Inspection on 10/05/06 for Broughton House

This inspection was carried out on 10th May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 but made no statutory requirements on the home.

Other inspections for this house

Broughton House 22/09/08

Broughton House 18/10/07

Broughton House 19/02/06

Broughton House 27/09/05

Broughton House 01/03/05

Broughton House 09/11/04

Broughton House 12/02/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE Broughton House Park Lane Salford Manchester M7 4JD Lead Inspector Richard Dankwa Key Unannounced Inspection 10 May 2006 11:30 X10015.doc Version 1.40 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 Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 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 Older People. 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. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Broughton House Address Park Lane Salford Manchester M7 4JD 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) 0161 740 2737 Broughton House, Home for Disabled ExServicemen Mrs Lisa Connolly Care Home 50 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. Only ex-servicemen can be accommodated. Up to 50 service users requiring nursing or personal care may be accommodated. Minimum nursing staffing levels as specified in the Notice issued in accordance with Section 25(3) of the Registered Homes Act 1984 shall be maintained for those service users receiving nursing care. Staffing levels in accordance with the Residential Forum Guidance shall be maintained for those service users requiring personal care only in addition to the minimum nurse staffing levels. 19th February 2006 Date of last inspection Brief Description of the Service: Broughton House is a large detached Victorian property, which is registered to provide residential and nursing care services for up to fifty ex service men. Accommodation is provided on two floors with eight shared and thirty-four single rooms. All shared rooms have en-suite facilities that include a walk in shower and a large proportion of single rooms also offer the same en-suite facilities. There are several lounge areas around the home including a smoking lounge and a non-smoking lounge. A large dining room with bar facilities is situated on the ground floor, which also doubles as a social area. The home is suitable for wheelchair users and has a lift to assist residents to the first floor. There are a number of assisted bathrooms around the home. There is a physiotherapy room on the ground floor and the home employs its own physiotherapist three days a week. The home employs an activities co-ordinator who provides activities. Broughton House currently charges between £355.52-£416.30 per week. There are additional cost for nursing placements that are between £40-£133 per week, hairdressing, bar and shop, newspapers, toiletries, holidays and activities. Broughton House is located in a residential area within ten minutes’ drive of Manchester and Salford. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection visit that took place on 10 May 2006. The manager of the home was present during the visit. The opportunity was taken to speak to some of the residents, relatives and staff. Observations were also carried out as to how the staff supported the residents. The paperwork kept at the home was examined. Also when anything important happens at Broughton House for example accidents or major incidents, the home informs the Commission for Social Care Inspection so some of the information that helped to write this report was received before the inspection visit as well as information from the last visit. The majority of the areas identified during the last inspection had been carried out. Other areas needing improvements were identified during this inspection visit. The previous report should be read together with this one to get a better picture of the care being provided at the home, as the Commission for Social Care Inspection only looked at the key standards during this inspection visit. What the service does well: What has improved since the last inspection? What they could do better: Staff records indicated that the staff do not receive regular supervision. To further provide good care to the residents the home must ensure that all staff Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 6 receive regular supervision. A requirement was made during the previous inspection regarding this. The home has a system in place to seek the views of the residents and to allow them to contribute to the running of the home however; the home is not doing so. To enable improvements to be made where needed and to allow the residents to contribute to the running of the home, the home must find out from the residents what they think of the care being provided at the home. Fire safety records examined revealed that weekly fire checks had not been carried out for sometime. To ensure the safety of the residents the home must ensure that weekly fire checks are carried out and to make sure that safety records required to be kept at the home are in place. 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. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3 & 6. The quality in this outcome area is good. This judgement was made using available evidence and a visit to the home. Prospective residents are fully assessed before an offer of a place is confirmed. EVIDENCE: The sample of files of recently admitted residents to the home that were examined indicated that the needs of prospective residents are assessed before an offer of a place is confirmed. A pre-assessment form was in place to enable the manager or a qualified person to do this. The assessments were thorough and it allowed the home to put the appropriate care plans in place to support the residents. This included full personal details, medical history, personal hygiene, dressing and undressing, elimination, breathing, mobilizing, communication, rest and sleep. The home does not provide intermediate care. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10. The quality of this outcome area is good. This judgement was made using available evidence and a visit to the home. The care needs of the residents were recorded enabling the staff to meet the assessed needs of the residents. The staff treated the residents with respect and promoted their independence. The medication procedures were adequate and appropriate to meet the needs of the residents. EVIDENCE: The care needs of the residents were assessed and recorded enabling the staff to meet the assessed needs of the residents. The medication procedures were adequate and appropriate to meet the needs of the residents. The staff treated the residents with respect and promoted their independence. There are up to date policies and procedures in place for the handling and administration of medication. Medication was stored appropriately and hand written recordings on the Medication Recording Sheets (MAR) were signed and dated satisfactorily. The residents who manage their medication had the appropriate procedure in place to help them do so and the home ensure that Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 10 their medication are appropriately labelled with a description of the medication contained. The residents have individual risk assessments in place regarding self-medication. Observations during the inspection revealed that the staff assisted the residents and supported them respectfully and promoted their independence. The staff talked to the residents at all times and explained to them what they were doing whilst assisting them. The staff encouraged the residents to do as much as possible for themselves. The residents who were spoken to also confirm that they were treated and supported respectfully. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above 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. The quality in this area outcome is good. This judgement was made using available evidence and a visit to the home. The residents find the lifestyle experienced in the home matches their expectations and preferences. The residents are supported to maintain contacts with their relatives and friends, and also to pursue social and leisure activities. The home continues to provide wholesome balanced diet. EVIDENCE: The home supports the residents to meet their individual lifestyles. There is an activity organiser in place who usually coordinates social and leisure activities. Whilst the home encourages all the residents to participate in activities the residents choose whether to do so or not. The residents said that they regularly visit places of interest and sometimes attends air shows using the home’s two mini buses. There is a bar and a shop at the home for the residents to enjoy and some of the residents visit the local pubs. The home organises concerts on a weekly basis. The home has an open visit policy that allows the relatives and friends of the residents to visit at anytime during the day. The residents are able to receive their visitors in private. There were visitors at the home during the inspection visit and they said that they are made welcome at all times. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 12 The home ensures that those residents who do not have relatives have access to advocacy groups such as ‘Not Forgotten Association’. They also use the social services to ensure that residents’ interests are safeguarded. The home provides wholesome and appetizing meals. There was a menu in place that offered choice. Specialist diets were also catered for such as low fat diets and sugar free diets. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 13 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18. The quality of this outcome area is good. This judgement was made using available evidence and a visit to the home. The home has policies and procedures in place for managing complaints and the residents and their relatives are confident that the home will deal with their complaints appropriately. The policies and practices of the home safeguarded the residents from harm or abuse. EVIDENCE: The home has a complaint logbook for recording all complaints received at the home. The residents and their relatives who were spoken to said that they know how to make a complaint. The Commission for Social Care Inspection had not received any complaints about the home. Policies and procedures were in place to help the staff protect the residents from harm or abuse. The staff who were spoken to were aware of how to deal with an allegation of abuse and had an understanding of potential indicators of abuse. The home provides good training regarding the protection of vulnerable adults and the majority of the staff have received this training. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19 & 26. The quality in this outcome area is good. This judgement was made using evidence available and a visit to the home. The home appeared safe, and the residents lived in a clean and wellmaintained home. EVIDENCE: There is a programme in place to refurbish and redecorate the home and this is on going. All the rooms that were looked at were well maintained and decorated to a high standard. The home was clean, hygienic and tidy. It was free from unpleasant odours. The grounds were well maintained and free from hazards and the residents were enjoying it at the time of the inspection visit. The grounds are accessible to all residents. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30. The quality in this outcome area is good. This judgement was made using evidence available and a visit to the home. The home ensures that the right people are employed to look after vulnerable people. The staff receive the necessary training required to help them perform their duties appropriately. EVIDENCE: The staff rotas that were looked at revealed that the skill mix and numbers of staff on each shift was sufficient to meet the needs of the residents. The home had robust recruitment policies and procedures in place that ensured that the right people are employed to look after vulnerable people. The sample of the staff files examined showed that the home had all the required information needed to be kept regarding people working at care homes. These included application forms, references, Protection of Vulnerable Adults checks (POVA) and Criminal Records Bureau checks (CRB), photo identity, training received, accidents, birth certificates and contracts. The home has a training programme in place to ensure that the staff received the necessary training to further enable them to perform their duties fully. Discussions with staff and also records found in staff files indicated that the staff receive the necessary training required. Training received by staff included NVQ Levels 2, POVA, Moving and Handling, Induction, Fire Prevention, Emergency Life Support, Administration of Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 16 Medicines, Dementia Awareness, Falls Awareness, Nutritional Support and Continence Care. Planned training this year included First Aid, Huntington’s Disease and Wound Care. The home generally has a good training programme in place that ensured that all staff receive the necessary training they require. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 17 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35, 36 & 38. The quality of this outcome area is adequate. This judgement was made using evidence available and a visit to the home. The policies and procedures that are in place ensure that the well-being of the residents is protected, however the weekly fire safety checks had not been carried out for sometime. The staff did not receive regular supervision the views of the residents on the home’s practices and routines were not being sought. EVIDENCE: The manager runs the home well and the staff who spoke said that the manager discharges her duties appropriately. The home has the procedures in place to find out from the people who use the service what they think of it, however there was no evidence to suggest that this was being done. To ensure that the home delivers a good quality service the home must find out from the people who use the service what they think of the care being provided. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 18 The home has policies and procedures in place to manage the finances of the residents. The Commission for Social Care Inspection was notified of an incident in which a resident’s monies went missing. The home followed their own policies and procedures and also the local adult protection procedures appropriately regarding this matter and the investigation is on going. Discussions with the staff revealed that they received the support required to do their duties. However, there was no evidence that all staff receive formal supervision. The home must ensure that the staff receive regular supervision to further help them perform their duties appropriately. This had been a previous requirement at previous inspection visits. There are health and safety policies and procedures in place to protect staff and residents. There was an accident book in place to record all accidents and this was monitored. Examination of the fire logbook indicated that the weekly fire checks have not been carried out for a number of weeks. The manager gave the reason for this lapse. However, a requirement was made for the home to ensure that regular fire checks are carried out. The home could not locate the electrical certificate during the inspection visit. A requirement was made to ensure that records regarding the safety of the home are available at all times. Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 19 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X 3 2 X 2 Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 20 Are there any outstanding requirements from the last inspection? Yes 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 OP33 Regulation 24 (3) Requirement Timescale for action 20/07/06 2. OP36 18(2) 3. OP38 23 (4) The registered person must find out from the residents what they think of the care being provided and to enable them to contribute to the running of the home. The registered person must 30/07/06 ensure that all care staff receives formal supervision at least six times a year. (Timescale of 01/02/06 not met.) a) The registered person must 20/06/06 carry out checks of fire alarm and fire safety checks regularly. b) The registered person must also ensure that records regarding the safety of the home are available at all times for inspection. 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 Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 21 Commission for Social Care Inspection CSCI, Local office 9th Floor Oakland House Talbot Road Manchester M16 0PQ 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 Broughton House DS0000006702.V293312.R01.S.doc Version 5.1 Page 22 - 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. 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