Inspection on 31/10/05 for Broadmead Rest Home

This inspection was carried out on 31st 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.

Other inspections for this house

Broadmead Rest Home 11/01/09

Broadmead Rest Home 11/01/07

Broadmead Rest Home 19/01/05

Broadmead Rest Home 09/08/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Broadmead Rest Home Broad Layings Woolton Hill Newbury Berkshire RG20 9TS Lead Inspector Peter J McNeillie Unannounced Inspection 31st October 2005 09:00 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 Broadmead Rest Home DS0000061299.V256369.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. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Broadmead Rest Home Address Broad Layings Woolton Hill Newbury Berkshire RG20 9TS 01635 253517 01635 254489 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) Broadmead Rest Home Limited Mrs Jan Bunton Care Home 38 Category(ies) of Dementia (38), Mental Disorder, excluding registration, with number learning disability or dementia - over 65 years of of places age (38), Old age, not falling within any other category (38) Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th June 2005 Brief Description of the Service: Broadmead,is a privatley owned and managed care home providing personal care and accommodation for up to thirty eight persons in the catagories( OP) older persons,(DE) dementia and MD(E) mental disorder (over 65 years) in 22 single and 8 shared rooms two of which have en-suite facilities. The home which comprises of a large old house and a newer single storey extension,is set in a large mature garden situated in a quiet, rural area on the Berkshire/ Hampshire border close to the town of Newbury. A small postoffice is within easy walking distance but other community amenities are some distance away requiring transport to access them. Broadmead Rest Home DS0000061299.V256369.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 for 2005/2006. During this inspection, the inspector who was assisted by the registered manager and her deputy spoke with 14 residents and all of the staff on duty. Evidence was also gathered from a tour of the building, reading records, care plans, previous reports, an in house residents satisfaction survey, and comments by management/staff and observations. What the service does well: What has improved since the last inspection? What they could do better: Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 6 The manner in which information is presented to residents should be in a userfriendly format that can easily be understood. This is most important when dealing with persons with dementia. Areas that require particular attention include ,daily menus, the service users guide and the homes statement of purpose. 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. Broadmead Rest Home DS0000061299.V256369.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 Broadmead Rest Home DS0000061299.V256369.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): 1 and 3. Prospective residents are issued with information they need to make a choice about living in the home which has a well developed system of assessing and identifying residents needs which ensures residents safety and assessed needs can be met. EVIDENCE: Residents confirmed they had all been made aware of the homes statement of purpose and issued a service users guide and terms and conditions of residence on admission. The inspector highlighted the need to ensure that all documents eg the statement of purpose and service users guide were available in a format that could be understood in particular by those residents with dementia. A verbal undertaking was given by the manager she would ensure, in future all documents were available in a format that all residents could understand. This matter will be reviewed at a future visit to the home. Residents and records viewed confirmed persons were only admitted on the basis of a full and detailed multi disciplinary assessment of need and risk by the manager or another member of the senior staff and consultations with a number of external health care professionals including GPs, geriatricians, Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 9 continence advisors, physiotherapists, occupational therapists and care managers. Records viewed also confirmed that all residents /residents representatives were consulted and involved in the initial assessment process and in on going regular reviews of needs and risk that ensure the residents needs continue to be met. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 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 The arrangements for planning care are clear ensuring that the health, personal care and medication needs of residents are met and their privacy and rights respected. EVIDENCE: Residents in expressing total satisfaction with the care they were receiving, the manner in which it was delivered confirmed any personal care was given in private. Residents singled out their carers for special praise describing them as hard working, pleasant, respectful( always knocked before entering their room),willing , available and keen to help. Communication with some residents was difficult, however most residents spoken to were able to confirm they were consulted about the contents of their individual care plan a position confirmed in the written records. All plans viewed were reviewed monthly and included information on how identified needs, including special needs were to be met. Records viewed and comments made by staff and residents also confirmed consultation with a range of external health care professionals eg doctors, Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 11 district nurses, community psychiatric nurses, psycho geriatricians, physio/occupational therapists, continence advisors. All resident’s drugs and medicines which are securely stored are administered in accordance with medication policy and procedure including records of the administration and disposal of unwanted drugs which were viewed. No residents were self-medicating. Risk assessment and evidence to confirm consultations as who is responsible for the administration of resident’s drugs and medication was available as were records confirming all staff administering drugs and medicines had received training. Staff confirmed residents or their representatives were free to choose their own GP and the source of other personal services eg chiropodists, dentists optician etc and would receive assistance in accessing any service in the community. Any restriction on choice with regard to a GP was outside the control of the resident or the homes management. Residents spoken with confirmed staff treated then with respect and always knocked before entering their room. