Inspection on 14/09/05 for Broadoak Park Care Home

This inspection was carried out on 14th September 2005.

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

Broadoak Park Care Home 06/01/09

Broadoak Park Care Home 27/01/07

Broadoak Park Care Home 17/03/05

Broadoak Park Care Home 29/12/04

Broadoak Park Care Home 01/03/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Broadoak Park Care Home Nuncargate Road Kirkby Woodhouse Kirkby-in-Ashfield Nottinghamshire NG19 9DS Lead Inspector Rob Cooper Unannounced Inspection 14th September 2005 10:00 Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 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 Broadoak Park Care Home DS0000008641.V249868.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 Adults 18-65. 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. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Broadoak Park Care Home Address Nuncargate Road Kirkby Woodhouse Kirkby-in-Ashfield Nottinghamshire NG19 9DS 01623 721924 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) Mr John William Nunn Mrs Barbara Nunn Noel Allcock Care Home 17 Category(ies) of Learning disability (17) registration, with number of places Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17/03/05 Brief Description of the Service: Broadoak Park is a residential complex for 17 young people with a learning disability. Accommodation is provided in purpose built ‘bungalow’ style units, each comprising of single rooms, mostly with en-suites, and with a kitchen and lounge area. Currently none of the residents have a significant physical disability, although the design and layout of the bungalows would not present a barrier to a person with such difficulties living at Broadoak Park. The entire complex has been attractively landscaped with gardens all around. There is a central clubhouse with a bar area, and an activities bungalow with a computer, aromatherapy and a snoezlan room – snoezlan is a sensory/relaxation activity area. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place through the middle of the day, with one inspector present, and took approximately three and a half hours. The methodology used was to speak with four service users about their experiences and views of living at Broadoak Park. Two service users files were ‘case tracked’ with a variety of records and information in their files being seen, and compared with the service that those people actually receive. In addition three members of staff were spoken with regarding their thoughts in relation to working at Broadoak Park. A visual tour of the complex and looking at a range of health & safety records completed the inspection. Currently there are eight service users living at Broadoaks Park, and on the day of the inspection, five were at home, and the other three were out at college. What the service does well: What has improved since the last inspection? What they could do better: Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 6 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. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 124&5 Prospective service users, their families, and carers would have sufficient information to make an informed choice regarding coming to live at Broadoak Park. Prospective service users needs are assessed before they are offered a place at Broadoak Park. Visits to Broadoak Park by prospective service users form part of the admissions procedure. EVIDENCE: The Statement of Purpose and Service User Guide were seen, and both contain all of the information specified in Regulation 4 and 5 and schedule 1. The two case files that were seen both contained detailed assessments, and staff members were able to explain the assessment procedure, and how this works in relation to prospective service users referred to Broadoak Park. Service users when asked said they had visited before coming to live at Broadoak Park, and said they had been able to ask lots of questions, and see where they might be going to live. Terms and Conditions of residence were contained in both case files that were seen. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 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 & 10 Service users are able to make decisions about their lives, and the staff assist them to do this where necessary. Service users are very involved in all aspects of life at Broadoak Park. Service users are confident that information about them is stored safely and handled sensitively. EVIDENCE: During the inspection a service user was seen to take a number of decisions about areas of their life. A member of staff was supporting the service user, and when asked for their views on a matter, the staff member was seen to sensitively encourage the service user to make a decision, while helping them to consider the consequences. The service user also talked with the inspector about shopping, cooking and other routine activities within their life, and said that they (the service user) decided such things as what to have for tea, or what activities to do in the evening. When asked directly, they said they thought they had a lot of control over their own life, and they were asked about things that affected everyone at the bungalows, and were able to have their say. Service user files are held in the office, and were seen to be stored securely. The manager checked with one of the service users being case Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 10 tracked if they were happy for the inspector to see their file. This was not done in a manner of ‘asking permission’ but by way of letting the service user know what was happening, and keeping them informed. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11 12 14 15 & 17 Service users at Broadoak Park do have opportunities for personal development. There is a wide range of activities available to service users both on site and in the wider community. Service users are able to meet with their family and friends, both at Broadoak Park, and elsewhere. Service users at Broadoak Park receive a healthy diet, and enjoy their meals. EVIDENCE: Opportunities for personal development were evidenced both in the records and information contained within the Service user’s files and through talking to service users. It was evident that support was being offered in areas where it was needed, while individuals were being encouraged to develop skills that were assessed as being areas of need. The bungalow complex is very well equipped, and while there were no leisure or social activities actually taking place during the inspection, service users were able to talk about the range of activities that they were involved in. The bungalows also have their own transport in the form of a minibus and a car, with which to access the wider community. Service user files also supported the scope and range of activities that people were involved in. In addition the inspector saw the art area, the aromatherapy, and snoezlan areas, together with the bar and club house, Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 12 which is potentially a versatile and adaptable area. Service users talked about meeting with their families, and travelling to meet them if they are not living locally. One service users father visited during the inspection, although the inspector missed the opportunity to speak with him, the Manager said he was a regular visitor. A service user was seen to be preparing some lunch, and this led to a discussion about menu planning, and shopping. The service user made it plain that they (all of the people living at Broadoak Park) exercised a great deal of choice in these areas. