Inspection on 06/03/06 for Broadpark House

This inspection was carried out on 6th March 2006.

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

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Broadpark House 26/07/07

Broadpark House 18/01/07

Broadpark House 18/05/06

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 6th March 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 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 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.V285671.R01.S.doc Version 5.1 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 17th October 2005 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 three older people and one younger adult – all with a history of learning disability and / or mental health problems. 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. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced meaning the home was not made aware the inspection was to take place. The inspection took 3 hours and focused on spending time with the residents and speaking to the manager. Three of the four residents were able to give their views on life at the home. One resident was unable to give any verbal feedback, but time was spent seeing that this individual was comfortable and ongoing needs were being met. There was no care plans or polices at the home to view, as these had been taken by the deputy to update. What the service does well: What has improved since the last inspection? It is difficult to comment on what improvements have been made since the last inspection as none of the care plans, policies and procedures were available for inspection. These were available during the previous inspection and improvements had been made to ensure the home better met the standards. Previous requirements and recommendations could not be followed up and therefore remain in place. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Current service users can be assured that their needs have been assessed and are reviewed to ensure the home can meet their needs. EVIDENCE: The home have not taken any new residents for the last 11 years, one resident has been at the home for 30 years now. The owner does not intend to take on any other residents, but will continue to provide support and care for the four residents for as long as she is able to. As no new resident has been admitted for some time, there is no direct evidence to verify this standard, but one lady whose health has deteriorated has recently been reassessed with the full co-operation of the owner working in conjunction with the health care team. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,10 The home cannot ensure that personal and social care needs are fully met, as no care plans were available to evidence that they had been documented. Service users can be confident that health care needs will be met and that privacy and respect will be upheld. EVIDENCE: The owner explained that she has employed a deputy person, who primarily is helping with all the paperwork, including all care plans and policies and procedures. The inspector was informed that her deputy had taken all the paperwork away for the purposes of updating the information. It was explained that care plans and key policies and procedures must remain in the home at all times. One resident has had deteriorating health care needs for some time, and the owner discussed what actions had been put in place re monitoring by the health care team to ensure that all aspects of care are fully implemented and supported. Three of the residents were able to talk about their experiences of life in the home. They stated that they were very happy with are care and support offered, felt that their health care needs were fully met and that they were treated with respect and dignity. They stated that the owner always Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 10 knocked on their bedroom door before entering, and that they were given help with personal care when they wanted it. One resident commented that ‘its home from home here, I love it’ another said they ‘wouldn’t want to be anywhere else, we are really well looked after here, you couldn’t wish for better’ Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,14,15 Service users can be confident that that they will be able to maintain contact with family friends, access the local community and helped to exercise choice and control over their lives. EVIDENCE: Service users spoken to confirm that they are assisted to stay in touch with family and friends and the owner confirmed that they welcome visitors, even to the extent they can stay for meals, overnight visits at no charge. The owner stated that it was a homely environment and the residents were part of the family environment. Residents talked about going out to local tea dances, attending day centres and accessing the local shops and amenities. The owner either provides transport or organises taxis to enable residents to get out and about as much as possible and to suit their wishes. Residents confirmed that they enjoyed the activities they took part in and felt they were able to enjoy local amenities. Residents spoken to said they were able to make their own choices about what time to get up, go to bed and how they spent their day. Residents confirmed that the meals offered were to their liking and that there was plenty of choice and variety. The owner talked through a typical weeks menu and stated that they always try to use fresh produce. The main Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 12 lunchtime meal was sampled with the residents and was well presented tasty and served in a relaxed and unhurried manner. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Residents can be confident that complaints and concerns will be taken seriously and dealt with The employment procedures do not fully protect the ladies from being at risk. EVIDENCE: The complaints procedure has been amended to include timescales in which a complaint will be dealt with. A copy was available in the kitchen, near the table where residents eat. The residents spoken to said that the owner was approachable and if they had any concerns they could talk to her about them. The issue of the staff member taken on without a CRB has not yet been resolved as they have been unable to find an umbrella body that will deal with a single application. This needs to be resolved. Advice has been given regarding CRB checks and finding umbrella organisations. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19,20,21,23,26 The home is suitable for its stated purpose and provides a clean comfortable and homely environment for residents to live in. EVIDENCE: During this inspection the main lounge, kitchen/diner and all residents’ bedrooms were viewed. All areas of the home looked at were very clean, furnished and decorated to a high standard and provide a pleasant homely environment. The residents spoken to said they liked their rooms, which they had personalised and decorated to their own tastes. The owner and her husband live in the home and it is very much a family based home. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 15 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): 27,28,29,30 The home cannot ensure the safety of the residents as key training still needs to be implemented and recruitment practices improved to ensure residents are protected. EVIDENCE: The home is run mainly but the owner and her husband who provide much of the 24-hour care and support. At present three of the residents are fairly independent and having one person available is appropriate to their needs. One resident has failing health and this individuals needs need to be monitored and reassessed at regular intervals to ensure that ongoing needs can continue to be met by a small home with limited staff. Although it has previously been highlighted that key training needs to be implemented, this still has not occurred, which could place residents at risk. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 16 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,35 The owner has over 30 years experience of caring for residents and demonstrates a caring and flexible approach. There were no accounting procedures available to ensure resident’s monies are safeguarded. EVIDENCE: Although the owner Mrs Emery has no formal training in management or care, she has been offering care and support to the resident group for 30 years. She does not intend to offer care to any other group of residents, but feels she would like to continue with her four ladies for as long as she can. The home is more akin to adult placement, and Mrs Emery has said she would be interested in perusing this option once her numbers are down to three. All of the paperwork was unavailable so the inspector is unable to verify what procedures are in place to ensure that resident’s monies are protected. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 17 Not all of standard 38 were inspected, but the owner was reminded that training in key health and safety areas should be completed in order to ensure that residents are cared for safely. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 18 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 1 8 3 9 X 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 1 3 3 3 X 3 X 3 3 STAFFING Standard No Score 27 3 28 2 29 1 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X X X 1 X X X Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 19 Are there any outstanding requirements from the last inspection? NO Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 20 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 OP7 Regulation 17 Requirement The registered person must ensure that care plans and all records as detailed in schedule 3 and 4 are kept in the care home at all times The registered person shall make arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. This relates to the lack of a medication policy and medication training. (Previous date set for compliance 31/12/05) Timescale for action 30/03/06 2 OP9 Reg 13(2) 30/05/06 3 OP18 Schedule 2 Information and documents in respect of persons working at a care home. 6. A criminal record certificate. This relates to finding that one member of staff had not had a CRB check and did not have 2 references on file. (Previous date set for compliance 30/11/05) 30/05/06 4 OP38 10(2b) 12 (1) Broadpark House 31/07/06 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. (Previous date set for compliance 31/12/06) DS0000022141.V285671.R01.S.doc Version 5.1 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 2 3 Refer to Standard OP1 OP2 OP33 Good Practice Recommendations The Statement of Purpose and Service User Guide must contain all of the information in the standard. The contract/ terms and conditions must contain all of the information in the standard. The registered person should have an effective quality assurance and quality monitoring system in place. Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Ashburton Office Unit D1 Linhay Business Park Ashburton TQ13 7UP National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Broadpark House DS0000022141.V285671.R01.S.doc Version 5.1 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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