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Inspection on 28/12/05 for Broadlands Residential Home

Also see our care home review for Broadlands Residential Home for more information

This inspection was carried out on 28th December 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home offers residents a comfortable and well-maintained environment, which compliments a warm, hospitable and dignified atmosphere. Residents who spoke with the inspector described their care as being " second to none" and the food as being "no better at The Savoy". Care Plans are detailed and correctly maintained. Relatives are welcomed and involved in the day-to-day activity of the home. Cooking and presentation of Lunch was seen to be of a very high standard with a choice of dishes available each day. Staff induction and on going training is comprehensive.

What has improved since the last inspection?

Generally the home has continued to meet with the standards that were achieved at the last announced inspection.

What the care home could do better:

The home needs to ensure that at all times the staff recruitment practice meets with the requirement of regulations.

CARE HOMES FOR OLDER PEOPLE Broadlands Residential Home Borrow Road Oulton Broad Lowestoft Suffolk NR32 3PW Lead Inspector Alan Clare Unannounced Inspection 28th December 2005 10:00 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 Residential Home DS0000024346.V272022.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. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Broadlands Residential Home Address Borrow Road Oulton Broad Lowestoft Suffolk NR32 3PW 01502 512895 01502 517177 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) Greensleeves Homes Trust Mrs Ann Elizabeth Maas Care Home 41 Category(ies) of Dementia - over 65 years of age (2), Old age, registration, with number not falling within any other category (41) of places Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. Two persons, whose names were made known to the Commission for Social Care Inspection in June 2005, who require care by reason of dementia. 8th June 2005 Date of last inspection Brief Description of the Service: The stated aim of Broadlands is to provide comfort and companionship in a supportive environment to those older people who require a level of care that is unavailable to them in their own homes. The building comprises a large house, which has been extended, resting on the edge of Oulton Broad, thus offering service users wonderful views over the water. The Homes attractive gardens lead down to the water where there is a jetty to moor boats. The Home offers accommodation for 41 older people, over three floors, all of which can be accessed by passenger lift and the standard of décor and maintenance at the Home was seen to be very good. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and started at 11.15am on a weekday following the Christmas and Boxing Day Bank holidays. The home’s Administrator and Care Supervisor welcomed the inspector and were available to assist with the visit. The inspector spoke with six residents; three visiting relatives and staff on duty were observed as they went about their work. A tour of the premises was made, a number of records including eight care plans, and two staff files and service certificates were seen by the inspector. What the service does well: What has improved since the last inspection? Generally the home has continued to meet with the standards that were achieved at the last announced inspection. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 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. Broadlands Residential Home DS0000024346.V272022.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 Broadlands Residential Home DS0000024346.V272022.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): 3,5 Resident’s and their relatives can be assured that the home is able to provide detailed information about the service and that the home ensures that they are able to meet the resident’s identified needs prior to the resident moving in. Perspective residents and their relatives are encouraged to visit the home to assess its suitability before deciding to move in. EVIDENCE: A sample of eight resident’s records confirmed that each resident’s individual needs and preferences had been identified prior to them moving in. Ongoing records of their care identified the way in which the home arranges care to meet individual need and preferences. Two visiting relatives and a resident staying for respite care talked to the inspector about how flexible the home had been on allowing introductory visits to the home before residents made their final choice to move in.” It all came together so well” commented one relative. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 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): 7,9,10 Resident’s can be assured that their health, personal and social care needs are set out in an individual care plan and that at times of poor health the home will provide respectful and sensitive care in conjunction with professional community medical and nursing services in the privacy of the resident’s own room. Residents and relatives who choose to partake of an ‘over the counter ‘ medicine can be assured that the home will assist them in an appropriate way to do so. EVIDENCE: Care Plans describe resident’s needs and how they wish them to be met in detail. One care plan seen by the inspector had been adjusted to make allowances for temporary changes in the resident’s needs due to a short term of ill health. During the visit four residents were seen to be receiving care and attention, which was provided by staff in a respectful and dignified manner, which took account of the resident’s right to privacy. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 10 Detailed records of district nurse and GP visits were available for the inspection. An ‘over the counter’ medicine which a relative wished a resident to take was recorded correctly on Medicine Administration Records and authorised for use by the resident’s medical practitioner in the individual’s care plan. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 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 the following standard(s): 12,13,14,15 Resident’s can be assured that the lifestyle offered at the home will aim to match their personal expectations and preferences. Resident’s and their relatives can be assured that the home will encourage and support residents to exercise personal choice and maintain contact with their family and communities. Resident’s can expect that meals will be wholesome, well cooked and presented and served in pleasing surroundings at a time convenient to them. EVIDENCE: Residents spoken to described “ the wonderful Christmas “ the home had given them. “ There was so much available, music, sing along, lots of food and drink”. “ I played Bingo in the afternoon, and we had presents” residents told the inspector. Two residents informed the inspector that they had visted relatives over Christmas but had been told by other residents that “ the day here was second to none”. