Inspection on 18/05/05 for Broadlands Park

This inspection was carried out on 18th May 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

Broadlands Park 20/03/09

Broadlands Park 10/12/07

Broadlands Park 17/07/07

Broadlands Park 21/08/06

Broadlands Park 24/11/05

Broadlands Park 01/03/05

Broadlands Park 27/05/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

Henrietta House

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

CARE HOMES FOR OLDER PEOPLE Broadlands Park The Green Upton Norwich NR13 6AZ Lead Inspector Pearson Clarke Unannounced 18th May 2005 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. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Broadlands Park Address The Green, Upton, Norwich, NR13 6AZ 01493 751521 01493 751833 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) Mr Raymond Hollyman Mrs Michelle-Lee Hemaz Care Home 22 Category(ies) of Dementia (3), Old age, not falling within any registration, with number other category (21) of places Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Old age not falling within any other category 21 Dementia 3. One person with mental disorder who will be named within the CSCI records. Overall number not to exceed 22 Date of last inspection 1st March 2005 Brief Description of the Service: Broadlands Park is a care home providing personal care and accommodation for 22 older people of whom up to 4 may also have dementia. It is a privately owned and run residential care home. The home is located in the rural Norfolk village of Upton. The service is long established and is based in a period house, with accommodation on the ground and first floor. The home has large gardens to the front and rear, although only those at the front of the building are used by residents. The home has single and double bedrooms all of which are en-suite. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over several hours. During his time in the home the inspector spent time talking to residents, visitors , staff and management. Some areas of the building were looked at and the inspector watched lunch being served. What the service does well: What has improved since the last inspection? What they could do better: The main challenge facing the providers is to adapt and improve the environment in ways which will allow for elderly frail residents to receive safe Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 6 and satisfactory care. It is accepted that this need is accepted by the owners and that work is underway to explore how best that this may be achieved. 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 Park I55s27357broadlandsparkv227844260505(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 Broadlands Park I55s27357broadlandsparkv227844260505(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) 1,2 The home has all necessary information available for prospective residents to make an informed choice about an admission to the home, however care needs to be taken to ensure that this information is made available on each occasion. All residents receive a contract/ statement of terms and conditions. EVIDENCE: During the inspection the inspector spoke to the relative of a recently admitted resident. Whilst this resident’s relative was happy that they understood how the home operated they could not remember receiving a service user guide. Later discussion with the homes manager indicated a lack of clarity as to whether this document had been provided. Whilst the Inspector does not feel this is a wide spread problem the management are reminded of the importance of ensuring that all residents and prospective residents and or their representatives get the information they need on every occasion. All residents have a contract as indicated in the legislation and standards. The Inspector was encouraged to see that the provider had obtained a copy of the recently produced Office Of Fair Trading report relating to contracts in care homes and was about to begin the process of review of the existing document to incorporate the reports findings. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 9 Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 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 standard(s) 7,9,10 All residents have a satisfactory plan of care. People living at the home feel their privacy is respected and that they are treated with respect by staff and management. Medicines are appropriately managed at Broadlands Park. EVIDENCE: Sample care plans were inspected and these indicated that residents needs were identified in the plan and that these needs and wishes were subject to review. A number of residents and some visitors to the home were spoken to and the inspector heard the opinion that staff are kind and caring and are aware of the importance of showing respect and protecting privacy. This inspectors observations during the day supported this. Sample medication records were inspected and these were accurately and properly maintained. All staff who handle medicines have been trained to do so. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 15 Mealtimes are relaxed and staff offer help to residents as needed. Residents are happy with the food served. EVIDENCE: During the inspection the Inspector observed lunch being served. Residents were able to eat in the dining area and both of the lounges. The meal was served in a relaxed and unhurried way and those residents who needed help were given it in an kindly and patient fashion. Gentle encouragement to eat was given by staff and in the case of a blind resident care was taken to explain what food was on the plate and how it was arranged. Residents spoken to on the day were happy with the food provided at the home. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 12 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) 16 The home has an appropriate complaints process. EVIDENCE: The home has received no complaints since the last inspection. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 13 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 EVIDENCE: The providers continue to seek a long term solution to the building being a very difficult environment in which to care for frail older people. It is hoped that a modern extension and major refurbishment of the existing home can be achieved , however there are significant planning issues to be addressed as part of the process. The provider confirmed that an application is being put together using specialist help, however the process is lengthy and leaves difficult decisions to be made about the current building. The inspector is happy that the owners are taking care about admissions and have carried out a number of improvements to the building as it stands including work to make the environment safer. There is also an acknowledgement that there is a reluctance to waste money on short term measures which will be addressed if the major scheme proceeds in the near future. However two requirements relating to the environment were made at the last inspection and although they have not been ignored they have not been fully addressed. One of these requirements related to the need to create a more accessible ground floor Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 14 toilet. The solution adopted has been to use the staff toilet near to the dining room for residents. This is a more accessible toilet but still not perfect, however given that this whole area will be the access point to the new extension then the inspector will accept this as an interim solution. If the major work does not proceed or is significantly delayed then a more suitable solution must be achieved. The other requirement related to the provision of level access to the garden area. The existing very steep ramp at the front door has been removed however it has not been replaced with a suitable alternative provision. This is an area that must be addressed now and a repeat requirement is made. Generally speaking the home continues to offer homely and comfortable space despite the many drawbacks of the building. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 15 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 home’s normal staff provision is sufficient to meet the day to day needs of residents. Staff at Broadlands Park are well trained and display competence in their jobs. EVIDENCE: The inspector looked at the staffing provision on the day of this unannounced inspection and judged there to be adequate to meet the needs of residents. The home has an extensive training programme and meets government targets for numbers of care staff holding NVQ level 2 or above. Residents spoken to by the inspector felt well cared for and that staff were kind, caring and able to meet their needs. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 16 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) 31, 35, 38 The home benefits from an experienced and qualified manager. Health and safety policies procedures and training are in place. Residents financial interests are safeguarded through practice record keeping and policies. EVIDENCE: The homes manager has been manager for a considerable period of time. During that time she has undergone considerable training including successfully achieving the Registered Managers Award. Residents spoken to were positive about the managers input into their lives and the home as a whole. The inspector looked at financial records for a sample group of residents that the home was managing money for. These showed good recording and were generally accurate, although one minor error was identified. The inspector was shown health and safety policies and procedures and inspected fire records. These indicated a satisfactory approach to heath and safety is adopted and supported where needed by training. Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 17 Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 18 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 2 3 x x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 x 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 2 x x x x x x x STAFFING Standard No Score 27 3 28 x 29 x 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 x x x 3 x x 3 Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 19 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. Standard 19 Regulation 23 Requirement That the providers submit to the registration authority detailed and timed proposals as to how the environment can be so adapted as to remove the problems relating to changes of level and difficult access to the first floor That the provider create a new and safer ramp at the front door. Timescale for action 31/08/05 2. 19 23 31/05/05 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 Good Practice Recommendations Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 20 Commission for Social Care Inspection 3rd Floor, Cavell House St crispins Road Norwich NR3 1YF 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 Broadlands Park I55s27357broadlandsparkv227844260505(4).doc Version 1.30 Page 21 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!