This inspection was carried out on 7th October 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 made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
CARE HOMES FOR OLDER PEOPLE
Broadlands Care Home 28 Shelford Road Radcliffe on Trent Nottingham NG12 1AF Lead Inspector
Stephen Benson Unannounced Inspection 7th October 2005 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 Broadlands Care Home DS0000050869.V255308.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. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Broadlands Care Home Address 28 Shelford Road Radcliffe on Trent Nottingham NG12 1AF 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) 0115 9332727 0115 9115027 Miss Soowantee Doma Mrs Premila Auchraje Miss Soowantee Doma Care Home 19 Category(ies) of Old age, not falling within any other category registration, with number (19) of places Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. One named service user may be within category DE. Service users shall be within category OP Date of last inspection 12/07/05 Brief Description of the Service: Broadlands is a care home providing personal care and accommodation for 19 older people. It does not provide nursing care.It is owned by Miss Doma and Mrs Auchraje, with Miss Doma being the registered manager. The home is located in the village of Radcliffe on Trent and it is approximately a quarter of a mile from the village centre, which has shops, pubs, a library and all the amenities one would normally expect from a large village.The home was opened in 1970 and is an extended, detached property. Service users are accommodated on the ground and first floor, access to which is by 2 stair lifts, which have been replaced since the last inspection. There is some seating outside and a small garden area. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This inspection was the second of two unannounced inspections carried out between April 2005 and March 2006. The inspection lasted for 4 hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, care staff on duty and care practices were observed. Relatives were spoken with as well as a district nurse. The premises were not inspected in detail but various areas of the home were visited as part of the inspection What the service does well: What has improved since the last inspection?
Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 Page 6 The manager has updated the Statement of Purpose and Service User Guide and a fire risk assessment has been carried out. A new medication policy has been introduced to ensure that staff know how medicines will be managed within the home. 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. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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 Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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): New residents are assessed before admission to ensure that the home can meet their needs. EVIDENCE: Care plans seen, including one for a resident who was recently admitted contained a written assessment, which was carried out before the resident moved to the building. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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 the following standard(s): 7 and 10 Care plans do not adequately describe how needs are to be met. Residents are treated with respect. EVIDENCE: A new care planning system is being used which includes personal details and a history, risk assessments and assessment of activities of daily living but there are not any plans of how care is to be provided, as a result of the assessment of the residents needs. There is also a monthly review sheet. One care plan included written consent from a relative for the resident to leave the home unsupervised, but there was nothing to show that the resident was involved in this and when asked about this said she did not know about her care plan. Care plans would be further enhanced if they were more organised through the use of partitions and indexing. Staff were seen assisting residents where needed in a sensitive manner. Residents said that staff were respectful and they were treated with dignity. A new member of staff said that she had to demonstrate an understanding of respecting residents privacy and dignity as part of the recruitment process. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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 the following standard(s): 12, 13 and 14 Residents have opportunities to participate in recreational activities. Visitors are at ease when they visit. Residents have opportunities to exercise choice. EVIDENCE: There is an activities programme displayed, although staff said that this is not rigidly stuck to. There was a variety of games and large print books available and notices about forthcoming entertainment on the notice board. Residents said they enjoy outings and would like to go to see some Christmas lights. A visiting relative said that they are welcome to visit at any time and are always made welcome. The relative spent some time sitting and talking with residents. Residents said that their visitors are always made welcome. Staff described promoting choice for residents where possible and the cook was seen going round each resident asking which choice they would like for lunch. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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 the following standard(s): Residents are able to voice any concerns and these are acted upon. Staff understand their responsibility to protect residents from any form of abuse. EVIDENCE: The home has a complaints procedure, which is displayed in the hall. Staff were aware of the procedure and residents said they knew how to make a complaint. There is a book in the office to record any complaints in. No complaints have been received since the last inspection. During the inspection residents said that they had not been given a mid morning drink. This was responded to immediately by the cook who bought a drink round to residents. Staff were aware of the adult protection procedures and of their responsibility to report any incident of concern. Residents said that they had never been mistreated and had not seen anyone treated inappropriately. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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 the following standard(s): None EVIDENCE: Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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 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): 28, 29 and 30 The correct recruitment procedures are followed for the recruitment of new staff and staff are trained in order to carry out their duties. EVIDENCE: One member of staff said she is currently working towards NVQ level 2. The manager said that all staff are expected to participate in NVQ training. A recently appointed member of staff described the recruitment process she went through which was in accordance with the home’s recruitment policy. A recently appointed member of staff said that she received an induction when taking up her post. The manager said that training is arranged for staff and certificates of training attended are displayed in the hall. Residents felt that staff are competent at the work they do. Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 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 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 37 Residents have opportunities to comment upon the running of the home. Residents are shown that measures are in place to promote their safety. EVIDENCE: There is a registered manager in post. There is a notice displayed informing residents about resident meetings. The last one took place in July 2005 and the manager said another one is due to be held this month. Questionnaires have been circulated in the past to seek residents’ views on the services provided and these are due to be circulated again soon. All resident’s finances are managed by relatives and the home only manages small cash sums for one resident. Certificates are displayed of safety tests and checks undertaken. There is no test being carried out on the storage temperature of hot water and this is required.
Broadlands Care Home DS0000050869.V255308.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 X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 X 9 X 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 2 Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 Page 16 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. 1 2 Standard OP7 OP38 Regulation 15 23 Requirement Include plans of how care is to be provided in care plans Carry out temperature tests on the hot water storage tank Timescale for action 01/01/06 01/12/05 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 2 Refer to Standard 7 12 Good Practice Recommendations Better organise care plans Organise a tip to se the Christmas lights Broadlands Care Home DS0000050869.V255308.R01.S.doc Version 5.0 Page 17 Commission for Social Care Inspection Nottingham Area Office Edgeley House Riverside Business Park Tottle Road Nottingham NG2 1RT National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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