Inspection on 19/07/05 for Broadview

This inspection was carried out on 19th July 2005.

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 16/02/09

Broadview 16/02/07

Broadview 02/02/06

Broadview 01/11/04

Broadview 08/06/04

Broadview 11/02/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Broadview King Street Winterton On Sea Great Yarmouth NR29 4AT Lead Inspector Hilary Shephard Unannounced 19 July 2005 3.45 pm th 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 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 Stationary 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 I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Broadview Address King Street, Winterton On Sea, Great Yarmouth, Norfolk, NR29 4AT 01493 393653 01493 393653 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Royal Mencap Society Mrs Susan Shreeve Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 1st November 2004 Brief Description of the Service: Broadview is a well-established care home, owned and managed by Mencap, providing care and accommodation for up to five adults with learning difficulties. The home is situated within its own grounds in the centre of the village of Winterton. All residents have single accommodation and there is ample communal space. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was carried out over three hours during which all five of the residents and both members of staff were spoken with. Residents, staff and the homes records provided information that has been used in this report. What the service does well: What has improved since the last inspection? What they could do better: No improvements are needed at this time. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 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 I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 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 standard(s) Not assessed at this inspection. EVIDENCE: Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 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 standard(s) 6 Care plans are comprehensive and person centred providing clear guidelines enabling staff to understand and meet the residents’ needs. EVIDENCE: Three care plans were looked at with the residents’ assistance. These had been improved and updated since the previous inspection and contained information about residents needs with full, clear and specific guidelines for staff to follow. Care plans gave a very good overview of residents assessed needs and provided an excellent person centred approach, focussing on the residents’ abilities and needs from their perspective. Care plans have been compiled with the residents and their key workers. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 10 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 standard(s) 12, 13, 15 and 16 Residents are provided with opportunities to develop and learn new skills; they are enabled to take part in leisure activities and are encouraged to maintain contact with family and friends. EVIDENCE: All residents enjoy attending various day centres during the week. Some also attend college and enjoy classes where they learn skills such as cooking. Residents said they like life at the home, were happy with their chosen activities, had plenty to do and never got bored. Some residents go bowling, horse riding and out to the theatre, all have the opportunity to go shopping, have meals out, attend holidays and various outings to places of interest. Residents also help around the house with staff support, often cleaning their bedrooms, and assisting with washing, ironing and preparing snacks and packed lunches. Staff and residents interacted well and were seen to be gently supporting the residents with daily tasks. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 11 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 standard(s) 18 and 19 Staff are well aware of residents health needs, are good at monitoring and acting upon changes and providing support as required. EVIDENCE: Residents advised that the staff are very good and give them help when needed. Residents’ health needs are assessed and problems are quickly identified and acted upon. One resident had recently experienced a problem which staff were monitoring and had referred on to a specialist for further advice. According to the resident, the problem was resolving. Staff have a good understanding of residents needs which is reflected in the care plans, indicating that needs are continually reviewed. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 12 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 standard(s) 22 and 23 Residents feel safe and understand who to report their concerns to. Good complaints and protection procedures support staff and residents. EVIDENCE: The home has comprehensive complaints procedures, which has also been recorded on tape for residents who are unable to read. Information regarding how to complain is given to residents on admission, and is available in the home for reference. The home has the Norfolk Adult Protection protocol, staff are aware of the correct reporting procedure and who to contact for advice. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 13 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 standard(s) 24 and 30 Residents’ benefit from living in a clean and well-maintained home. EVIDENCE: The home was clean and smelled pleasant throughout. Residents are responsible for keeping their bedrooms clean and they do this with a lot of staff support and encouragement. Two bedrooms have recently been redecorated, and one has been fitted with a new carpet. Two residents have bought new reclining armchairs for their use in the lounge. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 14 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33 and 34 Residents benefit from adequate staff numbers on duty and are protected by new staff undergoing proper recruitment checks prior to commencement. EVIDENCE: Staffing is provided according to the number of residents and how complex their needs are. Currently the home is full and there is usually two staff on duty during the waking day. The home does not provide awake night staff, however, one member of staff stays on the premises throughout the night. Staff are aware of who to contact in emergencies. At the time of the inspection, two experienced staff were on duty who were clearly respected by the residents. Files of two newly appointed staff were checked, indicating the home follows correct recruitment procedures, ensuring two satisfactory written references, a clear check from the Criminal Records Bureau (CRB) and formal identification is obtained before staff commence. Staff are interviewed by the manager and one other person who complete a full record of the applicants interview enabling the manager to make an informed choice about their appointment. Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 15 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not assessed at this inspection. EVIDENCE: Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 16 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x x x x Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 x x x x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x 3 3 x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Broadview Score 3 3 x x Standard No 37 38 39 40 41 42 43 Score x x x x x x x I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 17 None 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. 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. Refer to Standard Good Practice Recommendations Broadview I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 18 Commission for Social Care Inspection 3rd Floor, Cavell House St Crispins Road Norwich NR3 1YF 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 I55 s27351 broadview v239825 190705 stage 4.doc Version 1.40 Page 19 - 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!