Inspection on 24/11/05 for Broadacres Care Home

This inspection was carried out on 24th November 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 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 Unannounced Inspection 24th November 2005 09:45 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.V255803.R01.S.doc Version 5.0 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.V255803.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Broadacres Care Home Address Naylor Street Parkgate Rotherham South Yorkshire S62 6BP 01709 526455 01709 719066 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) Four Seasons Health Care (England) Limited (wholly owned subsidiary of Four Seasons Health Care Ltd) Karen Hambleton Care Home 50 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.V255803.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The carpets in the corridors require replacing these should be replaced by 30.04.04. The paintwork in the corridors including all the woodwork and lower walls require re-painting this should be completed by 30.04.04. 16th June 2005 Date of last inspection Brief Description of the Service: Broadacres is a purpose built care home providing personal care with 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 Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the homes second inspection in the year 2005/2006 and took place over one day the inspection commenced at 09.45 and finished at 14.20. The previous requirements were looked at with the Manager. 14 Service users 5 visitors, 6 staff. A partial tour of the building took place, observing staff and practices including activities and meals. The Manager was taking some service users on a trip to Meadowhall so was only able to stay for the first half hour of the inspection, the senior carer in charge answered any further questions during the inspection. What the service does 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. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 6 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.V255803.R01.S.doc Version 5.0 Page 7 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 the following standard(s): 2 Each service user has a contract. EVIDENCE: The new contracts have been given to all service users signed and placed in their individual files contracts and terms and conditions have been seen by the inspector and contain all the required information to safeguard the service users. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 9 The home protects service users with the medication policies and procedures. EVIDENCE: The home has appropriate medication policies and procedures including selfmedicating, home remedies and controlled drugs. Records of all medicines received, administered and disposed of were looked at these were recorded correctly. All staff that administers medication have received accredited medication training to safeguard service users. Controlled drugs are stored correctly however it is recommended that the oramorph is treated as a controlled drug, although it is not over the strength required to be a controlled drug, record in the controlled drug book and keep only the minimum amount required to protect the service user and staff. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 14 Service users exercise choice and control over their lives. EVIDENCE: Service users spoken to by the inspector all confirmed that they are given choices on all aspects of the care they receive in the home to meet their needs. Service users praised the staff they said “they treat us very well”, “they respect our privacy and allow us choice”, “I am able to do as I choose at the time I want even if it is a different time to everyone else”. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 16 Complaints are acted upon and taken seriously. EVIDENCE: The home has a clear and accessible complaints procedure with clear timescales and information on who to contact with names addresses and contact telephone numbers in order that service users are able to raise complaints and concerns. Service users spoken to told the inspector that if they had a concern or complaint they would take it to the staff and it was usually dealt with promptly and resolved without taking it any further. The home has recently had two complaints that were dealt with by the manager, a full and thorough investigation was carried out and findings reported in writing to CSCI. These complaints have now been resolved. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 11 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 the following standard(s): 19 The environment is well maintained. EVIDENCE: The home is well decorated and maintained to a high standard providing a pleasant environment for all service users. Relatives spoken to say, “the home is always well presented and clean”, “my grandmothers room is always clean and well furnished”. At the time of the inspection the decorators were in the home decorating the entrance and corridors. The corridor carpets have been replaced throughout the home, as this had been a condition of the registration. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 12 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 & 30. Recruitment procedures protect service users and staff are appropriately trained. EVIDENCE: A number of staff personal files were looked at these were very good well organised for easy reference and contained all the required information including POVA and CRB checks to safeguard service users. Staff training records were seen these were up to date and training is continuously ingoing to ensure staff are up to date and competent to do there jobs and meet service users needs. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 13 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35, 36 38. The home is run for Service users, financial interests are safeguarded and health and safety is maintained. EVIDENCE: The company has recently created new posts for Nursing Directors to improve the quality of homes. Broadacres has recently had the full inspection carried out by one of the new Directors the report format was seen it is very thorough and covers all areas of care, staffing and environment. The home has effective quality assurance and quality monitoring systems in place. There are regular service user meetings to ensure the views of service users are sought in decision making and any changes in the home in order that service users needs are met. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 14 Service users spoken to all said there were residents meeting they could attend if they wished they also said that they would speak to the manager if they had any problems as she was always approachable. Service users money was not looked at in detail as the Administrator who deals with this was also going on the outing to Meadowhall with the service users. The inspector was told the procedure was the same as they had seen on previous inspections; the systems seen previously safeguarded service users money and were very good. This standard will be looked at in detail at the next inspection. Supervision is carried out at least six times a year but is not always documented this needs to be rectified. Records of supervision seen were very good covering all aspects of individual’s roles and responsibilities in order to ensure service users needs are understood and met. The home has a comprehensive health and safety policy. The Inspector was able to evidence that regular maintenance of equipment and systems takes place in the home. Risk assessment are carried out on all safe working practices these were seen by the inspector and were found to be in very good order and thorough. Regular audits are carried out on the building including health and safety to safeguard service users. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X 3 X X X X HEALTH AND PERSONAL CARE Standard No Score 7 X 8 X 9 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 X 3 X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X X 2 X 3 Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 16 Are there any outstanding requirements from the last inspection? Yes 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 OP36 Regulation 18 Requirement Ensure staff supervision is carried out every two months for all staff. (Old timescale 1/9/05) Timescale for action 01/01/06 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 OP9 Good Practice Recommendations Record the oramorph as a controlled drug. Broadacres Care Home DS0000003073.V255803.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Doncaster Area Office 1st Floor, Barclay Court Heavens Walk Doncaster Carr Doncaster 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 Care Home DS0000003073.V255803.R01.S.doc Version 5.0 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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