plans and said “I know about the records and I know I can look at them if I want”. Relatives said, “I am aware of the plans and have been involved in changes and reviews”. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 10 This ensured their relatives’ needs were being met. All health care needs were met and regular input from health care professionals was obtained. Their advice was followed and well documented in the plans ensuring the wellbeing of the people who lived in the home. We spoke to a district nurse who said, “The care provided in this home by the staff is excellent, and the staff will communicate to me if there are any problems and ask for advice, the working partnership is excellent”. People were treated with respect and privacy and dignity upheld. During the visit we observed staff interacting very well with people and their relatives. One relative told us, “The staff are lovely they look after people very well, I am very happy with the care my relative receives”. Medication policies and procedures safeguarded the people. Medication was well documented on receipt, administration and return. All staff who administer medication regularly receive medication training and undergo competency assessments to ensue people are protected. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15. People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People exercised choice and control over their daily lives and activities ensuring their needs were met. EVIDENCE: An activities co-ordinator is employed 20 hours a week, group activities and 1 to 1 sessions were organised depending on the people’s needs and choices. Activities were varied and changed depending on the choices of the people who attended on the day. Activities were taking place on the day of the visit; some people had requested bingo, which people were thoroughly enjoying. It was becoming very competitive with everyone wanting to win a prize. The people spoken to told us they liked the activities, one lady said, “We sit together and have a good laugh”. This helped people to feel positive and enjoy a good state of wellbeing. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 12 The people and their relatives we spoke to all said that contact with family, friends and the local community were encouraged by the staff. All said relatives were always made welcome. A varied, balanced and wholesome diet was provided for the people with good choices available. We observed a meal, which was well presented, there was good communication to the people from staff when it was served, seconds were offered, people were asked if they were finished before plates were taken and a choice of drinks were also offered. This ensured peoples needs and choices were met. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who lived in the home were listed to and protected. EVIDENCE: There was a comprehensive complaints procedure, which was clearly displayed, in the entrance hall. All people we spoke to were aware of the procedure and told us they would either speak directly with the manager or staff. The manager had received two concerns, which had been resolved, good records were kept of outcomes. This showed they had been fully investigated, acted on and taken seriously. All staff had received training in adult protection; all staff we spoke to had a good knowledge of the procedures and what to do should an incident occur. Staff were also aware of the whistle blowing policy, which safeguards people in the home. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. People who use the service experience good outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home was well maintained clean, pleasant and comfortable ensuring people lived in a safe environment. EVIDENCE: The environment was maintained to a good standard. It was homely and well decorated. The standard of cleanliness observed during the visit was excellent. The manager told us that the home is scheduled for redecorated in April 2008. Dining chairs, tables, and armchairs are being replaced. New carpets are being laid in communal areas and many bedrooms. The gardens are being improved with new furniture so the people can enjoy them this summer. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 15 The staff were changing the corridor decoration and pictures on the upstairs unit, they had decided to have themed corridors following training in dementia care. This is beneficial to people who suffer with dementia helping to meet their needs. New bedroom furniture had been purchased for every bedroom, which had improved the environment for the people in their bedrooms. A relative told us, “The home is always very clean”. During the visit it was identified that two bedrooms numbers 36 and 37 and one bathroom opposite these rooms had no supply of hot water. Following discussion with the maintenance person it was ascertained that he had already identified this problem and had contacted the engineers and it was to be rectified. The problem had only occurred since the new heating system had been installed. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staff were appropriately trained, the recruitment procedures were robust ensuring people were in safe hands at all times, had their needs met and were protected. EVIDENCE: There was a good staff structure and staff supported each other to meet the needs of the people. There was always a unit manager or senior on each unit, that was in charge of the shift. The care staff numbers were determined by the number and needs of the people on each unit and appropriate levels were maintained on the day we visited ensuring peoples needs were met. A high percentage of care staff hade achieved NVQ level 2 and others were registered on the course. All staff we spoke to were very enthusiastic about attending courses to improve the care given and meet peoples needs. All mandatory training was up to date and there was clear evidence that this was maintained and refresher courses completed within timescales to ensure staff were appropriately trained to meet people’s needs. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 17 A thorough recruitment procedure was in place, four staff files were seen on the day of the visit and contained all the required information. Protecting people who lived there. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 18 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38. People who use the service experience excellent outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Management and administration safeguards people, good health and safety policies and procedures were in place ensuring the safety of people in the home. EVIDENCE: The manager was qualified and experienced to run the home. She had achieved the registered managers award and continually kept herself updated to ensure the homes stated purpose, aims and objectives were met. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 19 A relative told us, “The manager is brilliant she is approachable and takes on board you views. Listens to any concerns you may raise and resolves the issues. The staff all work well together and the people are well looked after”. Staff told us, “The management are very good they lead by example, which ensures we look after the residents in our care to the very highest standards”. One member of staff also said, “We get 100 support and supervision in everything we do ensuring it is done properly”. Quality monitoring was carried out; the manager did regular audits and had regularly sent quality-monitoring questionnaires to people in the home and their relatives. This ensured the home was run in the best interests of the people who lived there. The home managed some people’s finances and personal money and we checked some records. These were well recorded and all receipts were kept, ensuring peoples financial interests were safeguarded. The home had a comprehensive health and safety policy. We were able to evidence that regular maintenance of equipment and systems was carried out. Risk assessments were carried out on all safe-working practices, regular audits were carried out on the building and all accidents were properly recorded and reported ensuring people in the home were safeguarded. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 4 8 4 9 3 10 4 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 4 29 4 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 4 X 4 X 3 X X 4 Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 21 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. Standard Regulation Requirement Timescale for action 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 OP38 Good Practice Recommendations The problems with the heating should be followed up and resolved. Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Broadacres Care Home DS0000003073.V360897.R01.S.doc Version 5.2 Page 23 - 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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