Care Home: 32a Broadgate Lane

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What the care home does well We observed that staff were friendly and helpful to people who live in the home and respected their dignity. Relatives were very positive as to the excellent care provided by the service. Management are supportive to staff to ensure staff can offer their best in providing care to people lived in the home. Staff training is detailed and comprehensive so staff have the skills to offer the best possible care. There is an annual development plan to develop initiatives to improve the service. What the care home could do better: Any potential restriction for a person needs to be referred to the appropriate Mental Capacity Team to ascertain that this is in their best interest. Staff must refer to medical services if people sustain a potentially serious injury.The Complaints Procedure needs to state that complainants have the option of going to the local Adult Services Department, who is the Lead Agency, not the CQC. Door frames and skirting needs to be painted so that an attractive environment is maintained. It is recommended that tracking for hoists is extended to go from people`s bedrooms and two bathrooms, as needed. It is recommended that staffing is increased to ensure that people can go out, which will help in offering them more stimulating activities. All staff must be aware of the full safeguarding procedure. If another safeguarding incident happens we must be informed as soon as possible as to how management have dealt with this situation, including referral to the Lead Agency. Random inspection report Care homes for adults (18-65 years) Name: Address: 32a Broadgate Lane 32a Broadgate Lane Deeping St James Peterborough PE6 8NW two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Keith Charlton Date: 0 3 0 6 2 0 1 0 Information about the care home Name of care home: Address: 32a Broadgate Lane 32a Broadgate Lane Deeping St James Peterborough PE6 8NW 01778380522 Telephone number: Fax number: Email address: Provider web address: donnamarie.smith@sense.org.uk www.sense.org.uk Name of registered provider(s): Name of registered manager (if applicable) Donna Smith Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sense, The National Deafblind and Rubella Association care home 6 Number of places (if applicable): Under 65 Over 65 0 sensory impairment Conditions of registration: 6 Condition of Registration All six service users must have a learning disability and either a physical disability or sensory impairment. Date of last inspection Brief description of the care home The last key inspection of this service took place on 4/7/2007. 32a Broadgate Lane is a purpose-built, single storey specialist care home for six adults with sensory, learning and physical disabilities. On the day of the inspection the home was fully occupied. The home is situated in a residential area in the village of Deeping St. James in South Lincolnshire and is 8 miles equidistant from Peterborough, Bourne, Stamford and Spalding. There is a garden to the rear of the property, with sensory areas and pathways for wheelchairs, and space for car parking to the front. The building is owned Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home and partly maintained by South Kesteven District Council. The service users in the home are very dependent and some of them have lived in the home since it opened in 1996. The home is one of a number of homes in the Deepings area, which is managed by SENSE East. Fees are from £1864 to £2027 per week. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The key rating for 32a Broadgate Lane is good. We looked at the following issues: Because of the nature of their sensory conditions we were unable to speak to people live in the home. We spoke to three staff and the Registered Manager. We also observed the interaction between staff and people who live in the home. We received surveys from three relatives, who were very satisfied with the standard of care provided by the staff in the home. We observed that staff were helpful and caring towards people. We spoke to three staff members, and we saw from three surveys submitted from staff, who all agreed that the standard of care supplied to the people who live in the home, and the level of support that staff receive from management, was of a high level. We spoke to staff members about what they would do if they thought that abuse had taken place to a person who lived in the home. It was known what to do if the management of the home had not taken proper action in terms of contacting an outside agency but staff were unsure as to all other relevant agencies that could have been contacted, such as the Police and the CQC, were not fully known. The Registered Manager said that this would be followed up with staff, and a short procedure would be displayed for reference for them. A recent incident had occurred in the home, and whilst this was followed up by an internal investigation, this was not reported to us. The Registered Manager said that the Lead Agency, the local Adult Services Department, who are responsible for coordinating the action, were informed and were satisfied with the action taken and she would ensure that we were informed of what occurred in this situation, and to quickly inform us of such situations if they occur in the future. We looked out the complaints procedure of the service. This stated that the complainant should