Latest Inspection
This is the latest available inspection report for this service, carried out on 24th July 2008. CSCI found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Broadpark House.
What the care home does well Broardpark House is a family based care home that provides people with a comfortable, well maintained and homely environment. Mrs Emery and her husband provide the care and support, and the people are included in family occasions. One person said `` we are just like a family here, it is a very nice home indeed.`` Another said `` I love it here, they look after us very well, I don`t want to go anywhere else.`` Individuals are supported to be as independent as possible and their personal, health care and social needs are well met. Each person has a plan of care that shows how support is provided and this is reviewed on a monthly basis.Individuals who live at Broardpark House are supported to access the local community and take part in the daily routines of the home. Meals are planned to take into consideration individual likes and dislikes. They do not have a formal weekly menu plan, but do record what meals have been offered. One person said `` the meals are very good, best I have ever had.`` What has improved since the last inspection? Plans of care are reviewed more regularly and show how individuals` personal, health and social needs are being monitored and any changes to support is clearly identified. CARE HOMES FOR OLDER PEOPLE
Broadpark House Belmont Road Ilfracombe Devon EX34 8DR Lead Inspector
Jo Walsh Unannounced Inspection 24th July 2008 10:00 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 Broadpark House DS0000022141.V365908.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 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. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION
Name of service Broadpark House Address Belmont Road Ilfracombe Devon EX34 8DR 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) 01271 864752 NO FAX Mrs Elizabeth Emery Mrs Elizabeth Emery Care Home 4 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (4), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (4), Old age, not falling within any other category (3) Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 3. To accommodate one person (named elsewhere) outside the categories of registration The maximum number of placements including that named individual will be 4 On the termination of the placement of the named person, the registered person will notify the Commission in writing and the particulars and conditions of this registration will revert back to the original categories of registration and number of service users 26th July 2007 Date of last inspection Brief Description of the Service: Broadpark House is a large, detached, Georgian House, standing in its’ own grounds, in a residential area on the outskirts of Ilfracombe. Broadpark House is away from the road and is approached by its own level driveway, parking for visitors and staff is provided to the front of the home. The service provides twenty-four hour care and support for two older people and one younger adult - all with a history of learning disability and / or mental health problems. Although the home is registered for 4, the owners do not intend taking on another resident. Sympathetic refurbishment work has been ongoing and continues, restoring the house in keeping with its’ original style, the rooms that have been completed are of a high quality. Local facilities and amenities are within walking distance of the home and are used by the ladies at Broadpark House. The fee range from £250 to £363. A copy of this report will be placed on the residents’ notice board in the kitchen. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This inspection took place during a weekday in July. The registered provider/manager was available throughout the inspection and time was spent with the three people who live at the home, to gain their views on what it was like living at Broadpark House. All three people have lived at the home for many years and consider this to be their home and that they are part of ‘’the family.’’ One survey was returned from the local health centre and the doctor completing this gave positive feedback about the home. Surveys were not sent to the people who live at the home as their views were sought during the inspection. The registered provider was asked to complete some information prior to the inspection, which tells us how they maintain the environment, work with the people who live their to include them in the decision making processes and what training has taken place. This information helps to inform the inspection process. What the service does well:
Broardpark House is a family based care home that provides people with a comfortable, well maintained and homely environment. Mrs Emery and her husband provide the care and support, and the people are included in family occasions. One person said ‘’ we are just like a family here, it is a very nice home indeed.’’ Another said ‘’ I love it here, they look after us very well, I don’t want to go anywhere else.’’ Individuals are supported to be as independent as possible and their personal, health care and social needs are well met. Each person has a plan of care that shows how support is provided and this is reviewed on a monthly basis. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 6 Individuals who live at Broardpark House are supported to access the local community and take part in the daily routines of the home. Meals are planned to take into consideration individual likes and dislikes. They do not have a formal weekly menu plan, but do record what meals have been offered. One person said ‘’ the meals are very good, best I have ever had.’’ 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. The summary of this inspection report can be made available in other formats on request.
Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 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 Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals have their needs fully assessed to ensure all their needs can be met. EVIDENCE: The registered provider has not had any new people move into the home for many years and she does not intend to admit any further people. There is information available to show that the funding authority responsible for their placements assessed those individuals who have lived at the home for some time. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7,8,9,10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ health personal and social care needs are well met in a way that respects their dignity and right to privacy. EVIDENCE: During this inspection all three plans of care were looked at and discussed with the provider. Plans are simple but give clear details of individuals’ needs and how they are supported. Reviews are completed and show nay changes to individuals care and support needs. All three individuals said they were given the care and support they needed. One person needs personal care support and they confirmed this was done in a way they preferred and wished. ‘’Liz helps me have a lovely bath, she takes care of us very well.’’ The two other people also confirmed that care and support was provided in a respectful manner. One person said ‘’ We can do as we please, we like to get up a bit later, and have our breakfast in our rooms, we sometimes help with some dusting and we can choose when we go out.’’ Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 10 Only one person is on any medication and they have been risk assessed to self medicate. The home does have lockable storage should they need to administer medications and are aware of how this needs to be recorded. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12-15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Broardpark House have choice and control in their lives and are enabled to stay in contact with family and friends. EVIDENCE: The people who live at Broardpark House are supported to take part in social activities both in and outside of the home. One person attends a local day service, two are able to access the local community independently and two go out for lunch and shopping trips. All the people who live at the home said they were happy with the daily routines of the home, and enjoyed the activities they participated in. The registered provider said that they provide transport or taxis if there is an activity or event people want to attend. Visitors are welcomed at any time, one persons family come to stay on occasion at the home to visit their relative. All three people said that they know all the registered providers family and feel part of this extended family. The home offers a choice and range of meals and because the home is small, they have a good knowledge of individuals’ likes and dislikes, which is taken into consideration when planning meals. All the people who live at the home said they enjoyed the meals provided.
Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16,18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individuals’ views and concerns are listened to and acted upon. EVIDENCE: The home have a stated complaints procedure and all three people who live at the home were asked if their views are considered and could they make any concerns known. All three said that they could talk to the provider, one commented ‘’No need to complain, everything is good here, best home I have ever been in.’’ The provider does not now employ anyone else to help provide the care and support. She is aware of what to do if she suspects abuse, and has the contact details for social services and CSCI. Since the last inspection, records of receipts and transactions of purchases on behalf of individuals have not been well maintained. The registered provider is reminded that it is imperative that a good audit trail is kept to protect individuals and herself from being accused of mismanaging monies on behalf of individuals. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19,26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Broardpark House have a clean, homely and wellmaintained environment to enjoy. EVIDENCE: During this inspection most of the communal areas were seen and all of the bedrooms. The home is clean and comfortably furnished. People have personalised their rooms and all said they were very happy with the accommodation they have. One person said ‘’ I like to help keep my room nice by polishing and dusting.’’ Although the registered providers do not have a written programme of maintenance and renewal of the fabric of the building, it is clear that the home is well maintained and kept to a good standard of decoration and refurbishment. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27-30 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Individuals’ needs are met by staff that know them well, but further training should be implemented to ensure that all care practices are safe. EVIDENCE: All of the care is provided by the registered provider and her husband who have known the people who live at the home for many years. They have a good understanding of the needs, wishes and preferred routines of individuals and provide care and support in a caring and supportive way. They still have not had updated training in things like basic food hygiene, first aid and infection control. Although they have been caring for many years training in these areas would ensure they are aware of up to date practices to provide care and support safely. The registered provider no longer employs anyone to assist with care and support of the people who live at the home. She is aware of employment procedures and ensuring checks are completed, should she decide to take any other staff on. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,35,38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home is run in the best interests of the people who live there, but some improvements in training is needed to ensure health and safety is promoted. EVIDENCE: The registered provider has been providing care for the people who live at the home for many years. One individual has been with her for 30 years. She has a good knowledge of the needs of the people who live with her and together with her husband they provide the majority of the care and support. The home does not have a formal system for ensuring the views of the people who live there is recorded, i.e. a quality assurance programme, but informally they spend time each day chatting to individuals to ensure they are happy with
Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 16 the service provided. All three people who live at Broardpark House said that they were given opportunities to talk to the providers and believed their views were listened to. The Home is well maintained and the AQAA shows how they ensure health and safety is maintained, with regular checks on equipment and fire appliances. Although no dates were provided, they provider has stated that checks have been completed. The registered provider has not undergone any updated training in areas of health and safety, such as basic food hygiene, first aid, infection control or fire training. This has been highlighted in previous reports and ways this could be achieved have been discussed with the provider. The provider is aware of good hygiene practices and says she is able to support the one person who needs help with personal care without needing to manually lift them. This training would, however help to improve the service by ensuring that all working practices are safe and done in line with current good practice. Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 17 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 X 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 2 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 2 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 2 X X 3 X 2 Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 18 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. Standard Regulation Requirement Timescale for action 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 OP30 Good Practice Recommendations The registered provider should ensure that they have updated training in first aid, moving and handling, fire safety, infection control and basic food hygiene The registered person should have an effective quality assurance and quality monitoring system in place. The registered provider should ensure that records relating to individuals monies are kept up to date so there is an audit trail. 2. 3. OP33 OP37 Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 19 Commission for Social Care Inspection South West Colston 33 33 Colston Avenue Bristol BS1 4UA National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Broadpark House DS0000022141.V365908.R01.S.doc Version 5.2 Page 20 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
