Inspection on 26/07/07 for Broadpark House

This inspection was carried out on 26th July 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Broadpark House 18/01/07

Broadpark House 18/05/06

Broadpark House 06/03/06

Broadpark House 17/10/05

Broadpark House 22/02/05

Broadpark House 30/09/04

Broadpark House 18/03/04

Broadpark House 20/11/03

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Stallcombe House

Belma

Hunters Care Centre

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

CARE HOMES FOR OLDER PEOPLE Broadpark House Belmont Road Ilfracombe Devon EX34 8DR Lead Inspector Jo Walsh Unannounced Inspection 12:30 26 and 30th July 2007 th 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 Broadpark House DS0000022141.V332789.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 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. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadpark House Address Belmont Road Ilfracombe Devon EX34 8DR 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) 01271 864752 NO FAX Mrs Elizabeth Emery Mrs Elizabeth Emery Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4), Old age, not falling within any other category (3) Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. To accommodate one person (named elsewhere) outside the categories of registration The maximum number of placements including that named individual will be 4 On the termination of the placement of the named person, the registered person will notify the Commission in writing and the particulars and conditions of this registration will revert back to the original categories of registration and number of service users Date of last inspection Brief Description of the Service: Broadpark House is a large, detached, Georgian House, standing in its’ own grounds, in a residential area on the outskirts of Ilfracombe. Broadpark House is away from the road and is approached by its own level driveway, parking for visitors and staff is provided to the front of the home. The service provides twenty-four hour care and support for two older people and one younger adult - all with a history of learning disability and / or mental health problems. Although the home is registered for 4, the owners do not intend taking on another resident. Sympathetic refurbishment work has been ongoing and continues, restoring the house in keeping with its’ original style, the rooms that have been completed are of a high quality. Local facilities and amenities are within walking distance of the home and are used by the ladies at Broadpark House. The fee range from £250 to £363. A copy of this report will be placed on the residents’ notice board in the kitchen. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection took place over two days and in total lasted for 5 hours. Time was spent talking to the three people who live at Broardpark House in their rooms. All three individuals have lived at the home for many years and all say they are very happy and enjoy living in a family type environment. Some time was spent talking to the registered provider, who with her husband provides most of the care and support to the people who live there. They employ one other person, who was on annual leave during the time of the inspection. The local health centre was sent some comment cards, but none have been returned. The three individuals who live at the home are not having a service form the district nurse team and are registered with local general practitioners. The registered provider was asked to complete some information prior to the inspection, which tells us how they maintain the environment, work with the people who live their to include them in the decision making processes and what training has taken place. This information helps to inform the inspection process. What the service does well: Broardpark House is a family based care home that provides people with a comfortable, well maintained and homely environment. One person who lives there said ‘’ this is the best place I have ever lived, they are lovely and I love it here, I wouldn’t want to move anywhere else.’ Individuals are supported to be as independent as possible and their personal, health care and social needs are well met. Each person has a plan of care that shows how support is provided and this is reviewed on a monthly basis. Individuals who live at Broardpark House are supported to access the local community and take part in the daily routines of the home. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. The summary of this inspection report can be made available in other formats on request. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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 Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals have their needs fully assessed to ensure all their needs can be met. EVIDENCE: The registered provider has not had any new people move into the home for many years and she does not intend to admit any further people. There is information available to show that the funding authority responsible for their placements assessed those individuals who have lived at the home for some time. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ health personal and social care needs are well met in a way that respects their dignity and right to privacy. EVIDENCE: Each person who lives at Broardpark House has a plan of care that sets out what their needs are and how these are met. The plans are reviewed monthly and any changes to care are recorded. All three people who live at the home said their needs were well met. One person said ‘’ Liz makes sure we are well looked after, if we need to see the doctor she arranges it and makes sure we get good care’’ One individual said ‘’ We are very lucky to have (the providers) looking after us, they are our friends and its very nice here.’’ Plans of care detail what health care intervention has been requested and how any health care issues are monitored. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 10 Individuals who live at the home have regular activities that they enjoy taking part in. One person said ‘’ I don’t get out much now, but I do still go to the tea dance and I enjoy spending time knitting and watching a bit of TV.’’ One person said they went out independently and enjoyed living close to the local shops, cafes and hairdressers. Another said they continued to enjoy going to a local day service one day per week to meet up with friends and do some crafts. Only one person is on any medication and they have been risk assessed to self medicate. The home does have lockable storage should they need to administer medications and are aware of how this needs to be recorded. People who live at the home say that they are treated with respect and that they can choose where they spend their time, what time they get up and go to bed and some enjoy helping with activities of daily living such as helping to set the table, wash up and preparing drinks. The registered providers were observed to knock on peoples doors before entering their rooms and spoke to them with kindness and respect. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Broardpark House have choice and control in their lives and are enabled to stay in contact with family and friends. EVIDENCE: The people who live at Broardpark House are supported to take part in social activities both in and outside of the home. One person attends a local day service, two are able to access the local community independently and two go to a local tea dance and out for lunch and shopping trips. All the people who live at the home said they were happy with the daily routines of the home, and enjoyed the activities they participated in. The registered provider said that they provide transport or taxis if there is an activity or event people want to attend. Visitors are welcomed at any time, one persons family come to stay on occasion at the home to visit their relative. All three people said that they know all the registered providers family and feel part of this extended family. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 12 The home offers a choice and range of meals and because the home is small, they have a good knowledge of individuals’ likes and dislikes, which is taken into consideration when planning meals. All the people who live at the home said they enjoyed the meals provided. One said ‘’ we always get lovely food here, too much sometimes, but I love it all.’’ Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ views and concerns are listened to and acted upon. EVIDENCE: The home has a stated complaints procedure, but the registered provider said they have never needed to use it as she checks that people are happy every day and deals with any concerns as they arise. People who live at the home said they would talk to the registered provider if they had any concerns and felt confident that their views would be listened to. One person said ‘’ I have never had anything to complain about, but if I did I would talk to Liz and she would sort it out.’’ The home only employs one person to help support the people who live there and she has had all relevant checks and references to ensure that people who live there are protected. Receipts are kept for all individuals items purchased to ensure that there is an audit trail of monies spent. This ensures that individuals’ monies are kept safe. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Broardpark House have a clean, homely and wellmaintained environment to enjoy. EVIDENCE: During this inspection most of the communal areas were seen and all of the bedrooms. The home is clean and comfortably furnished. People have personalised their rooms and all said they were very happy with the accommodation they have. One person said ‘’ this is the best room I have had, I love it.’’ Although the registered providers do not have a written programme of maintenance and renewal of the fabric of the building, it is clear that the home Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 15 is well maintained and kept to a good standard of decoration and refurbishment. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27,28,29,30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individuals’ needs are met by staff that know them well, but further training should be implemented to ensure that all care practices are safe. EVIDENCE: Most of the care is provided by the registered provider and her husband who have known the people who live at the home for many years. They have a good understanding of the needs, wishes and preferred routines of individuals and provide care and support in a caring and supportive way. They have one person who works for them part time, who also ahs got to know the three people who live there well. None of the people who provide support have had updated training in things like basic food hygiene, first aid and infection control. Although they have been caring for many years training in these areas would ensure they are aware of up to date practices to provide care and support safely. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people who live there, but some improvements in training is needed to ensure health and safety is promoted. EVIDENCE: The registered provider has been providing care for the people who live at the home for many years. One individual has been with her for 30 years. She has a good knowledge of the needs of the people who live with her and together with her husband they provide the majority of the care and support. The home does not have a formal system for ensuring the views of the people who live there is recorded, i.e. a quality assurance programme, but informally Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 18 they spend time each day chatting to individuals to ensure they are happy with the service provided. All three people who live at Broardpark House said that they were given opportunities to talk to the providers and believed their views were listened to. Since the last inspection the registered provider has been keeping records of all monies spent by or on behalf of individuals so there is a more accountable audit trail. The registered provider has not undergone any updated training in areas of health and safety, such as basic food hygiene, first aid, infection control or fire training. This has been an ongoing requirement and would help to improve the service by ensuring that all working practices are safe and done in line with current good practice. Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 19 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 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 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 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 X X 2 Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP38 Regulation Reg 10 (2) (b)Reg 12 (1) Requirement If the registered provider is an individual, he shall undertake; from time to time such training as is appropriate to ensure that he has the experience and skills necessary for carrying on the care home. The registered person shall ensure that the care home is conducted so as (a) to promote and make proper provision for the health and welfare of service users This relates to undertaking necessary health and safety training. (previous dates set for compliance 31/08/06, 30/06/07) Timescale for action 30/11/07 Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 21 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 OP1 Good Practice Recommendations The Statement of Purpose and Service User Guide must contain all of the information in the standard. The registered person should have an effective quality assurance and quality monitoring system in place. 2. OP33 Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP 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 © 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 Broadpark House DS0000022141.V332789.R01.S.doc Version 5.2 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!