Inspection on 15/08/06 for Broadview

This inspection was carried out on 15th August 2006.

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

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

Other inspections for this house

Broadview 06/12/05

Broadview 28/04/05

Similar services:

Hillview Farm

Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Broadview 22 Kiln Road Fareham Hampshire PO16 7UB Lead Inspector Tracey Box Unannounced Inspection 15th August 2006 08:30 Broadview DS0000063312.V302141.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 Broadview DS0000063312.V302141.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. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadview Address 22 Kiln Road Fareham Hampshire PO16 7UB 01543 442500 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) Milbury Care Services Ltd Mr. Russell Weeks Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th December 2005 Brief Description of the Service: Broadview provides care for up to six young adults with learning disabilities and associated behaviour support needs. A major variation application was registered in November 2005 to increase the service user numbers from 5 to six providing a second self contained living areas for one service user. The home is owned and run by Milbury Care Services Limited a national organisation that employs a manager for the home. This service was first registered on 16th December 2004. The home is located on the outskirts of Fareham with easy access to local shops, other amenities. The service users have access to a house care. The building is a two-storey domestic detached house, comprising of four single bedrooms, two self contained flats and a staff sleeping room accessed through the office. There is restricted parking at the front and to the side of the house. The homes communal space comprises of one large lounge, a separate dining room and kitchen. The self-contained flats have their own front door and access to the main home. The garden is landscaped with an ornate fishpond that has been made safe and areas of decking with railings. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The opportunity was taken to look around the home, view records, procedures and talk with service users and staff. The inspector also had the opportunity to observe the interaction between service users and staff. Two service users were spoken with who stated that they were happy at the home. The staff on duty during this visit felt they were supported to do their job. The commission has received information from the home prior to this visit. This has provided additional evidence that the home is meeting the key standards. The CSCI sent out five relative/visitor questionnaires, one was returned and stated the individual was satisfied with the home. One relative was contacted and said that this was ‘the best home that their relative has been in and is happy’. The manager confirmed the fees for the home range between £1500.00£2630.00 per week. What the service does well: What has improved since the last inspection? What they could do better: Records of staff training need to be updated to reflect the actual training staff have received. The manager will devise a training matrix to monitor staff training and development. The manager will complete a risk assessment for service users who choose not to evacuate the building in the case of a fire. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 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. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 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 Broadview DS0000063312.V302141.R01.S.doc Version 5.2 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): 2. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefited from having their needs and aspirations assessed on a regular basis. EVIDENCE: Evidence from service users’ files showed that they had all had care management assessments prior to moving into the home. In addition, the home undertook further assessments of service users’ needs on a regular basis. Assessments were comprehensive and addressed a full range of need areas, including an explanation of the individuals diagnosis. Records showed that service users had been involved in their assessments as far as possible and this was confirmed in discussion with a service user, who also confirmed their family were fully involved in the process. Individual Care Plans on file clearly related to the issues identified through the assessment process. The three service users files sampled and evidence of pre-admission assessments records undertaken by health, Social Services and the organisation. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 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): 6,7 & 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their assessed and changing needs are reflected in their individual plans. Service users benefits from assistance to make decisions about their own lives, and are fully protected by the home’s risk assessment practices. EVIDENCE: The service user spoken with was clear that he was able to make his own decisions about his life and lifestyle and that these were supported by staff. Staff spoken with were able to demonstrate an understanding of the need to support service users to make their own decisions. Records made at service users annual reviews confirmed service users are fully supported to undertake activities that they have identified. One record showed a service user changed their mind after trying, and decided they no longer wished to continue with the activity. Records showed service users views on holidays, these were taken into consideration when planning holidays. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 10 Service users had keys to their rooms and were able to lock them when they went out. The Statement of Purpose and Service User Guide were clear about the rules in the home and each service user had a copy. These also contained information on who service users could talk to if they were unhappy about any aspect of the home. Both documents were produced in an easily accessible format for service users who had some difficulty reading. Risk assessments were on file for each service user to cover areas where potential risk had been identified, all of which had been reviewed monthly. The risk assessments seen were clearly written and easy to follow. It was apparent from daily notes that one service user chooses not to leave the building if the fire alarm goes off, despite being aware of the consequences, the manager said they would complete a risk assessment for this. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 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): 12,13,15,16 & 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users participate in activities appropriate to their age, peer group and cultural beliefs as part of the local community. The home actively promotes appropriate personal, family and sexual relationships. Service users’ rights are protected and they enjoy a healthy and nutritious diet. EVIDENCE: A service user described the home as ‘nice place to live with great staff and a homely, friendly relaxed atmosphere’. The service users spoken with explained that they each have a weekly programme of activities that the staff support them to plan. This plan was seen in the records. The home has one vehicle, and are looking at purchasing two smaller vehicles to increase the frequency of service users attending activities. The manager said the local area provides good public transport, and service users often use Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 12 busses and trains to attend day centres, leisure facilities or to visit family and friends The Inspector saw menus for the previous and coming weeks. Service users were involved in writing the menus and were supported to consider the need for balanced and healthy meals. The menus showed that the food offered was healthy and a variety of meals were available. There were not different choices available at each mealtime, but the menus were based around the known and expressed preferences of each of the three service users. An alternative was available if any of the service users decided on the day that they did not want what was on the menu. The individual dietary requirements of each service user were recorded on the assessments referred to under standard 2. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 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): 18, 19 & 20. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from having personal support in the way they prefer. Comprehensive procedures ensure service user’s physical and emotional health needs are met. Service users are protected by appropriately trained staff, who follow the homes policies and procedures for dealing with medicines. EVIDENCE: The service user spoken with was able to confirm that he had been consulted about how he preferred to receive personal care and this had been recorded on his care plan. The care plan was clearly written and specific enough to explain to each member of staff the exact support they needed to give and how it needed to be given. Staff spoken with were clear about each person’s care plan and individual preferences. The home is situated on a main bus route and the service users spoken with confirmed that they also have the use of the home’s car and staff will drive them. The staff spoken with confirmed that currently there are no service users who self-administer their own medication. This was reflected in the records sampled. The staff were observed and discussed with the inspector good Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 14 medication administration practices that are reflected in the homes policy and procedures that were briefly sampled. The medication receipt, administration and disposal records were seen by the inspector and found to be satisfactory. However, the manager confirmed he has been investigating a recent drug error (which the CSCi had been made aware of by regulation 37.) The manager confirmed disciplinary action was being followed and he has updated the medication procedure, also all staff will be attending medication training as soon as possible. Records showed all staff have received medication training in January 2005, and all staff who administer medication have been assessed by the deputy manager. The manager showed the inspector the home’s medication storage cupboard that was clean with medication stored correctly in date and in sufficient quantities. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 15 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users know their views are listened to and acted upon. The home has satisfactory procedures for protecting service users’ form abuse. EVIDENCE: All the service users were very clear how and to whom to complain to if they are not happy. One service user said that if he is not happy he goes to the person in charge and the matter is resolved. They all stated that the staff are very good and always listen to individuals concerns. The home’s complaint records were seen and corresponded with information from the service users. The staff spoken with confirmed that the complaints log is up to date. The inspector sampled the complaint’s log and found two complaints, one from a from a service user, the manager explained this is currently being dealt with, copies of letter were also part of the complaints log. One complaint was regarding the education error as mentioned earlier in this report, again copies of letters showed this being investigated by an appropriate person within the agreed timescales. The staff had a very positive attitude towards complaints and stated that they see them as a way of improving things. The staff confirmed that they receive training in Abuse of vulnerable adults. There has been no allegation of abuse at this home. The home has a copy of the Hampshire County Council ‘Protection of Vulnerable Adults’ policy and procedure that is available in the home’s office. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 16 The inspector looked at the financial records of two service users who said they preferred the home to hold the majority of their cash. The cash held equated to the amount recorded for each individual. The manager confirmed the home hold a maximum of £100.0 for each service user which is stored in a cash tin which is locked in a cabinet in the staff office. Service users have their own bank accounts or post office accounts, and staff support service users to access their money. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 17 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 & 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of the décor within the home is good with systems in place for maintenance. There are appropriate systems and good practice that promotes control of infection. EVIDENCE: The home was clean, warm and no offensive odours were detected. Staff were observed cleaning, using appropriate protective clothing and products which were stored safely when not in use. Staff said they have completed infection control training, and were aware of the home’s policies and procedures of hygiene issues. The inspector saw records of staff training and the member of staff who was cooking confirmed they were up to date with food hygiene training. The home’s radiators and pipe work are safe ensuring that all potential hot surfaces are kept to low temperature. The garden appeared well maintained and is accessible to service users. Service users benefit from the home purchasing have a new dining room suite. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 18 A random selection of bedrooms were seen as the inspector toured the home and found them clean, bright and warm, furnished to the individuals taste and personalised. Bedrooms were brightly decorated and had posters and the service users photographs on the walls, and other personal effects. The manager explained service users are encouraged to furnish the room with personal belongings, furniture and pictures to make it feel like home. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 19 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): 32,34 & 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users individual and joint needs are met by staff who are appropriately trained and competent, however records need to be kept to show training received. Service users are protected from the home’s robust recruitment and selection process. Service users benefit from well supported and supervised staff. EVIDENCE: Records of staff training need to be updated to reflect the actual training staff have received, as the current record does not show training staff said they have received. The manager said he will devise a training matrix to monitor staff training and development. The home has a suitable recruitment and selection procedure in place and the records of four newly appointed staff demonstrated that this was followed appropriately. All staff had had necessary checks prior to beginning work in the home. Staff confirmed they receive regular structured supervision, however their manager is approachable at all times should they need to see him. The service users spoken with described the staff as ‘friendly, helpful’ and make us laugh. All the service users spoken with said there was sufficient staff around and like their key worker. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 20 The rotas showed that a minimum of three care staff were on duty each day shift and one waking and one sleeping night staff each night. The staff undertakes the cooking and cleaning with the service users assisting. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 21 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): 37, 39 & 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is well run with a supportive manager and organisational structure. The home has an effective quality assurance and monitoring systems with service users being fully involved in the process. Service users health, safety and welfare are fully protected by the home. EVIDENCE: The manager confirmed he has completed his National Vocational qualification (NVQ) level 4 in care, and is due to commence his Registered Managers Award (RMA) in January 2007. The staff confirmed there is clear management structure they feel supported by their manager and benefit from regular supervisions and staff meetings, the inspector saw records which show staff receive regular supervisions, annual appraisals and various staff meetings that are minted. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 22 The inspector sampled four staff files, which confirmed staff receive regular mandatory training, and specific training to meet individuals needs, such as Non violent crisis intervention, epilepsy, adult protection and communication. The manager confirmed that the home’s induction programme has been assessed against the Skills for Care Council induction standards and staff have been working to the Learning Disability Award Framework (LDAF) standards since January 2006. One member of staff told the inspector “This is my first job in the care sector, I feel that the training I have done so far has given me the skills I need to support service users who live here, some of the staff are working towards their NVQ levels 2 and 3. One staff member said “ I feel I have adequate training in order for me to carry out my job, I can just ask if I want training, I don’t have to wait until a meeting or my supervision.” Staff explained “we work well together as a team, during staff meetings we talk openly and share ideas and support one another, this helps us meet the needs of all service users.” Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 23 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 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 2 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 24 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. 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. 1. 2. 3. Refer to Standard YA23 YA35 YA35 Good Practice Recommendations The manager will monitor how often each service user uses the home’s vehicles to ensure charges made equate to the mileage used. The manager will keep records of staff training up to date. The manager will devise a training matrix to monitor staff training and development. Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Broadview DS0000063312.V302141.R01.S.doc Version 5.2 Page 26 - 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. 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