CARE HOME ADULTS 18-65
Broadoak Park Care Home Nuncargate Road Kirkby Woodhouse Kirkby-in-Ashfield Nottinghamshire NG19 9DS Lead Inspector
Stephen Benson Key Unannounced Inspection 26th January 2007 10:00 Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 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.V327157.R01.S.doc Version 5.2 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.V327157.R01.S.doc Version 5.2 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 30 Category(ies) of Learning disability (30) registration, with number of places Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. Mr John William Nunn and Mrs Barbara Nunn are registered to provide accommodation and personal care at Broadoak Park Care Home for persons of both sexes whose primary care needs fall within the following category :Learning Disability LD (30) The maximum number of service users to be accommodated at Broadoak Park Care Home is 30 14th September 2005 2. Date of last inspection Brief Description of the Service: Broadoak Park is a residential complex for up to 30 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 sensory room. The manager said on 26/01/07 that the fees for the service range from £1287.54 - £2822.34 per week depending on dependency needs. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the first visit to the home since 1st April 2006 by The Commission for Social Care Inspection. Prior to the visit an analysis of the home was undertaken from information gathered over the last year. The inspection looked at key standards for younger adults. The site visit lasted for 4 ½ hours and the main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the manager, deputy manager, staff on duty and care practices were observed. The premises were not inspected in detail but various areas of the home were visited as part of the inspection What the service does well:
The manager said that community care assessments are provided to the home before any resident moves in and showed one for a forthcoming admission. Assessments were seen on file, which were dated before residents moved in. The manager said he goes to visit any prospective new resident to assess there needs. A resident said someone had come to visit her and asked questions before she moved to the home. The evidence shows that new residents are assessed before they come to live at the home. The manager said that residents are expected to keep to commitments but these can be altered if wanted. Staff said they give residents the information they need to make decisions. Residents spoke of making regular choices. The evidence shows that residents’ make decisions about their lives with assistance as needed. Risk assessments are carried out to assess what risks residents are able to take and the manager said residents can take responsible risks. Staff said that residents can take part in various activities. Residents said they have been rock climbing. The evidence shows that residents are supported to take risks as part of an independent lifestyle. Each resident has an individual programme of activities including attending college, day centre and work placements. The home has a resource centre where other activities take place. A resident spoke of a course she is doing at college. The evidence shows that residents are able to take part in age, peer and culturally appropriate activities. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 6 Residents use facilities within the local community, including the cinema, hairdressers and some attend an Indian Centre. Residents spoke of going ton the shops and using local parks. The evidence shows that residents are part of the local community. Residents are supported to keep in contact with families and friends. Keyworkers contact families weekly to keep them up to date. Residents spoke of maintaining contact with friends and family and about a personal relationship. The evidence shows that residents have appropriate personal, family and sexual relationships. Residents contribute to domestic tasks according to their abilities. Residents follow their own routines and do not have to conform to any set pattern so they can do things at their own pace. The evidence shows that residents’ rights are respected and responsibilities recognised in their daily lives. Staff were aware of the differing ability levels of residents and provide support according to these. Residents said staff remind them what they have to do. The evidence shows that residents receive personal support in the way they prefer and require. A record is made of all healthcare appointments and routine health checks are arranged. Residents spoke of having been to a variety of medical check ups. The evidence shows that residents physical and emotional health needs are met. Medication is only given out by senior staff who have been trained in doing so. The evidence shows that residents can retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The home has followed the Adult Protection Procedures twice since the last inspection for incidents that occurred outside of the home. Staff have received training on Adult Protection and were aware of the home’s whistleblowing policy. Residents said they feel safe. The evidence shows that systems are in place to protect residents from abuse, neglect and self harm. The manager said there is a minimum of 8 staff on every shift. Staff are able to move to a different bungalow for a break from intensive work that is required in some bungalows. The evidence shows that residents are supported by competent and qualified staff Staff files showed that the correct recruitment procedures and practices are followed. The evidence shows that residents are supported and protected by the home’s recruitment policy and practices. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 7 What has improved since the last inspection? What they could do better:
