Inspection on 06/06/06 for Broadfield House

This inspection was carried out on 6th June 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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

Broadfield House 28/03/06

Broadfield House 29/11/05

Broadfield House 02/03/05

Broadfield House 26/07/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Broadfield House Broadfield Drive Leyland Preston Lancashire PR25 1NB Lead Inspector Mr Patrick Rooney Unannounced Inspection 10:00 6th & 13 June 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 Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for 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. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Broadfield House Address Broadfield Drive Leyland Preston Lancashire PR25 1NB 01772 457672 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) Lancashire County Care Services Mrs Wendy Cooper Care Home 45 Category(ies) of Dementia (31), Old age, not falling within any registration, with number other category (14) of places Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 45 service users to include: Up to 14 service users in the category of OP (Old age, not falling within any other category). Up to 31 service users in the category of DE (Dementia). The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. Staffing must be provided to meet the dependency needs of the service users at all times and will comply with any guidelines that may be issued Through the Commission for Social Care Inspection regarding staffing levels in care homes. 28th March 2006 2. 3. Date of last inspection Brief Description of the Service: Broadfield is a well-established care home located in Leyland, which is operated by Lancashire County Care Services. There are shops and many other local facilities available nearby. The home has gone through an extensive refurbishment and building work and provides accommodation in four separate units within the home. The standard of the furnishings and fittings provided are of a high standard. The home is registered to accommodate 14 older people and 31 people who have care needs associated with a diagnosis of Dementia. One of the units in the home is designated to provide short-term rehabilitation services for people with dementia care needs. It is anticipated that the length of stay for people admitted to this unit will be for a period of up to twelve weeks. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced visit and took place over the period of a full day on 6th June 2006 and a part day on 13th June 2006. The inspector spoke to resident, staff and management. Records were examined and there was a full tour of the home. Questionnaires were given to residents and visitors. Doctors and social workers with residents in the home were also consulted. What the service does well: What has improved since the last inspection? The home continues to provide good training for staff and a training matrix plus staff appraisals ensure that training needs are identified. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 6 There has been improvement in care planning for those residents in the rehabilitation unit. Outcomes and goals are now recorded and weekly meetings held to monitor this. The risk assessment process has been improved and there is always staff on duty, who have training in risk assessment. 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. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 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 Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 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 the following standard(s): 3 and 6 Quality in this outcome group is good. The admission and assessment procedures for residents admitted to the home ensure that all their needs are identified. The assessment and care planning procedures for residents admitted to the rehabilitation unit have been improved and show outcomes and goals. EVIDENCE: All residents admitted to Broadfield House are referred through the local authority and a full social work assessment is carried out prior to admission. The homes manager visits prospective residents and carries out an assessment to determine that the home is able to meet their needs. Examples of assessments were seen on files and the care of five residents was tracked during the visit. The care given to these residents matched their assessed needs. Five residents were in the rehabilitation unit the inspector looked at all the files regarding these residents and spoke to them about the care they receive. Each resident in this unit has a recorded achievement goal and how they are to Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 9 reach their goals. A weekly review is carried out with staff in the unit, the occupational therapist and the physiotherapist. A plan is agreed for the week ahead and whose responsibility it is to monitor this. This has led to a more focussed plan of action regarding each individual resident in the rehabilitation unit. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 10 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): 7,8,9 and 10 Quality in this outcome group is good. Each resident has an individual care plan, which clearly describes how care is delivered, and which ensures health care needs are met. Medication policies and procedures and administration ensure the safe delivery of medication to residents. The care practices of the home ensure residents are cared for respecting their privacy and dignity. EVIDENCE: Files for four residents were looked at and their care was discussed with them. Care plans were comprehensive and describe the care given. Individual religious and cultural needs are taken care of and feature in individual records. Staff write daily records, which monitor progress and feed into monthly reviews. Residents or their representatives are encouraged to take part in Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 11 care planning and reviews. Records seen showed that care plans and reviews had been signed by residents or their representatives. Care planning in the rehabilitation unit has been improved and there is a more focused plan in which rehabilitation is planned and monitored more closely. These are planned ahead each week by staff responsible for different aspects of individual resident’s rehabilitation. Comments received from residents about the care they receive were positive, they feel their privacy and dignity is respected in the way staff care for them. “I am happy here the staff are very kind”, “I am well cared for the staff are very good”, “everything I need is taken care of” Medication policies and procedures were looked at and records of administration examined. These are well kept and medication is stored safely. On the dementia unit some eye drops were seen to be stored in the food fridge. Such medication should be stored separately in a locked fridge. