Inspection on 16/06/05 for Broadacres Care Home

This inspection was carried out on 16th June 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Broadacres Care Home 11/02/09

Broadacres Care Home 14/03/08

Broadacres Care Home 24/11/05

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 Naylor Street Parkgate Rotherham S62 6BP Lead Inspector Sarah Powell Unannounced 16 June 2005 09.40 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 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 J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Broadacres Address Naylor Street Parkgate Rotherham South Yorkshire S62 6BP 01709 526455 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Four Seasons Care (England) Limited Ms Karen Hambleton PC Care Home only 50 Category(ies) of DE(E) Dementia - over 65: 29 registration, with number OP Old Age: 21 of places BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The carpets in the corridors require replacing, these should be replaced by 30.04.04 2. The paintwork in the corridors including all the woodwork and lower walls require re-painting, this should be completed by 30.4.04. Date of last inspection 07 December 2004 Brief Description of the Service: Broadacres is a purpose built care home providing personal care and accommodation for fifty service users 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 service users 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. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes first inspection in the year 2005/2006 and took place over one day the inspection commenced at 09.40 and finished at 16.20. The previous requirements were looked at with the Deputy Manager. 18 Service users 9 visitors, 8 staff and 2 visiting professionals were spoken to. A tour of the building took place, observing staff and practices including activities and meals. What the service does well: What has improved since the last inspection? The home has continually improved over the last year with the new team in post. Many bedrooms, bathrooms and toilets have been decorated and improved. The service users and visitors spoken to all said the home had improved and was still getting better. The standard of cleanliness was good and there was a pleasant homely atmosphere. Staff interacted well with service users and treated them with respect. Service users said, “Staff are very good and look after us very well”. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 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. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 & 4 The service users did not have a contract. All service users had their needs assessed and met. EVIDENCE: Four Seasons have still to issue the contracts to all service users following consultation with The Office of Fair Trading, this needs to be carried out in order that service users now what is included in the cost of their care. All service users have their needs assessed prior to moving into the home these assessments were seen by the inspector they were comprehensive and cover all aspects required by the standards to determine if the perspective service users needs could be met by the home. Service users needs are met by the home this was evident in the plans of care and service users told the inspector that they were well looked after and had all their needs met. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 10 Each service user had a plan of care and their needs were fully met. EVIDENCE: The plans of care were very good they detailed the needs of each service user enabling staff to care for the service users appropriately ensuring their needs are met. Service users and visitors told the inspector that the staff looked after them or their relatives very well understood their needs, which were always fully met. The inspector was also told the staff respect the service users and maintain their privacy and uphold their dignity. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 10 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 13 & 15 Service users have opportunity to exercise their choice in relation to leisure and social activities, maintain contact with family and friends and receive a balanced diet. EVIDENCE: The activities Co-ordinator was working on the day of the inspection the activities were varied, included all service users who wanted to be included and the service users were able to choose the activities. Activities were carried out in various small groups and adapted to meet the needs of each individual. There was also a sing a long, which was well enjoyed. The activities coordinator understood the needs of the service users and provided appropriate social activities. Outings were also arranged including visiting the local pub, café or a mini bus is sometimes hired. Evening activities are also arranged and once a month a party is organised which is well liked, relatives and friends can also attend. The service users said “the activities lady is lovely”. The home is currently eight hours short on activities as one lady has left this is currently being advertised in order to meet the needs of the service users. The lunchtime meal was observed by the inspector food was presented in a manner that was attractive and appealing. The home offers three full meals each day the menu was varied and wholesome and suited to the service users requirements and choices. Service users said, “The food is lovely”. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 11 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 inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18 Service users are protected from abuse. EVIDENCE: The home has a good adult protection policy and procedure and also had a copy of Rotherham Councils policy, staff have all received training on adult protection and are aware of abuse and the different types and the importance of notification if an incident is seen, in order to safeguard the service users. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 & 26 The environment is mostly well maintained, clean and safe. EVIDENCE: The home is accessible, safe and well maintained. There is a programme of routine maintenance and decoration with a rolling programme ongoing with the bathrooms, toilets and bedrooms, these were being decorated on the day of the inspection by the maintenance officers employed by the home. The grounds were safe and attractive although garden furniture was poor and the home would benefit from some new furniture so service users can sit out side in comfort. The corridor carpets were one area that let the home down as they were stained and engrained in food debris, the cleaners cleaned these most days but the stains are unable to be removed. One of the conditions on the registration is the carpets must be replaced this condition needs to be met. Many relatives and visitors commented on the state of the corridor carpet and said “I can’t believe they have not been replaced it is the first thing you notice as you walk in” BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27 & 30 The staff numbers and skill mix meet service users needs and staff are competent to do their jobs. EVIDENCE: The staffing numbers at the time of the inspection meet the needs of the service users, however the home was not full as the numbers increase the staffing numbers will need to be increased to continue to meet the needs of the service users. Staff training is very good however some training needs to be updated for some staff including health and safety and infection control in order that staff are competent to do their jobs. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32 & 36 The home is well managed, however supervision records are not up to date. EVIDENCE: The management approach to the home is open, positive and inclusive this was confirmed by staff, service users and all visitors. Supervision records were looked at these were not all up to date with many stopping in November 04, supervision needs to be carried out for all staff to ensure staff are competent to do their jobs. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 15 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 1 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x 3 STAFFING Standard No Score 27 3 28 x 29 x 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score x x 3 x 3 x x x 2 x x BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 16 yes 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. Standard OP2 OP19 Regulation 5 23 Requirement The new contracts must be issued to all service users The corridoor carpets must be replaced to meet the conditions of registration. (old timescale 30.4.04) Ensure all staff training is up to date. Ensure staff supervision is carried out every two months for all staff. Timescale for action 1.8.05 1.8.05 3. 4. OP30 OP36 18 18 1.9.05 1.9.05 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 OP19 Good Practice Recommendations The home would benifit from some new garden furniture. BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster South Yorkshire DN4 5HZ 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 BROADACRES J55-J07 S3073 Broadacres V206493 160605 Stage 4.doc Version 1.30 Page 18 - 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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