Inspection on 30/10/06 for Broadview

This inspection was carried out on 30th October 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 15/06/07

Broadview 23/01/06

Broadview 04/11/05

Broadview 14/09/04

Broadview 08/06/04

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Claremont House

Coopers Mill Ltd

Sun Court Nursing Home

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Paradise Lodge

Grangewood

Upaya Ananda

15 Bramble Close

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

CARE HOME ADULTS 18-65 Broadview 8 Great North Road Welwyn Hertfordshire AL6 0PL Lead Inspector Yoke-Lan Jackson Key Unannounced Inspection 30th October 2006 10:30 Broadview DS0000019299.V317861.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 DS0000019299.V317861.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 DS0000019299.V317861.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broadview Address 8 Great North Road Welwyn Hertfordshire AL6 0PL 01438 712572 01727 842904 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) Candour Care Services (Broadview Limited) Mr Rosario Fernandes Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6), Physical disability (6) of places Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 23rd January 2006 Brief Description of the Service: Broadview, provided by Candour Services Limited, is a residential home for six service users with learning disability and physical disabilities. All service users were transferred from Harperbury Hospital following its closure. The registered manager is also the proprietor of the home. The building is situated in Welwyn, a short distance away from the A1M motorway. There is a large front drive with spacious parking facilities. The extended bungalow has been refurbished to provide specialist accommodation for service users with high needs. There are three large bedrooms in the extended part and three in the original section of the building. The bedrooms are of single occupancy. Other facilities include the administrative office, dining room, kitchen, lounge and a laundry room. The back garden is extensive and arranged in two sections divided by a wooden fence. The second section is mainly laid to lawn with mature plants and apple trees. The first section has a patio and seating areas that are accessible to wheelchairs. In addition there is a separate building comprising a sensory room, a staff training room and an office. The home charges £1277 - £1761 per week. Further information can be obtained from the Statement of Purpose and the Service User Guide. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on 30/10/2006. The Registered Manager who is also the proprietor was present. The home has six service users. Three service users were present on the day of the inspection. The inspection began with a tour of the premises. The inspector met three service users who have severe learning disability and therefore verbal communication was very limited. Staff were interviewed. Documents were examined. (See below for details of the inspection findings). What the service does well: What has improved since the last inspection? The bathrooms have been redecorated. All the bathrooms have specialist equipment installed for the benefit of the service users. The quality monitoring system has improved and an annual audit is arranged with an external auditor. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 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. The summary of this inspection report can be made available in other formats on request. Broadview DS0000019299.V317861.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 DS0000019299.V317861.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4, 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective service users have the information they need to make an informed choice. A full assessment is carried out before a prospective service user is admitted. A trial period is arranged. EVIDENCE: The home has a Statement of Purpose that is available in an alternative format on request. A Service User Guide is given to each service user. All the current service users were transferred from Harperbury Hospital following its closure. However, one of them was transferred to Broadview via another home where he was unsettled. Since then there has been no further admission. The registered manager will carry out a full assessment before a prospective service user is admitted. The home will only admit a service user whose care needs can be met. Broadview DS0000019299.V317861.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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 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. Each service user has a written care plan that is comprehensive and reflected the service user’s assessed and changing needs. Service users are well supported and confidentiality is maintained in accordance with legislation. EVIDENCE: The care plans examined are comprehensive and reflect the health, personal and social needs of the service users. The home operates a key working system. All the service users have complex disabilities and therefore require care in all aspects of their lives. There is no simple communication method except through long term observation and care by members of staff. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 10 The majority of the staff have cared for the service users in the hospital environment and therefore understand their gestures and sounds. Staff assist them to lead an independent lifestyle as far as possible. There are two co-ordinators who assist with planned outdoor programmes for service users who are not able to attend the day care centre for their daily activities. Each service user has a weekly activity programme designed to suit their needs. On the day of the inspection, 3 service users were at their respective day care centre. All confidential information about service users are handled in accordance with the Data Protection Act 1998. Broadview DS0000019299.V317861.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. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 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’ rights are respected. They are encouraged to integrate into the community through outdoor activities. Service users have good links with their family. The meals provided are nutritious and balanced. EVIDENCE: Each service user has a planned weekly programme of activities. On the day of the inspection, the three service users present appeared relaxed and well cared for. Service users maintained contact with their relatives. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 12 A member of staff prepared the lunchtime meal. For some service users, the meal has to be in puree form. The menu is planned with dietician input to ensure that the food provided is nutritious. Broadview DS0000019299.V317861.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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20, 21. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users receive the health care and personal support they need. They are protected by the home’s policies and procedures on medication. EVIDENCE: All the service users are in the high need category. Health and behavioural concerns are referred to the appropriate health care team for immediate assessment. There is a regular review of care needs that involves the service user and their next of kin together with the health professionals and the social worker. Only a trained member of staff administers the medication. Proper records are kept in accordance with legislation and guidelines from the Royal Pharmaceutical Society. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a robust Complaints Policy and Procedure. Service users are protected from harm. EVIDENCE: The home has not received any complaints since the last inspection. The home follows Hertfordshire County Council Adult Protection procedure and staff have training on adult protection and abuse issues. A detailed policy is in place for dealing with service users’ finances. Proper records are kept. The registered manager is the appointee for four of the service users. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29, 30. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users live in a homely, comfortable and clean environment. They have the specialist equipment they require to maximise their independence. EVIDENCE: The home is clean, tidy and well maintained. All the bedrooms are spacious and furnished to suit the service users. Each bedroom is designed with stateof-the-art sensory equipment and disability equipment to suit individual needs. Service users have the opportunity to use the sensory room in the outlying building situated in the back garden. They are supervised by a member of staff trained in the use of the sensory room and its equipment. Relatives are invited to use the room with the service user. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 16 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 34, 35, 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users are support by an effective staff team. All the staff have good knowledge of service users’ care needs. Staff have training to enable them to carry out their work efficiently. EVIDENCE: There is a rolling training programme for all staff, including an NVQ training programme. The provider has contractual arrangement with an outside organisation. The trainer assists with quality assurance issues. The home is IS 09000 compliant. Staff have defined roles and responsibilities. On the day of the inspection, there were two staff allocated to care for the three service users who were present. The provider who is also the registered manager helps out when necessary. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 17 The majority of the staff have been working in the home since it was established over ten years ago. Staff who have worked in the home for five years are given an additional bonus which is doubled after a further five years. Team working was evident on the day of the inspection. The staff are well supported by management. Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39, 40, 41, 42, 43. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The standard of administration and management of the service is maintained. The health, safety and welfare of service users are promoted and protected. Their rights and best interests are safeguarded by the home’s policies and procedures. EVIDENCE: The service is well maintained. There is an effective quality and monitoring system. The home’s policies and procedures assist the staff to maintain a good standard of care practice. All records for the protection of service users and servicing records are kept up to date. Broadview DS0000019299.V317861.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 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 3 2 3 3 3 4 3 5 3 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 3 26 3 27 3 28 3 29 3 30 3 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 3 3 3 3 3 3 3 3 Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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. Refer to Standard Good Practice Recommendations Broadview DS0000019299.V317861.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Hertfordshire Area Office CPC1 Capital Park Fulbourn Cambridge CB21 5XE 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. 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