Care Home: Broadmead Rest Home

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Annual service review Name of Service: Broadmead Rest Home The quality rating for this care home is: The rating was made on: two star good service 1 1 0 1 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.   Has this annual service review changed our opinion of the service?   No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Tracey Horne Date of this annual service review: 1 1 0 3 2 0 1 0 Annual Service Review Page 1 of 7 Information about the service Address of service: Broad Layings Woolton Hill Newbury Berkshire RG20 9TS 01635253517 01635254489 broadmead@dsl.pipex.com Telephone number: Fax number: Email address: Provider web address:   Name of registered provider(s): Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Broadmead Rest Home Limited Number of places (if applicable): Under 65 Over 65 38 38 0 0 0 38 The maximum number of service users to be accommodated is 38 The registered person may provide the following category of service only: Care home only (PC) to service users of the following gender: Either whose primary care needs on admission to the home are within the following category: Old age, not falling within any other category (OP) Dementia (DE) Mental disorder, excluding learning disability or dementia (DE) Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service None 1 1 0 1 2 0 0 9 Annual Service Review Page 2 of 7 Broadmead, is a privately owned and managed care home providing personal care and accommodation for up to thirty eight persons in the categories( OP) older persons,(DE) dementia and MD(E) mental disorder (over 65 years) in twenty two single and eight shared rooms, two of which have en-suite facilities. The home which comprises a large old house and a newer single storey extension, is set in a large mature garden situated in a quiet, rural area on the Berkshire/ Hampshire border close to the town of Newbury. A small post office is within easy walking distance but other community amenities are some distance away requiring transport to access them. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review: What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last Key Inspection (KI) 11/01/09. This included the Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. We sent surveys to ten service users, ten relatives, ten staff, six health and social care professionals and six care managers. The following were returned, seven staff, six relative/advocate and four health and social care professionals. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. We considered the previous Key Inspection. What has this told us about the service? The service sent us their AQAA when we asked for it. It had been completed fully and was very informative. The AQAA states that thirteen service users have been admitted since the last KI, bringing the total number of service users to thirty six. One person was admitted on a short term basis for intermediate care and two service users were discharged. Individual care plans are discussed and reviewed with service users involvement and relatives are encouraged to be involved. The service hasnt received any complaints. No safeguarding referral has been made, or investigations taken place. All policies and procedures have been reviewed. All seventeen staff have achieved, or are undertaking National Vocational Qualification (NVQ) 2 or above. The service has identified in their AQAA the following areas that have improved; all care plans have been revised. Replaced double glazing where needed. In the process of upgrading fire doors in the Annexe building. Tightening up on security measures by having key pads fitted on all main doors and generally working towards our ongoing maintenance programm. The service has identified in their AQAA the following areas for improvement; looking to introduce raised flower beds so that the more active service user can participate in outside/gardening activities. Whilst all staff have been trained with regard to the Mental Capacity Act/ Deprivation of Liberty, (DoLS) this training is ongoing. Continue to encourage service users and their representatives to become more involved in the reviewing of care plans. Each relative who responded to our survey agreed the service provided enough information about the home before their relative moved in, which enabled them to decide if it was the right place for them. All four health and social care professionals who responded to our survey agreed the service gathers accurate information to ensure the right service is planned for people. Annual Service Review Page 4 of 7 All relatives who responded to our survey agreed that the service meets their relatives needs and responds to the different needs of individuals living there. Four health and social care professionals also agreed and stated that the service seeks advice and acts upon the advice given to improve individuals well being, and respects peoples privacy and dignity. All staff who responded to our survey agreed to a CRB and references being carried out before they started work. Relatives agreed the service keeps the up to date with important issues effecting their relative and they all agreed to knowing what to do if someone has concerns about the home, and the service has responded appropriately when concerns have been raised. All health and social care professionals agreed and stated that the manager and staff have the right skills and experience to support peoples social and healthcare needs. All relatives who responded to our survey stated the home is always clean and fresh. When asked if there are enough staff to meet individuals needs, five staff ticked always and two usually. All ticked always to feeling they have the right support, experience and knowledge to meeting the different needs of people. Each relative agreed. All staff ticked very well to induction covering everything they needed to know, and all agreed they have been given enough training that is relevant to their role and helps them to understand individuals needs, and keeps them up to date with new ways of working. The majority of staff surveyed stated that the manager meets with them regularly to discuss how they are working. The following comments were made when asked what the home does well:Delicious food, activities are good, warm atmosphere, liaise with GPs and district nurses. The staff are welcoming and helpful. Provides individual care, treating all with respect and dignity at all times. Staff interact well with service users and relatives. Everyone works well as a team, A good example of how a residential care home should be providing good all round care to service users within the care setting.Food is excellent, Service users are always well presented, staff are always welcoming-carry on the good work. Provides a very caring environment.The staff are fantastic and take care of my relative. Broadmead provides a caring, happy, friendly, supporting and professional attitude towards my relative. There is a definite family approach afforded to all service users as opposed to an institutional regime found in some services. All staff are readily approachable, are kind, caring and supportive. Both the manager and deputy are brilliant, always friendly, I can rely on them to inform them immediately if there are any problems with my relative.I am always made to feel welcome, my relative is always clean and tidy, enjoys the food and any entertainment that is put on. We are very happy with the care our relative receives.We make infrequent visits and our relative is always well cared for and full of life and humor, which we interpret as contentment. Provide good fresh home cooked food and a warm safe home fore people. Excellent management. Broadmead provides a warm, clean and friendly place to be. Managers can be contacted at all times if not working at the service. Provides regular motivation and musical activities and make sure staff interact with service users. The following comments were made when asked what the home could do better: Laundry could be improved. A little more care taken with personal belongings so that Annual Service Review Page 5 of 7 things dont get lost or broken. The service continues to notify us of things that have happened since our last key inspection. The last key inspection stated people using this service experience good quality outcomes. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 11 January 2011. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information Document Purpose: Author: Audience: Further copies from: Annual service review CQC General Public 0870 240 7535 (national contact centre) Our duty to regulate social care services is set out in the Care Standards Act 2000. The content of which can be found on our website. 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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