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 12 Records of Christmas lunches provided by the home showed that a number of relatives had stayed for lunch with residents on Christmas Day as well as on the day of the inspection. During the visit, a private incoming telephone call was politely diverted to a resident’s own telephone line. The home has an active ‘Friends of Broadlands’ group which is made up of relatives and which provides voluntary support and activities within the home. Resident’s lunchtime was seen to be a calm and social occasion with staff interacting with residents in a supportive and unobtrusive manner. For those residents who chose not to join in the dinning room, their meal was taken to them and served on an individual tray with the meal conveyed with plate covers. One resident was seen to receive individual assistance to manage eating their meal. Puddings were displayed attractively in a chilled cabinet for residents to see prior to making their personal selection. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 13 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 This standard was assessed as met at the last inspection. 18 Whilst residents and relatives can expect that the home’s policies to protect residents are in place. They cannot be assured that the practice relating to the home’s recruitment will always be fully compliant with the home’s recruitment policy. EVIDENCE: The inspector noted from two files examined that two new staff members had commenced employment prior to references being authenticated and up to date CRB checks being received. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 14 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): 19,24,26 Residents and relatives can be assured that the home provides a comfortable and well-maintained environment and that they are able to personalise their rooms should they wish to do so. Residents and relatives can be assured that the home is clean and odour free. EVIDENCE: A tour of the home was undertaken as part of the visit. Décor is in good order throughout the home; there are pictures depicting local historical interest throughout the home. All areas of the home including w.c.’s bathrooms and a selection of resident’s own rooms were seen to be cleaned to a high standard and pleasant smelling. Cleaning of communal areas was seen to take place throughout the visit. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 15 Referring to the standard and co ordination of furnishings provided within communal areas one relative observed that “ in our view it all comes together so well”. “ Our mother’s room is spacious”. Resident’s rooms visited were comfortably furnished and contained selections of resident’s own furnishings and possessions which gave them an individual and homely feel. Broadlands Residential Home DS0000024346.V272022.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): 28,29,30 Residents can expect that the home’s policy on recruitment is in place to protect them. However they cannot be assured that in practice the home will always meet the requirements of that policy. Residents can be assured that the home encourages and provides training to ensure that staff are competent to do their jobs. EVIDENCE: The records of two staff recruitment files seen by the inspector demonstrated that although the home had ‘chased up’ their references the members of staff had commenced employment prior to the home receiving references and up to date CRB checks. Records of staff training were seen to provide a comprehensive and detailed ongoing training programme. Staff informed the inspector “ most of the care staff now have NVQ 2 and Care supervisors are now beginning NVQ 3 and 4 “. Throughout the visit the inspector noted that interaction between staff was open friendly and respectful both in communal and private situations, when serving meals, or assisting with personal care. Residents and relatives commented on “ How good the staff were.” Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 17 Broadlands Residential Home DS0000024346.V272022.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): 31,36,37,38 Residents and relatives can expect that a competent person who is usually able to discharge her duties fully manage the home. However, when recruiting staff they cannot be assured that the registered manager will ensure that the home’s practice will fully meet the homes recruitment policy. EVIDENCE: The chronology of dates seen in relation to the recruitment of two staff showed that the home was not as in receipt of references for the staff prior to them commencing employment. See Standard 29. Throughout the visit the inspector noted that staff, residents and relatives commented on the manager’s “efficiency”, “ kindness “ and how “capable and caring” the manager was. Staff in charge on the day of the visit were confident in the way they went about their responsibilities and in conversation with the Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 19 inspector highlighted aspects of the managers skill and knowledge in relation to good practice within the home. On the day of the visit snow had fallen, the inspector noted that at each exit to the home, notices had been placed warning residents of the fact. Broadlands Residential Home DS0000024346.V272022.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 3 X 3 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 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 2 3 X X X X 3 X 3 STAFFING Standard No Score 27 X 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X X 3 2 3 Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 21 NO 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 29 & 37 Regulation 19 (1) sch 2 (3) Requirement The home must ensure that in order to protect residents that two written references for each potential staff are obtained and authenticated prior to staff commencing employment. The home must ensure that all records comply with the relevant policy. Timescale for action 28/12/05 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 Refer to Standard 21 Good Practice Recommendations Hand towel rails be provided in all w.c.’s and bathrooms. Broadlands Residential Home DS0000024346.V272022.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Suffolk Area Office St Vincent House Cutler Street Ipswich Suffolk IP1 1UQ 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 Residential Home DS0000024346.V272022.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. 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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