Inspection on 06/12/05 for Broadview

This inspection was carried out on 6th December 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 found no outstanding requirements from the previous inspection report, but made 3 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Broadview 15/08/06

Broadview 28/04/05

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Kestrel House, St Anne`s Opportunity Centre,

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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 Isolina Reilly Unannounced Inspection 6th December 2005 09:20 Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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.V267177.R01.S.doc Version 5.0 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.V267177.R01.S.doc Version 5.0 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.V267177.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th April 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.V267177.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second unannounced inspection for this service that took place over one day. 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. Two relatives/visitors comment cards were also received. One states that this was ‘the best home that their relative has been in and is happy’. A full summary of the home’s assessment against the key National Minimum Standards is available by reading this and this year’s previous inspection report of the 28th April 2005. What the service does well: What has improved since the last inspection? Since the last visit, the home has met the recommendation advised by Hampshire Fire and Rescue Service. The staff have recently been trained in planning care around the individual specially looking at wishes and likes. The problematic emergency paging system within the home is now working. The home has settled into a happy and activity environment over this first year of being open. Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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. Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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.V267177.R01.S.doc Version 5.0 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): Standard two was assessed and met at the previous inspection on the 28th April 2005. EVIDENCE: Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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): All the above key standards were assessed and met at the previous inspection on the 28th April 2005. EVIDENCE: Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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 the following standard(s): All the above key standards were assessed and met at the previous inspection on the 28th April 2005. EVIDENCE: Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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 the following standard(s): All the above key standards were assessed and met at the previous inspection on the 28th April 2005. EVIDENCE: Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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 the following standard(s): All the above key standards were assessed and met at the previous inspection on the 28th April 2005. EVIDENCE: Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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 the following standard(s): 24 The home presents as a homely, comfortable and suitable environment for the service users. The standard of the décor within the home is good with systems in place for maintenance. However, the organisational delayed response times continue. There are appropriate systems and good practice that promotes control of infection. EVIDENCE: One service user showed the inspector their room and said they were happy with it. During the visit a Care Manager from Adult Services came to look around with a view to place a new service user. A prospective service user also arrived at the home as part of the transition care plan to spend some time personalised the self-contained flat. The inspector was able to look around the home and viewed some of the bedrooms and there were no unpleasant odour detected. The bedrooms were personalised and very individual. Since the last inspection the home has made good some minor repairs that needed making good. The troublesome emergency pager system has been moved and is working appropriately. The manger and deputy reported that whilst the maintenance and repair work is completed there is an on going delay. The new central system for requesting maintenance and repair set up Broadview DS0000063312.V267177.R01.S.doc Version 5.0 Page 14 by the organisation has yet to improve response times. The deputy manager explained that the damage dining table was reported over three months ago and the home is still waiting for a replacement/repair. During the tour of the home the inspector noticed that all the communal hand sinks have liquid soap for washing hands and disposable paper towels. The pre inspection information supplied by the home state there are the necessary infection control policy and procedures. This is also confirmed in the organisation’s monthly reports to the commission under the Care Homes Regulations 2001, regulation 26. The inspector observed that gloves and disposable apron were available in the home. The home was found to be clean and tidy and staff were observed undertaking cleaning tasks using appropriate protective clothing. Broadview DS0000063312.V267177.R01.S.doc Version 5.0 Page 15 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 and 34 The home successfully supports staff to undertake appropriate qualifications within care that is relevant to this client group. There are good practices and procedures for the recruitment of staff that ensure the service users at not put at risk. Standard thirty-five was assessed and met at the previous inspection on the 28th April 2005. EVIDENCE: The inspector was able to sample staff training records and speak to staff regarding their qualifications. The staff spoken to stated that the home has been very supportive and most of the staff have now competed their Learning Disability Awareness Framework (LDAF) and are awaiting enrolment on their National Vocations Qualification level 2 and/or 3 in Health and Social Care. The staff spoken with have found the courses