Care plans had details of each resident’s needs but these were somewhat disorganised and this made it difficult to find information. Staff said care plans could be made simpler and residents said that they can be confusing. The deputy manager said he was looking to make them easier to use. The evidence shows that residents know their assessed needs and personal goals are reflected in their individual plan, but these are muddled and could be a lot easier to use. Meals are prepared in each bungalow and residents can choose what they want to eat. There was some food seen not being stored in line with basic food hygiene practices. The evidence shows that residents are offered a healthy diet and enjoy their meals and mealtimes but basic food hygiene practices are not being kept to. The home has a complaints procedure and there is a central record to keep a record of any complaint made. Some staff were uncertain how they should deal with a complaint and had never dealt with one. The evidence shows that not all staff know how to respond to complaints made. Residents live in small groups in separate bungalows. Staff said emergency repairs are attended to promptly. A broken toilet was seen which has not been working since before Christmas and some television pictures were poor. The evidence shows that repairs are not always promptly attended to. Washing can take several days to be done, as there is only one washing machine. The evidence shows that the arrangements for laundry are not suitable. Staff are expected to study for a National Vocational Qualification. Staff have undertaken some training but not all have completed all the mandatory training. The evidence shows that staff have not had all the training they require to carry out their duties. The manager has been registered by The Commission for Social Care Inspection and has previous experience of working with people with a learning disability. Staff view the manager as supportive and residents said he sorts things out. The evidence shows that residents benefit from a well run home. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 8 Staff have begun completing a quality assurance system with residents. The evidence shows that residents are confident their views underpin all self monitoring, review and development by the home. Records seen showed the required health and safety checks and tests are being carried out. The evidence shows that the health, safety and welfare of residents are promoted and protected. 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. The summary of this inspection report can be made available in other formats on request. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 9 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.V327157.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. New residents are assessed before they come to live at the home. This judgement has been made using available evidence including a visit to this service. EVIDENCE: There were community care assessments seen on files of residents case tracked and one arrived today for a resident due to be admitted next week. Staff said that they can look at the care plans for new residents, but would like to have some more information. The manager said that following an enquiry for a placement he goes to visit the prospective resident in their current setting and then arranges for them to visit the home and prepares an assessment on both visits. Following the assessment a planned admission process is carried out including an overnight stay. The manager said that all information is available to staff and he would remind them of this. A resident said, “Someone came to see me at home and asked me questions. They told me about Broadoaks. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 Quality in this outcome area is good. Residents know their assessed needs and personal goals are reflected in their individual plan, but these are muddled and could be a lot easier to use. Residents’ make decisions about their lives with assistance as needed. Residents are supported to take risks as part of an independent lifestyle. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Each resident has an individual plan of care. Two different types of care plan were seen and the deputy manager said they were changing from one care planning system to another. There were large photographs in the front of each plan and a list of known behavioural indictors and ways to intervene as well as known enjoyed activities. Plans seen were a little disorganised and although the required information was there it was not always easy to find. For example details on
Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 12 medication were not all written in the same place. There was a person centred plan template in each plan but these were not correctly completed. Information about residents’ cultural needs was not in sufficient detail, for example one entry said the resident did not eat beef but did not contain any further details on what can be eaten. Staff said that they find the care plans quite confusing and that they could be simplified. Staff said that they do use them and the list of enjoyed activities is useful, but they have to read a lot of ‘gobbledygook’ before finding what they are looking for. The deputy manager said that he was looking to make plans more user friendly. A resident said, “Things are written down in care plans and staff talk about them. I get a chance to say what I think. I read my care plan, but they need to be easier to read, they get confusing”. Care plans seen reflected choices and decisions made by residents and having an input into what they do. Residents were seen spending time in their rooms, in communal areas and walking around the site. The manager said residents are expected to follow their programmes, but can discuss if they want to change anything. The manager said that residents can make big decisions that effect them, for example one couple have got engaged. The manager said staff understand the residents and will discuss choices residents make with them. Staff said that they encourage residents to make decisions and that they will give them the options and ask them for their decision”. A resident said, “I can get up and go to bed when I want. Sometimes I don’t want any breakfast. I choose my own clothes, the colour I dye my hair and paint my nails. When I go to the cinema I choose what film I see”. There were risk assessments in care plans for a number of activities, including going out and different behaviours. The manager said that residents are