Inspection on 14/06/07 for Broom Haven

This inspection was carried out on 14th June 2007.

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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Broom Haven 26/01/06

Broom Haven 04/08/05

Broom Haven 21/01/05

Broom Haven 29/07/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

Pennine Camphill

Muston Road (70)

Grayling

The Cornerstone

John Street Nursing Home

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

CARE HOME ADULTS 18-65 Broom Haven 1a Broom Grove Rotherham South Yorkshire S60 2TE Lead Inspector Stephanie Kenning Key Unannounced Inspection 14th June 2007 12:30p Broom Haven DS0000003127.V314502.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 Broom Haven DS0000003127.V314502.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. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Broom Haven Address 1a Broom Grove Rotherham South Yorkshire S60 2TE 01709 821418 NONE gail@tipple9039.fsnet.co.uk 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) John Tipple John Tipple Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th January 2006 Brief Description of the Service: Broom Haven is registered for three younger adults with learning difficulties who mainly communicate using Makaton. Staffing levels are sufficient to ensure service users can be supported to pursue life skills and leisure activities. The property is a modern four bedroom detached bungalow in a residential part of Rotherham. It has three single bedrooms, a sitting/ dining room, a domestic kitchen, bathing facilities and a staff sleeping in room. There are lawns to the front and side of the house. The area is enclosed and has an outdoor seating area for the service users. The home is close to local amenities and a short walk or bus ride in to the town centre of Rotherham The scale of charges was from £500 to £690 per week in June 2007. Information about the home would be available to prospective residents by contacting the home. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspector visited the home on Thursday 14th June from 12:30 am to 4:45 pm. She did not tell the home that she was coming. All the key standards were assessed, as well as some of the other standards. There were three people living at the home and one was at home during the afternoon, accompanied by a member of staff and the manager. Later another member of staff came on duty and another resident came home just as the inspector was leaving. The residents often use Makaton to communicate, and can make their needs known to staff. The inspector was able to observe this communication and to have a brief chat with the residents. Surveys were sent to the home in April for residents and staff to complete. Three service users and three staff returned the survey. A survey for health professionals was completed and returned by the manager in April 2007. The inspector looked around the home and saw the bedrooms. She saw the care plans and talked to the manager and staff member about these. They told her about things they do, and places they go to, and why they had chosen this home. They told her about the meals. She was also able to see how people were given medicines. The inspector also read some of the paperwork about staff and their training, the rules they have to follow, and the records that they keep. She talked to the manager about all these things and about plans for the future of the home. The inspector would like to thank all the people at Broom Haven for their help with this inspection. What the service does well: The service is stable with residents living there for about 10 years now and the majority of the staff being long-serving. This means that they know each other well and that their needs and aspirations are catered for. This also helps the communication. All of the questionnaires returned were positive about life at the home. There is a wealth of information relating to each service user that informs the development of each persons care plan. The house is suitable for the people that live there, and is well maintained and decorated. Residents are involved in life at the home, in the routine tasks and in the decisions about future plans. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? 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. Broom Haven DS0000003127.V314502.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 Broom Haven DS0000003127.V314502.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 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Residents are treated as individuals and have a comprehensive needs assessment. EVIDENCE: There have been no new admissions of service users in Broom Haven since the previous inspection. Current residents have an up to date assessment done by the home staff, that identifies areas of need and links to the care plans. Residents are all placed through the care management system that provides an assessment, a contract, and reviews these periodically with the resident, staff and relatives if appropriate. Broom Haven DS0000003127.V314502.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, and 9 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Management and staff understand the importance of residents making their own decisions and choices. Each resident has a plan that they agree with and that is reviewed regularly. Management of risk takes into account both aspirations and limitations. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 10 EVIDENCE: The individual care plans for all 3 residents were seen and found to contain good, clear and comprehensive information. They link to the assessed needs and to the aspirations identified in the person centred plans. Each separate area had an action plan such as epilepsy or weight. Attached to the plans were records written daily or as required, and charts illustrating, for example episodes of epilepsy or monthly weight. Meals taken were recorded in a meals diary, but did not give specific information with which to make an assessment. For example, sandwich and yoghurt, does not specify the content and may have been unsuitable for the aim of the care plan, either weight gain, or weight loss. By recording more specific information it will be easier to make an assessment of whether the plan is working or should be adjusted. Each of the care plan elements were reviewed every 4 months. Some of these did not summarise that elements progress, for example, weight review was to continue to record the weight monthly and to eat a healthy diet. It did not say whether the weight had remained stable, increased or decreased and whether the diet eaten had been appropriate. This means that a care plan could continue when it is inappropriate and could do more harm than good. In discussions with staff they were so familiar with the likes, routines and progress of each resident that they had not realised that these things were not recorded. One resident is able to manage his/her own finances and the manager acts as appointee for the other two residents. Documentation supporting the financial arrangements was examined and was found to be accurate. Risks were identified, such as scalding from hot drinks, and action incorporated into the plans to minimise the risks. Broom Haven DS0000003127.V314502.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, 14, 15, 16 and 17 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. People who use this service are able to make choices about their lifestyle and are supported to develop their life skills. Residents have the opportunity to develop and maintain important personal and family relationships. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 12 EVIDENCE: The residents were undertaking responsibilities within the home, were being supported in going out into the community, working towards being independent in a number of areas, and exploring opportunities regarding employment and education. The staffing levels allow individual support at times so that the residents can do the activities they choose. Two people go out to day centres or other schemes during the week, though a very well enjoyed gardening scheme has recently stopped and this is causing concern to one person. Another person spends more time at home, but still has a programme of activities to follow. The main concern from the residents’ point of view was that they would do more activities and outings if they had more personal allowance, but this is a set amount through the care management system. The home may be able to explore other ways of increasing the activities and outings for the benefit of residents. All the residents have a good level of contact with their relatives, including visits, and telephone calls. The residents choose to personalise their bedrooms. They sometimes spend time alone in the bedroom at their choice. The lock on the bathroom door was not working and this requires fixing to ensure residents have privacy. Regular meetings provide opportunities for residents to be involved in decisions about life at the home. A holiday is one of the things planned for later this summer, which residents have been involved in planning. The residents are involved in the provision of meals through shopping, choosing, and helping to prepare meals and set the table. Staff supporting the residents to prepare meals, have had some basic food hygiene training. Broom Haven DS0000003127.V314502.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,and 20. People who use the service experience good quality outcomes in this area we have made this judgement using a range of evidence including a visit to the service. The health and personal care that people receive is based on their individual needs and preferences. Medication policies and procedures are well managed and staff have the necessary skills to administer the medication to residents, ensuring their safety and protection. EVIDENCE: Residents are generally independent with regard to their personal care, although staff provide support where needed with health care issues arranging appointments and escorting to doctors appointments. Health care plans have been developed for each resident that identify the areas of concern and how it can be managed. An audit of medication stocks and records was examined and were found to be correct. Staff have received accredited medication training provided by a local college, to ensure they have the necessary skills and knowledge to undertake this task. Broom Haven DS0000003127.V314502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. Residents are able to express their concerns, have access to a clear complaints procedure, and are supported by staff who are trained in the area of protection. EVIDENCE: The home has a complaints procedure that is available to service users and visitors that is kept in the home. The procedure is also referred to in the service users guide, identifying the stages to follow; this includes the time scales to respond to complaints. The address and telephone number of the Commission for Social Care Inspection is included in the procedure. No complaints have been made since the previous inspection. The registered manager has a copy of the Local Authorities Adult Protection procedures. They also have an Abuse Policy, which has been prepared by the owners and is incorporated into the homes policy and procedure manual. The registered manager reiterates the procedures at staff meetings and supervision and staff-training files also confirms that they have attended training in adult protection. Broom Haven DS0000003127.V314502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 30 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The home provides a clean, hygienic and safe environment to maintain the health and safety of service users. EVIDENCE: A partial tour of the building found it clean and free from odours. The home provides comfortable communal areas with a lounges/dining area and a domestic kitchen. The grounds were tidy, and accessible to the service users; appropriate seating is available for service users. The home is close to all local amenities, and service users are able to walk to Rotherham town centre. Individual bedrooms are personalised to service users own interests and hobbies and are furnished appropriately including music centres and televisions. Broom Haven DS0000003127.V314502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 34, 35 and 36 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. There are sufficient staff members with a mix of qualifications, experience and skills to support the people who use the service. A stable staff group ensures continuity of care by staff that knows the service users EVIDENCE: There is always at least 1 member of staff on duty at the home, including a sleeping person overnight. In addition the manager works during the day providing additional support as necessary and covering for holidays and other absences. There are staff meetings about 6 times a year, the last in May 2007, and minutes are kept. Staff members have the necessary skills and have achieved awards in care. Staff have mainly worked at the home for a good length of time and have good relationships with the residents. Staff spoken to said that they enjoyed working at the home, and felt part of a team who support residents at Broom Haven. An example of a supervision record recently completed demonstrated that staff are assessed in relation to their care of residents, which helps their effectiveness. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 17 The files of staff members were examined for the recruitment and training records. They had been recruited according to procedures that included obtaining satisfactory references, a Criminal Records Bureau and Protection of Vulnerable Adults Register check, to ensure the protection of service users. Evidence of training attended by each person was also included, and a record of the probationary meeting following the probationary period of employment. Training to ensure that staff have the necessary skills and knowledge in behaviour management was held following the requirement from the last inspection. In addition training in the protection of vulnerable adults and food hygiene has been carried out as required following the last inspection. Broom Haven DS0000003127.V314502.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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42. People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence including a visit to the service. The management and administration of the home is competent and respected. There are a number of quality assurance measures in place that are already influencing the practices. EVIDENCE: The home promotes a set of dignity challenge statements that are displayed for all to see, and offers a training package around what these statements mean for the residents. The registered manager, who is also the owner of the home, has considerable experience and knowledge of younger adults with learning difficulties, and has now completed the registered managers award. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 19 The registered providers hold regular house meeting with the three service users to gain their views, although communication is sometimes difficult due to their ability. They have developed a quality assurance plan, including surveys for relatives and others involved in the care of service users. These are sent out twice a year and the results presented in a chart that enables them to see what has improved or where any changes are. The registered manager has the required Health and Safety policies and procedures and maintenance and service records examined were up to date and current to the services provided. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 20 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 3 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 3 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 Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 21 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. 1. Standard YA16 Regulation 12 (4) (a) Requirement Ensure residents have privacy when using the bathroom by repairing the door lock. Timescale for action 01/08/07 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 YA6 YA6 YA12 Good Practice Recommendations Record the content of meals in order to make an assessment of whether it was suitable. Summarise each element of the care plan that is being reviewed in order to judge if the plan is appropriate. Explore ways of increasing the activities and outings for residents that feel limited by their personal allowance. Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Sheffield Area Office Ground Floor, Unit 3 Waterside Court Bold Street Sheffield S9 2LR 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 Broom Haven DS0000003127.V314502.R01.S.doc Version 5.2 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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