informative, increased their knowledge and assisted in the provision of care. The inspector was able to sample a detailed job description for support workers that outline their responsibilities and all have completed and organisation’s induction that gives them an understanding of the home’s ethos and attitude to care. The staff spoken with felt that the recruitment process within the home is thorough. The inspector was able to sample three staff records and found that they were detailed with the appropriate checks having been taken to ensure staff are fit to work at the home. Broadview DS0000063312.V267177.R01.S.doc Version 5.0 Page 16 A new member of staff stated that the induction useful. The induction is undertaken in two parts the home’s orientation and familiarisation and the organisation induction. The organisation induction meets the Care Skill’s Council induction training and follows the Learning Disability Awareness Framework. The staff progress onto the foundation Learning Disability Awareness Framework course. All staff confirmed that they have a personal copy of the General Social Care Council codes of practice and a copy was seen in the office for reference. The staff spoken with stated that they have attended regular supervisions and found the process useful. Within the staff files sampled there was evidence of supervision having been undertaken. Broadview DS0000063312.V267177.R01.S.doc Version 5.0 Page 17 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 and 42 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. EVIDENCE: The manager confirmed that he is currently working through his occupational qualification. He is undertaking a National Vocational Qualification (NVQ) level 4 in Health and Social Care and is due to enrol on the NVQ Registered Manager’s Award. Although going slowly is finding the learning informative. The deputy manager is completing her NVQ 4 in Health and Social Care and has expressed a wish to start her NVQ registered managers award soon. There are four Milbury Care Homes currently in Hampshire and the managers’ meet regularly providing a support network for each other. Broadview DS0000063312.V267177.R01.S.doc Version 5.0 Page 18 An area manager on a monthly basis monitors the quality of the service being provided and generates a written report supports the manager. This is sent to the commission under regulation 26 of the Care Homes Regulations 2001. The manager has a detailed job description from the organisation that includes his responsibilities to comply with the Care Standards Act 2000, National Minimum Standards for Younger Adults and the General Social Care Council code of practice. The staff were clear that the views of service users are respected, sought and that they feel part of the running of the home. The inspector observed the service users being appropriately consulted (verbally) by staff on their opinions for activities for the day. The inspector was informed that the Service user questionnaires and summary has recently been completed and the home is awaiting the report and development plan included outcomes and action points. Health professional families/friends and other stakeholders were invited to the annual meeting to discuss their opinion of the service being provided. The home has comprehensive policies and procedures that are developed by the organisation and implemented by the home’s manager. These are reviewed regularly and staff sign that they have read them. Amendments to policies and procedures are discussed at staffs meeting that are minuted. The service users stated that they like the home and feel safe. The staff have all undertaken regular training and refresher up dating in first aid, food hygiene, health and safety, Control of Substances Hazardous to Health, infection control and moving and handling. The staff spoken with confirmed this. The inspector sampled random copies of training certificates and records of dates training has been undertaking. However, it was noted that all staff had attended one training in Fire safety in the last twelve months. This was discussed with the deputy manager who agreed that staff would receive more regular updates in fire safety training a minimum of two a year to come in line with Hampshire Fire And Rescue guideline for good practice. The home had undertaken four fire evacuations and drills in this period. The home’s maintenance records were sampled and found to be satisfactory. The inspector sampled the records for regular weekly visual checks on fire safety equipment, alarm and emergency lighting and found them to be satisfactory. The deputy and manager have repeatedly requested that a service access door be made to the covered area behind the washing machine and tumble dryer. This is an identified fire risk as the electric switches to turn off these machines in the case of an emergency cannot be access through the fixed cover. The manager and deputy have made the organisation management aware of this. Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 2 X X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X 3 X X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Broadview Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 X 3 X X 2 X DS0000063312.V267177.R01.S.doc Version 5.0 Page 20 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. 1 Standard YA24 Regulation Requirement Timescale for action 31/01/06 23(2)(b)(c) The home must maintain the building and furnishings in a state of good repair throughout. The home must replace damaged furniture within reasonable timescales i.e. the dining room table. 2 YA42 13(4)(c) The home must ensure that all potential risks within the home are eliminated/minimised. 31/01/06 3 YA42 For emergency purposes all electrical equipment sockets must be accessible to be turned off. 23(4)(d)(e) The home must ensure that all staff received the appropriate frequency of fire safety training in accordance with Hampshire Fire and Rescue Service guidelines. 31/01/06 Broadview DS0000063312.V267177.R01.S.doc Version 5.0 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. Refer to Standard Good Practice Recommendations Broadview DS0000063312.V267177.R01.S.doc Version 5.0 Page 22 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.V267177.R01.S.doc Version 5.0 Page 23 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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