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 12 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): 12,13,14 and 15 Quality in this outcome group is good. The homes routines are flexible and welcoming to all individuals. Friends and relatives are made welcome when they visit the home. Food provided to residents is varied and wholesome. EVIDENCE: Residents spoken to said that they were happy with life in the home and that they are able to make choices about what they wish to do during the day. During the visit it was observed that residents were making choices about meals and the daily routine. One relative who completed a questionnaire said, “The staff really do care, there is a good spirit or atmosphere there”. Rooms occupied by residents are personalised and contain items they were able to bring with them. Visitors are made welcome and are able to see relatives in privacy. There is a record of activities available to residents, however planning for them has fallen off lately. The staff responsible for activities in the dementia unit Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 13 had recently left and staff working in the unit did not feel there was enough time available for them to organise activities along with their normal duties. Some attention is required to ensure there is a good selection of activities available. The home offers a six weekly menu to residents; this offers a good variety of food with choices always available. Monthly residents meetings discuss meals and resident’s suggestions are include in the menus. Resident said the meals are good. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 14 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 and 18 Quality in this outcome group is good. The home has a complaints procedure, which ensures that all complaints are acknowledged and responded to. There are good procedures in place to safe guard residents from abuse or harm. EVIDENCE: The homes complaints procedure was seen and is available to residents, they receive a copy of it in the service users guide and it is displayed on the notice board. There have been no complaints received since the last inspection. Residents said they are happy with the care they receive and are able to tell staff and management if they have any concerns. They felt confident that any concerns would be properly dealt with. There is a policy in place for the protection of vulnerable adults including a whistle blowing policy. Staff spoken to were aware of this and said that they would be able to channel any concerns they have to the management. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 15 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 and 26 Quality in this outcome group is good Environmental standards are good and the home is kept clean and hygienic. Better consideration needs to be given to carpeting in the dementia unit. EVIDENCE: The home has recently undergone a complete refurbishment and provides residents with a good homely environment. There are procedures in place to ensure the home is kept clean, including good infection control measures. There are adequate domestic staff available to maintain standards at all times. The carpet in the upstairs lounge occupied by residents with dementia is unsuitable, as concerns have been expressed regarding the patterns. These may cause problems with persons with dementia who may trip while avoiding the patterns. Some consideration should be given to providing more suitable carpeting. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29 and 30 Quality in this outcome group is good. The policies and procedures for recruitment of staff are good and provide safeguards for the protection of residents. Staff are provided with induction and training to ensure they are able to meet the needs of residents. Attention is required to ensure that all staff have received updated moving and handling training. EVIDENCE: The duty rota was seen and showed that there are sufficient experienced and trained staff available to meet the needs of residents. Staff records were examined and showed that there are good recruitment policies and procedures in place including Criminal Records Bureau clearances, which are obtained prior to a person taking up post. Staff induction records were available; these showed that there is a good induction system in place, which includes appropriate training. Staff spoken to said they had the opportunity to take part in training and felt well supported in this. There is a training programme in place that covers mandatory training; a training matrix has been developed to show areas of training needs. At the time of the inspection there were seventeen of staff identified as in need of Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 17 updates in moving and handling. As this was also an issue in the last inspection it is important that this training is provided as soon as possible. The majority of staff working in the home are qualified to NVQ2 and more staff are undertaking this training. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35 and 38 Quality in this outcome group is good. There is good management in the home by a qualified and registered manager. Resident’s interests are promoted and safeguarded. EVIDENCE: Residents or their families manage their finances. All residents have a lockable facility in their rooms for safekeeping of valuables. The home keeps a small amount of personal allowances for residents. Written records of these were checked and were up to date and correct. A register is kept of any valuables in the safe keeping of the home. The registered manager is well qualified, particularly in dementia care. Staff and residents spoken to were happy with how the home is managed and there are clear lines of accountability. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 19 There are good health and safety policies and procedures in place and all maintenance records were up to date. As stated in the previous section the manager must ensure all staff have received updated training in moving and handling. Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 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 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 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 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 21 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 Standard OP12 Regulation 16 (2)(m)(n) Requirement The registered person must ensure that service users social and recreational interests are met. The registered person must ensure that all staff are provided with mandatory training including moving and handling.(Previous timescale not met) Timescale for action 31/07/06 11. OP30 13(5) 18(1)(c) (i) 31/07/06 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 OP19 Good Practice Recommendations Consideration should be given to ensuring carpets in the dementia unit are suitable for persons with dementia Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ 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 Broadfield House DS0000035758.V292759.R01.S.doc Version 5.1 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. 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