Inspection on 07/02/06 for Broadway North Resource Centre
Also see our care home review for Broadway North Resource Centre for more information
This inspection was carried out on 7th February 2006.
CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.
The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 statutory requirements (actions the home must comply with) as a result of this inspection.
Other inspections for this house
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Staff at this service are very good at supporting service users to maintain their independence and accessing the local community. Service users can continue with employment and day care placements when accessing the service, with transport arranged if necessary. As a member of staff explained, "we recently had someone who was employed as a van driver access the service who continued with this whilst staying here. The whole point of what we do is to maintain and promote independence". The service is also very good at promoting flexible routines. For example all people who access the service are allocated their own fridge and cupboards in the kitchen in order that they can plan, prepare and cook their own meals, ensuring choices are very individualised. All service users that the inspector spoke to praised this facility, for example one person stated, "Staff support us if we cannot cope, teach us new skills, build our confidence. We chose our own meals, buy our own food if we want, we have total freedom". Additional praise was also given by service users about the manager and staff. As one service users stated, "they genuinely care, are there for you if you cry or if you`re happy. If you are not in the mood to socialise you can go to your room but if you`re in there for long the staff always come and knock the door and ask if your ok or want to talk," and another, "if I`m at home and not well I can ring here and have a talk to someone, your never pushed away". These comments were reinforced as the norm throughout the visit where the inspector witnessed staff interacting with service users in an informal yet supportive way, but still encouraging independence.
What has improved since the last inspection?
Since the last inspection the home has devised a risk assessment tool that should ensure information relating to service users is current and relevant to the service provided by the home, arranged for staff to undertake adult protection, fire, food hygiene, moving and handling and infection control training, obtained a quote for improvements to directions relating to the location of the service within the building, introduced a new visitors book, implemented regular staff meetings for both day and night staff and invited the environmental health department to inspect the premises. The area that received the most praise from both service users and staff is the introduction of the dissatisfaction system. This is a process that encourages service users to raise issues in order that they can be resolved before escalating into formal complaints creating an open and inclusive atmosphere within the service. Service users explained that staff encourage them to raise issues and as one person stated, "staff don`t make me feel bad for saying things, they feel very strongly about wanting to provide the best service and they do". Also since the last inspection the manager has completed the Registered Managers Award.
What the care home could do better:
No progress has been made for the responsible person to ensure that monthly visits in accordance with Regulation 26 of the Care Homes Regulations 2001 are undertaken despite this requirement first being identified in July 2002. The inspector is concerned that the local authority is not fulfilling its legal obligations in relation to this, resulting in an Immediate Requirement Notice being issued at the inspection. Due to this being a respite service where people bring their own medication, the home cannot implement a monitored dosage system for medication. This is raising issues in relation to policies and practices complying with relevant guidance and legislation. It has been arranged for the pharmacy inspector for the Commission for Social Care Inspection to visit the service in March 2006 after which the home must implement all requirements that may be made. Further work must also be undertaken to address all of the requirements contained within the fire departments report, provide training for staff in fire, food and health and safety and to implement a formal quality assurance system.