Inspection on 04/08/05 for Broom Haven

This inspection was carried out on 4th August 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 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Broom Haven 14/06/07

Broom Haven 26/01/06

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 Lead Inspector Val Hoyle Unannounced 4 August 2005 : 12:00 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. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Broom Haven Address 1a Broom Grove, Rotherham, South Yorkshire 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) 01709 821418 None None Mr John Tipple Mr John Tipple Care home only 3 Category(ies) of Learning disability (3) registration, with number of places Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None Date of last inspection 21-Jan-2005 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 lifeskills and leisure activities. The property is a modern four bedroom detached bungalow in a residential part of Rotherham. It has three single bedrooms, a large diner, 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 Broom Haven J55-J07 S3127 Broom Haven V179732 220705 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 conducted over 3.5 hours where a partial tour of the building was undertaken. The inspector examined three service users care plans and supporting documentation. Two service users were spoken to during the visit. The deputy manager assisted with the process while examining records, policies and procedures. What the service does well: 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 J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 6 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 Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 7 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) 2 Service users are not admitted into the home without a full needs assessment taking place by the registered manager, to ensure their needs can be met. Procedures ensure that visits take place prior to any arranged stays at the home. EVIDENCE: Discussion with deputy manager demonstrates that prospective service user are given the opportunity to visit the home on a number of occasions prior to making any decision about their stay. All service users have lived at the home for a number of years, three service users files examined demonstrated that assessments have taken place to ensure staff are able to meet complex care needs. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 8 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, 7, 8, 9. The home clearly promotes philosophies to enable residents to meet their full potential, with clear care plan instructions and comprehensive risk assessments to maximise their safety and protection. EVIDENCE: The registered manager operates ‘Person Centred Plans’ for two of the service users who attend training centres. These are formally reviewed every four months. The reviews may take place either at the home or at the day centre and are used to coordinate activities at the centre and aims and dreams within the home setting. There is also a comprehensive individual plan for each service user, that is user friendly. They are well written with a daily entry made recording any significant events. These plans describe in detail the intervention required to meet their needs. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 9 Regular house meetings are held to discuss issues relating to the running of the home and to agree activities. One service user is able to manage his/her own finances and the manager acts as appointee for the other two service users. Documentation supporting the financial arrangements was examined and was found to be accurate. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 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, 14, 15, 16, 17. Where appropriate service users are encouraged and supported to develop independent living skills. Social and leisure activities are provided at the home for service users, to maintain and develop independent living skills, supported by an informed staff group. Service users are helped to maintain links with family members, with weekend and evening visits, as agreed in their care plans. Dietary needs of service user are well catered for with a varied selection of food available that meets service users tastes and choices. EVIDENCE: Service users are encouraged and supported to maintain links with the local community and two regularly attend a local group at ‘the meeting place’ organised by Mencap. Two service users have recently had a five-day holiday Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 11 break at Blackpool organised and staffed by Mencap. Two service users continue to attend local training centres during the week, and the home has information about the activities for each day they attend. Service users are encouraged and supported to undertake routine tasks around the home including preparing vegetables and washing the pots. Service users are also encouraged and to tidy their own bedrooms and change their own beds. Service users are encouraged and supported to maintain links with family members and spend time visiting either with support from staff or independently. One service users has recently spent time at his/her parents to attend a family wedding. Mealtimes are organised around the routines of the service users and the main meal is provided at teatime when it is expected that all service users will be at home. Packed lunches are provided for those service users who are out for the day and service users are encouraged and supported to make their own lunch. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 12 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, 19, 20. Staff provides sensitive personal support to ensure privacy dignity and independence is maintained for all service users. Medication policies and procedures are well managed and staff have the necessary skills to administer the medication to service users, ensuring the safety and protection of service users. EVIDENCE: Service users were referred to by their first name and this was with the approval of service users. Staff have the necessary knowledge and skills to ensure appropriate intervention with regard to personal tasks are undertaken. There is a small staff group who have equal responsibility for each service user. The deputy manager is able to make the necessary arrangements for dealing with health care issues, including doctors and hospital appointments. An audit of medication stocks and records was examined and were found to be correct. All staff has received accredited medication training provided by a local college, to ensure they have the necessary skills and knowledge to undertake this task. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 13 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, 23. Service users are provided with information to enable them to raise concerns about the home and their care. Adult Abuse Policies and procedures and training of staff on abuse ensure the protection of service users from abuse EVIDENCE: The registered manager has a Complaints procedure, which is displayed on the wall in the entrance area of the home so that everyone is aware of it and states how complaints will be dealt with. There have been no complaints, which have required investigation, and this was confirmed by examining the procedure file. The policy is promoted to service users through discussion at care plan reviews and Advocacy Services are available to assist service users with any concerns. 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 deputy manager reiterates the procedures at staff meetings and supervision and staff training files also confirms that they have attended training in adult protection. The registered manager ensures that all the necessary checks are carried out on new staff for the protection of vulnerable adults. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 14 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, 30. The home provides a well-maintained safe environment suitable for service users. The home provides a clean and hygienic 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 J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 33, 34, 35. Staff have the necessary skills and knowledge to meet the needs of service users. There is an effective staff team with regular meetings and supervision ensures staff are kept informed about the services provided. Recruitment policies are followed ensuring the safety and protection of service users. EVIDENCE: Staff are organised to ensure there are sufficient to meet the needs of service users who spend their time at the home during the day. Staff have the necessary skills and have achieved awards in care. Staff have worked at the home for a good length of time and have good relationships with the service users. The staff is able to communicate with service users by using Makaton signing. Staff access distance learning course to ensure refresher training is undertaken. Discussion with the deputy manager indicated that staff have not received any formal training to deal with challenging behaviour, therefore staff must attend a behaviour management course to ensure they have the necessary skills to deal appropriately with service users. The managers have responsibility for the recruitment of staff and there is currently one vacancy, and the person appointed is awaiting the required clearance from the CRB check and references. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 16 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) 37, 42. The home is well managed to ensure the safety and protection of the service users. Staff and service users follow health and safety procedures and records provide evidence of servicing of essential equipment. EVIDENCE: The registered manager, who is also the owner of the home, has considerable experience and knowledge of younger adults with learning difficulties. The registered manager is working towards the registered managers award and the deputy manager has attained the award along with NVQ Level 4 in management. The deputy manager has indicated that she is considering making an application to be the registered manager at Broom haven, as she is mainly in charge of day-to-day operations at the home. 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 J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 17 Fire safety procedures are in place and service records were examined and were current. Staff training records examined indicated that fire training has taken place. Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 18 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 3 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 3 3 3 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 3 3 3 3 Standard No 31 32 33 34 35 36 Score x 3 3 3 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Broom Haven Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x x x x 3 x J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 19 YES 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 YA35 Regulation 18 Requirement The registered provider must ensure the staff have the necessary knowledge and skills in behaviour management Timescale for action 1 December 2005 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 Broom Haven J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 20 Commission for Social Care Inspection First Floor Barclay Court Heavens Walk Doncaster DN4 5HZ 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 J55-J07 S3127 Broom Haven V179732 220705 Stage 4.doc Version 1.40 Page 21 - 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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