use the internal procedure of the service, and did not give an option at this stage, to go to the Lead Agency, and stated that the Lead Agency was the previous Care Commission, and not the proper Lead Agency, which is the local Adult Services Department. We looked at accident records, which showed that there was not always a proper referral to medical services for a person that has had a potentially serious injury. The Registered Manager stated that this would be done in the future. We looked at a persons care plan. This shows us in detail as to persons needs and how they would be met. There was a behavior care plan which detailed a restriction if this person refused to eat his evening meal. The Manager said she would refer this situation to the Mental Capacity Team to ascertain whether the restriction was in this persons best interests and so valid in terms of this persons care. We received information that a review of the Care plan had taken place and guidelines state that it is this persons choice as to whether he wishes to eat or not. We observed whether there were activities in the home. In the morning period when we visited we did not observe any activities from the three people who were in the home. Staff said that there were a number of activities and we observed a room where art work was carried out. We saw in care plans that people went out to groups to have daycare Care Homes for Adults (18-65 years) Page 4 of 9 where they had activities, and in a care plan stating what the person did on community days, when he was in the home. We had a tour of the home. There was evidence that new flooring had been installed and the Manager said that tracking hoist had been installed in one persons bedroom and another would be installed in another persons bedroom in the near future. There was one comment in a staff survey that said when it was identified that specialist equipment was needed to meet care needs, this often took a long time from the service to receive this. The Manager stated that there were no outstanding individual items that were needed at present. We saw damaged framework to door frames and skirting boards. There was one comment that tracking is needed from some peoples bedrooms to the bathrooms as door frames are damaged by shower chairs when accessing the room, as the door frames are not wide enough to comfortably accommodate people going into the rooms on shower chairs. We found that the home was clean and there were no odours. There was also evidence of the garden being well maintained, with raised garden beds so that people with disabilities can access gardening, and there was a rope rail that is used to access the garden. The garden looked well maintained. We received comments that staff hours had been reduced and if people wanted to go out this would often not be possible because staff were not available, especially in the evening and at weekends. The Manager said that extra staff were available at the weekend so that people could go out to partake in activities, but acknowledged that this cover did not cover all times that people may need to go to outside activities. We saw the lunch supplied to people. This appeared to lack healthy eating choices, such as vegetables, salad or fruit. The Manager said that she would ask staff to record what vegetables are being served so as to evidence that healthy eating choices are available. What the care home does well: What they could do better: Any potential restriction for a person needs to be referred to the appropriate Mental Capacity Team to ascertain that this is in their best interest. Staff must refer to medical services if people sustain a potentially serious injury. Care Homes for Adults (18-65 years) Page 5 of 9 The Complaints Procedure needs to state that complainants have the option of going to the local Adult Services Department, who is the Lead Agency, not the CQC. Door frames and skirting needs to be painted so that an attractive environment is maintained. It is recommended that tracking for hoists is extended to go from peoples bedrooms and two bathrooms, as needed. It is recommended that staffing is increased to ensure that people can go out, which will help in offering them more stimulating activities. All staff must be aware of the full safeguarding procedure. If another safeguarding incident happens we must be informed as soon as possible as to how management have dealt with this situation, including referral to the Lead Agency. If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Adults (18-65 years) Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action 1 8 13 Medical services must be referred to in the event of a potentially serious injury. To ensure peoples heath is protected. 03/07/2010 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No Refer to Standard Good Practice Recommendations 1 8 People need to be referred to the Mental Capacity Team if there is a restriction on their behavior, to ensure this is in their best welfare interests. Staff need to be aware of the full safeguarding procedure, and any safeguarding referral needs to be reported to us. Paintwork should be maintained and hoist tracking extended ot door frames widened, to improve peoples accessibility to facilities. Staffing needs to be reviewed to ensure that people have the opportunity to go to outside activities. 2 3 16 19 4 27 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. 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