able to take responsible risks if assessed as being able to do so. Staff said that residents use public transport with staff, only one resident is able to go out on their own. Staff said that residents are able to take part in lots of different activities that pose some risk to them”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 13 A resident said, “I can’t go out on my own, I agree with the reasons why. I use the kitchen and like to bake. I have been rock climbing and canoeing”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 15, 16 and 17 Quality in this outcome area is good. Residents are able to take part in age, peer and culturally appropriate activities. Residents are part of the local community. Residents have appropriate personal, family and sexual relationships. Residents rights are respected and responsibilities recognised in their daily lives. Residents are offered a healthy diet and enjoy their meals and mealtimes but basic food hygiene practices are not being kept to. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The deputy manager said that residents have an individual programme designed to meet their needs and abilities and showed a programme of the differing activities available. This showed one resident who was case tracked goes to college three days a week. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 15 The manager said one resident is looking to do voluntary work at the sports centre of a local college. Staff said most of the younger residents go to college and one resident loves going to a local day centre, but will have to stop as Social Services have withdrawn his funding. Two residents have work placements and there are various activities organised around the home a lot of which are done in the home’s resource centre, which is in a separate bungalow. A resident said, “I go to college, I am on a course for people with learning difficulties. I go three days, I don’t go all week that would be too much. Sometimes I don’t go depending on my mood”. There was an activities programme, which showed that residents regularly use the local community including other resources for people with learning disabilities. Two residents of Indian origin attend the Indian centre in Nottingham one day a week. The manager said residents make use of the local resources and gave examples of a church, hairdressers, and cinema. In addition residents follow individual interests, which include one resident attending a drama group. The manager said Christian festivals are celebrated and they have also celebrated Diwali. Staff said that residents go to the local town centres and walk up to the local shops. Staff also said they go bowling and have picnics at local parks. A resident said, “I like going to a local dance, going for walks, we sometimes go to Sherwood Forest and I go swimming”. There was information in care plans about contact arrangements with families and details were seen about support for relationships. The manager said that residents are supported to visit their families and they can just turn up, but it is just suggested that they contact first to ensure the resident is in. The manager said that when relatives visit they are left in private. The manager said that residents are able to have personal relationships and relationship advice is provided. Staff said they encourage residents to keep in contact with families and friends and that keyworkers phone families weekly to update them. A resident said, “I go and visit friends in other bungalows and am able to see my family” and “I am in a relationship”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 16 There are details of residents chosen morning routines included in the care plans, but none were seen for other times of the day. There were charts seen in some bungalows for residents to undertake domestic tasks. The deputy manager said that they try to fit the service to the individual rather than the residents having to fit in. Residents follow their own individual routine but are not put under pressure to complete things as this can lead to behavioural problems. Staff said that they try to get residents to complete domestic chores like cleaning and tidying bedrooms in the morning so that they are free to do other things afterwards. Staff said that routines and responsibilities differ between bungalows according to residents’ abilities. A resident said, “Staff ask what we like to do. We can go out if there is a driver available and there are things to do in the resource centre”. The home does not have a fixed menu and residents are able to choose meals they would like. Meals are prepared on each of the bungalows and residents assist with food preparation according to their abilities. Food is collected from a central kitchen by staff and residents from the bungalows. A record is made of all food provided on each resident’s meal record sheet. There was some undated food and a large tin of opened rhubarb seen in a fridge. Staff said that there is a good choice of food and they can request food to be ordered. Staff said that they would like fresh fruit and vegetables to be available more often. The manager said that staff can go to the local shop at any time to buy fresh fruit and vegetables and said he would remind staff of this. A resident said, “We cook our own meals in the bungalow. I love pasta and don’t eat that many chips. We can pick what we want from the kitchen and sometimes go to other bungalows for meals. I would like more fresh fruit and vegetables. We cook with staff”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good. Residents receive personal support in the way they prefer and require. Residents physical and emotional health needs are met. Residents can retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Staff were seen providing differing levels of support to residents in the different accommodation. The manager said that staff work to get residents to cooperate with them in meeting their personal needs so it is more a question of doing something with the resident rather than doing it for them. Staff said that they were aware of the differing level of needs residents have, some just need to be reminded what they have to do others need things doing for them.
Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 18 A resident said, “I can see to myself, but I need staff to remind me sometimes”. There was a record made in the care plan of any healthcare support provided. This included contact with doctors and hospitals and healthcare advice. One entry stated that a doctor was contacted when a resident complained of a pain in his leg. The manager said that residents’ health needs are followed through and appointments made for all routine health checks. Staff said that keyworkers normally goes with residents to any medical appointments. A resident said, “I can see a doctor if I want to. I went to hospital about my ears and got some new glasses last year” and “I used to have a psychiatrist and I go to well women check ups”. There was information in care plans about medication taken and residents preferred method of taking it, however this was not all in the same section. There is a form to assess whether any resident is able to self medicate. The manager said that only trained senior staff give out medication and there is always someone on the premises who can do so. The person giving out medication goes to each bungalow to do so. I know some of the medication I take, but can’t remember them all. Only senior staff give out medication”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 Quality in this outcome area is good. Not all staff know how to respond to complaints made. Systems are in place to protect residents from abuse, neglect and self harm. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home has a complaints procedure and complaint’s log to record any complaints in. There were no recent entries made in the complaints log. The manager said the home calls on the services of advocates who will come to speak with residents about particular issues. The manager said that he felt there was a gap in the complaints system as there was nowhere for a record to be made of any minor concerns expressed that would not get dealt with through the home’s complaints procedure and gave an example of a resident who had not been able to go out as there had not been a female driver on duty. They manager said he would introduce a system for staff to record any concerns expressed by residents about their care. Not all staff spoken with were aware of the complaints procedure and none said they had dealt with a complaint. A resident said, “If I am not happy I talk to staff and they sort it out. If other people are winding me up staff go and talk to them”.
Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 20 There was a copy of the Adult Protection Procedures ion the office and these have been used on 2 occasions recently for incidents that took place outside of the home. The manager said that a recent allegation had not been reported as it had been known to be incorrect, however the manager said that in hindsight this should have been notified. Staff said that they have had training on adult protection and knew the home’s whistleblowing policy. A resident said, “I feel safe here”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 Quality in this outcome area is adequate. Repairs are not always promptly attended to. The arrangements for laundry are not suitable. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The home is made up of small group accommodation where residents can live with others who have similar skills and abilities. There was no record of outstanding maintenance. There was a broken toilet, which had not been working properly since before Christmas, and staff were having to pour buckets of water to flush it. The manager said they were waiting for a part and that he would chase this up. There were some television pictures that were of poor quality and the manager said that he would arrange for the television aerials to be checked.
Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 22 Staff thought the layout of the home was very good and residents benefited from being in small groups. Staff said urgent repairs are seen to promptly, but there can be a delay for less urgent ones. A resident said, “I like my bungalow and it is nice being able to go and visit others”. There was one washing machine provided to do all the laundry and this was not sufficient as there was a lot of washing waiting to be done. There are no laundry facilities provided in any of the bungalows. The manager said that a second washing machine was on order and he would pursue the feasibility of providing washing machines in some of the bungalows. Staff said that they thought it would be good for some residents to be able to do their washing in their bungalow. A resident said, “We all do the cleaning and we use aprons and gloves” and “It can take days for the washing to come back, it would be good to have our own washer and dryer in the bungalow”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 23 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34 and 35 Quality in this outcome area is good. Residents are supported by competent and qualified staff and supported and protected by the home’s recruitment policy and practices. Staff have not had all the training they require to carry out their duties. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager said that there should be a minimum of eight staff on duty during waking hours, including the deputy manager and the activities coordinator, and a minimum of four staff at night. Staff said that there are times when the staffing is very tight and at the moment there is a shortage of staff so some people are having to work double shifts. Staff said that some bungalows are more stressful to work in than others and there is a system for staff to be able to have a break from these if they want. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 24 A resident said, “They place staff to work in the bungalows at the handover at the start of each shift. If there are plenty of staff then we will get two staff on our bungalow, but if not we only get one. We are never left without any staff”. The manager said that the correct recruitment procedures are adhered to and staff files seen had the required information in and showed that Criminal Records Bureau checks are carried out prior to staff starting work. Staff said they had completed an application form and come for an interview when they applied to work in the home. Staff said they had provided referees and had a Criminal Records Bureau check done before starting work at the home. A resident said, “We meet people coming for an interview”. Six staff have completed National Vocational Qualification level 2 and five are currently working towards this qualification. The manager said more staff are to be enrolled on this course shortly and a member of staff confirmed that she is due to start this next week. The training records showed that there were some gaps in the required staff training and the manager said that all staff will have completed all mandatory training over the next few months. Staff said they had been on a course to help them with challenging behaviour, Non Abusive Psychological and Physical intervention (NAPPI) and one on autism awareness. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 25 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 and 42 Quality in this outcome area is good. Residents benefit from a well run home. Residents are confident their views underpin all self monitoring, review and development by the home. The health, safety and welfare of residents are promoted and protected. This judgement has been made using available evidence including a visit to this service. EVIDENCE: The manager and deputy manager, who both have previous experience of working with people with learning disabilities, are both enrolled on Registered Managers Award and are due to complete this in March 2007. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 26 Staff said that they thought the home was well managed and that both the manager and deputy manager are supportive and approachable. A resident said, “I love the manager, I call him granddad. He is kind and understanding, he will sort things out”. The home is using The Quality Tree, which is a quality assurance system developed jointly by Nottingham City and Nottinghamshire County Councils for people with learning difficulties. Staff said they have started completing this with residents. The manager said that questionnaires have been sent out and two staff and a parent are going to analyse the results. A resident said, “The manager and deputy ask my views on things and if I want anything different, they listen to me. A sample of the records showing the checks and tests undertaken were looked at and these showed that the required health and safety checks and tests are being carried out. A resident said, “I know about Health and Safety and what is dangerous. I mustn’t touch the cooker as it is hot”. Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 27 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 Standard No Score 1 X 2 X 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 2 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 2 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 28 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 2 3 4 5 6 Standard YA6 YA17 YA22 YA24 YA30 YA35 Regulation 15 13 22 23 16 18 Requirement The registered person must make care plans clearer and easier to use. The registered person must ensure that food is appropriately stored and dated. The registered person must ensure that all staff know how to use the complaints procedure. The registered person must ensure that the home is well maintained. The registered person must provide sufficient laundry facilities. The registered person must ensure that all staff have received the required training. Timescale for action 01/04/07 01/02/07 01/03/07 01/02/07 01/04/07 01/08/07 Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 29 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 YA22 Good Practice Recommendations The registered person should ensure that all concerns and complaints made are appropriately responded to Broadoak Park Care Home DS0000008641.V327157.R01.S.doc Version 5.2 Page 30 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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