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 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 The social activities family contacts and the provision of varied and nutritious meals were well managed and reflected service users interests and choices. EVIDENCE: Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 13 Residents spoken to praised the quality of the service provided in the home. The best” ”hotel service”, ”always someone to talk to” were examples of comments received. From these and other comments made by residents the inspector formed the view that daily routines such as mealtimes were flexible and were arranged to meet the needs of residents and not the needs of the home/staff Residents confirmed they were able to exercise choice in respect of all aspects of their day to day lives which included visiting or receiving relatives/friends and attending in house activities such as quizzes, beetle drives, and music etc.. Community links are maintained through visits from local school children, nuns and churches. All of the residents spoken with, expressed in glowing terms total satisfaction with the quality, quantity and choice of food available. A daily menu based on service users likes and dislikes was displayed.. The inspector as on a previous occasion highlighted the need to ensure that the menu was displayed in format that all residents would understand .This is of prime importance for persons with dementia who may find the addition of pictures would be beneficial. Individual written nutritional assessments for all residents were available as were arrangements to ensure that special dietary and assistance with feeding. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 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 17 The home has clear policies and procedures in place which ensures residents are protected from abuse. The complaints procedure was satisfactory with evidence that residents feel their views will be acted upon. EVIDENCE: A corporate Hampshire County Council policy/procedure designed to protect vulnerable residents from abuse and records confirming all staff had received training in adult protection ,were available. Staff spoken with confirmed they were fully aware of the procedure to follow should they witness or suspect the abuse of any resident. The complaints procedure which was also included in the service users guide, provided information on how to contact The Commission for Social Care Inspection (C.S.C.I) was seen as was a record of complaints. Residents spoken to stated they felt comfortable in raising any concerns they had with the home’s management and were confident any matters raised would be dealt with fairly and promptly but made it clear to the inspector that they did not have concerns Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 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. A safe, well maintained, clean and suitably furnished home is provided for service users which meets their needs EVIDENCE: A tour of the building indicated that it was fit for its stated purpose, accessible, safe, well maintained and meeting residents individual and collective needs. Furniture was comfortable and homely and in keeping with the décor. Residents commented how satisfied they were with the accommodation. Since the last inspection new lounge furniture designed for use by the elderly has been provided. At the time of the last inspection old vegetation and trees were being cleared and the external fire escape was being refurbished. As a result of these works the natural light in a number of rooms and the appearance of the exterior of the home has improved. Following assessments a number of communal and personal aids have been provided these include handrails, ramps, bath hoists, raised toilets and a stair lift. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 16 Since the last inspection a new commercial laundry equipped with a hot water and sluicing programme has been installed. The home was clean, hygienic and free from adverse odours and operated in accordance with an infection control policy and procedure. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 17 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 Residents needs are met by sufficient numbers of staff who are recruited and selected using a procedure designed to protect all service users. EVIDENCE: At the time of the inspection the five care staff on duty were supported by a number of other personnel including, the registered manager,her deputy, two cleaners, a gardener, a laundry assistant, a cook, a kitchen assistant, a laundry assistant. Residents confirmed the number of staff available ensured help was always prompt, efficient and carried in a pleasant and discreet manner. Care staff commented they had ample time to carry out their tasks. Three waking care staff supported by an on call manager is available at night. Staffing levels are frequently reviewed to ensure the assessed needs of residents are met at all times. Service users spoken to, were full of praise of their carers adding, “nothing was too much trouble”, “we never have to wait” “the girls are helpful all the time, always smiling.” “Better than a hotel.” Records seen confirmed all staff are recruited in accordance with the home’s selection and recruitment procedure which includes the completion of an application form, an interview and satisfactory Criminal Records Bureau (CRB) check, Protection of vulnerable adults (POVA), immigration, qualification and reference checks. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 18 On commencement of employment all staff are subject to induction training, a period of probation and extra supervision before a final permanent position is offered. Subjects in the induction training include, first aid, health and safety, moving and handling dementia etc. As part of their terms and conditions of employment all staff agree to participate in NVQ training initiatives to at least level two however all of the current staff hold overseas nursing qualifications which would appear to be well in excess of the training offered by NVQ at level 2. The inspector recommended to the manager she contact the training agencies for advice re the status the qualifications of her staff. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 19 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, and 38 The management of the home seeks the views and opinions of residents residents representatives, safeguards the health and safety of staff and residents through the implementation of safe working practices EVIDENCE: Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 20 A quality monitoring system that seeks the views of service users has been introduced. The results of the surveys conducted to date are very positive and reflected comments made to the inspector by residents. The surveys covered a wide range of topics including, choice, activities, food, staffing etc. The results of the surveys will be used in the formulation of future policies. Progress will be reviewed at future visits. A health and safety policy, control of substances hazardous to health (COSHH) assessments, equipment servicing and accident records were available as were records to confirm all staff have receive training in the techniques of moving and handling first aid health and safety and the procedures to follow in the event of fire (including evacuation). All of the hot water supplies to baths were fitted with thermostatic controls set at 43 degrees centigrade and all radiators and hot pipes were covered including a radiator in a downstairs toilet that was highlighted as requiring to be covered by the inspector at the last inspection. Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 21 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 2 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 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 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X x X X 3 Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 22 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Broadmead Rest Home DS0000061299.V256369.R01.S.doc Version 5.0 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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. 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