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 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 & 20 Service user’s health and emotional needs are met both by the staff team, and within the physical environment at Broadoak Park. The policies and procedures for administration and control of medication protect the service users from potential harm. EVIDENCE: Local community health care services are used wherever possible, and the Manager reported that recently the GP services had changed to a different surgery due to dissatisfaction with the service offered. Service users said they were able to see a doctor when they wanted to, and that if they were unwell, the staff would help them by making appointments and collecting prescriptions, and that they were not worried about any aspect of their healthcare. Medication is stored within the bungalows, and is currently administered to service users by the staff. The policies and procedures regarding medication were seen, and these were full and complete. Medication Administration Records sheets were seen, and were found to be recorded in line with the National Minimum Standards. During the inspection no medication was actually seen being administered. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Service users are confident that their views are listened to. Broadoak Park has robust policies procedures and staff training to protect service users from abuse, neglect and self-harm. EVIDENCE: Service users said they felt safe, and that they liked the staff. Staffing levels are such that there is always plenty of staff on duty, with as an average six or seven staff members on duty per shift, and at night there are four waking night staff and a ‘senior’ sleeping in. Service users were also able to talk about how to make a complaint, and who to complain to, as well as talk about the sorts of things they might want to complain about. Copies of the Broadoak Park complaints procedure were seen at a number of locations around the site, and are also incorporated in the Service User Guide and the Statement of Purpose. Three members of staff were spoken with, and they were all able to talk about adult protection procedures, and what they would do if an adult protection issue arose. The Broadoak Park training schedule was seen, and Protection Of Vulnerable Adults (POVA) forms part of the role specific core training for support workers. Some staff are currently undertaking POVA training. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 26 27 28 & 30 The Broadoak Park complex is homely, comfortable, and safe. Service users bedrooms promote their independence. The toilets and bathrooms provided are private, and meet the needs of the service users who use them. All areas visited were found to be clean and hygienic. EVIDENCE: The accommodation at Broadoak Park is to a high specification. The bungalows are well furnished and decorated, and there is a schedule for repairs and maintenance, which because of the needs of the service users has a flexible response time. Service users said they liked their ‘flats’, and the impression given was of a ‘home’ not a Home. Three service users bedrooms were seen (by invitation) and they were comfortable, well equipped and well personalised. There are plenty of toilets and bathrooms across the site, and these are able to meet a range of differing needs. Communal areas are well maintained, and furnished, and provide a comfortable addition to service users facilities. The bungalows were found to be clean and hygienic, and both service users and staff members were able to talk about cleaning schedules, and how cleaning was carried out. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 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 32 34 & 36 Staff roles and the management structure at Broadoak Park is both clear and well defined. There is a comprehensive staff-training plan in place at Broadoak Park. The recruitment policies and practices in place do protect service users from potential risk. There is a formal staff supervision schedule in place. EVIDENCE: Two staff files were seen, and these contained specific job descriptions for those staff members. The Statement of purpose has a very clear staffing structure, and the staff members that were spoken with were able to talk about the staffing structure, and how they fitted into it. The staff training records were seen, and there is a drive towards National Vocational Qualification level II and Learning Disability Award Framework training as a minimum qualification for care staff. The staff-training schedule outlining future training that is planned to take place was also seen. Staff files had application forms, interview scoring sheets, two references, and evidence of the staff member having been Criminal Records Bureau checked. There is a formal staff supervision programme in place, and staff members talked about having formal supervision with either the Manager or the Deputy Manager. Records of supervision sessions were also seen. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 17 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 42 The health, safety and welfare of the service users is promoted and protected. EVIDENCE: A range of Health & Safety records were seen, covering areas such as fire, Control Of Substances Hazardous to Health (COSHH), and hot water temperatures, and these were found to be accurate and complete. Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 X 3 3 Standard No 22 23 Score 4 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X 4 4 X 4 Standard No 24 25 26 27 28 29 30 STAFFING Score 4 X 4 3 4 X 3 LIFESTYLES Standard No Score 11 3 12 3 13 X 14 4 15 3 16 X 17 Standard No 31 32 33 34 35 36 Score 4 3 X 3 X 3 CONDUCT AND MANAGEMENT OF THE HOME 4 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Broadoak Park Care Home Score X 3 3 X Standard No 37 38 39 40 41 42 43 Score X X X X X 3 X DS0000008641.V249868.R01.S.doc Version 5.0 Page 19 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. 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 Broadoak Park Care Home DS0000008641.V249868.R01.S.doc Version 5.0 Page 20 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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