Care Home: Broadstone Close Residential Care Home

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What the care home does well The registered manager and staff team continue to provide a high standard of care and support to the people that live at Broadstone Close. The records of the person case tracked demonstrated to us that their personal care needs were maintained. There were support plans in place that instructed the staff on the support or prompts that were required to enable the person`s needs to be met in a way they preferred,whilst ensuring their independence and dignity was maintained and promoted. This was confirmed by the person using the service that was spoken with and within the surveys received. Comments included, "staff listen to you and understand how I feel" and "sometimes I like a quiet time to myself ". Staff comments also reflected that people`s independence was promoted. When asked what the home does well they said " pass on Mencap`s values to staff about how important it is to provide support that enables people to live a full independent life" and "respect choices on day to day things as well as supporting people to ascertain their goals." The person case tracked had a health file and a health action plan in place.This information was extensive and covered all areas of health care, such as their prescribed medication and support plan, health checks, medical reports, health and medication consent forms and their method of communication regarding expressing pain or illness and their capacity to consent.The health profile addressed any support the person required with mobility, their dietary needs, any known allergies and the level and type of support they needed for all health interventions.Again this information reflected the person`s preferred support, to ensure that their choices and Independence was maintained. Visits to medical professionals was documented within the personal file of the person case tracked including details of the visit, date, time any further appointments made. This included an annual health check. All medication was stored within the lockable cabinets within the duty office. No controlled drugs were held. The information regarding the prescribed medication for the person case tracked was detailed and included not only information such the name, dose and times the medication was to be administered but also information about each medication, such as what the medication was prescribed for, any side effects, what action staff should follow if a dose was missed or if too much was taken and when the medication was due for review. Written confirmation was seen that showed us that this person had confirmed that they wanted staff to be responsible for storing and administering their medication. The homes complaints procedure was seen and was available in an appropriate format to suit the communication methods of everyone using the service. The person spoken with on the day of this visit was able to confirm that they would speak with the registered manager if they had any concerns or problems.Within the surveys returned four people confirmed that they knew how to make a complaint. The other two said they did not know how to make a complaint. However all six people did confirm that they knew who to speak to if they were not happy. Staff comments also reflected that people using the service were encouraged to express their views, such as " listen to people that live in the home to have their say and enable them to express any problems they may be experiencing or anything they are unhappy with. Broadstone Close had received one complaint in the last twelve months and has made two safeguarding referrals to the Local Authority. On both occasions the registered manager informed us and updated us on the outcomes of both. Both were dealt with appropriately following the correct procedure to ensure the safety of people using the service was maintained. Derby and Derbyshire`s Safeguarding Vulnerable Adults procedure was in place along with the No Secrets document. This ensured that the staff had up to date information on the procedure to follow. The staff training matrix and records within one staff looked at showed us that all of the staff working at the home had undertaken safeguarding adults training and updates were planned as required. Seven of the eight permanent staff employed at Broadstone Close had achieved a National Vocational Qualification at level 2 or above. The staff training matrix and records within one staff looked at also showed us thatmandatory training was kept up to date for the staff employed at Broadstone Close and training specific to the needs of the people living there was also undertaken.The member of staff spoken with and information with staff surveys received also confirmed this. Comments included, " there is plenty of training, we are always kept up to date and can request training that we feel would benefit the residents". All of the staff had their own professional development file and one member of staffs was looked at. This file was organised and showed us the training that this person had undertaken and that they received regular supervision from the registered manager. Their recruitment information was also looked at and demonstrated to us that a thorough recruitment checks were made before they commenced employment.This ensures that the people using the service are safeguarded. The quality assurance process was looked at during this visit. Monthly meetings were organised for the people living at Broadstone Close and an independent advocate facilitated these meetings. Any issues or concerns raised were then fed back to the registered manager for action if required. Questionnaires were sent out to people using the service to enable them to give their views on the support and services provided to them. These were also completed with the support of an independent advocate. Any issues raised or actions taken were fed back to the independent advocate to discuss at the monthly meetings. What the care home could do better: In the file of the person case tracked the records showed us that their support plans were reviewed on an annual basis, unless any changing needs were identified. This was discussed with the manager as support plans should be reviewed every six months. Although no controlled drugs are prescribed for any of the people living at Broadstone Close, we observed that the medication storage available did not comply with the legal requirements of a controlled drugs cupboard.This means that if anyone at the home was prescribed a controlled drug the storage available at the home would not meet the legal requirements. A controlled drugs register should also be in place to ensure legal requirements regarding the recording of certain controlled drugs can be met as and when required. Random inspection report Care homes for adults (18-65 years) Name: Address: Broadstone Close Residential Care Home 1 & 2 Broadstone Close Oakwood Derby DE21 4PE three star excellent 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: Angela Kennedy Date: 1 1 0 6 2 0 1 0 Information about the care home Name of care home: Address: Broadstone Close Residential Care Home 1 & 2 Broadstone Close Oakwood Derby DE21 4PE 01332544557 Telephone number: Fax number: Email address: Provider web address: www.mencap.org.uk Name of registered provider(s): Name of registered manager (if applicable) Ms Rachael Jane Pinks Type of registration: Number of places registered: Conditions of registration: Category(ies) : Royal Mencap Society care home 9 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: Date of last inspection Brief description of the care home 9 Broadstone Close is owned by Mencap. The accommodation comprises of two houses, which provide personal care and accommodation for up to 9 people in the category of adults with a learning disability aged between 18 and 65 years of age. Broadstone Close is located just off Wood road, in Chaddensden. It is close to local amenities. A car park in available at the front of the premises. Both houses have an accessible garden, which is segregated with a garden fence. The service users can access the patio area, which links both the houses. Each house is run independently in accordance with service users needs. Broadstone Close provides all single bedrooms. Both houses reflect the style of a family home. . Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The weekly fees are dependent on individual needs. This fee included living accommodation, the care support package provided by the staff at Broadstone Close and all meals and beverages. Items not included in the weekly fee were: Annual contribution towards the television licence. Toiletries Hairdresser Clothing and other personal items Transport costs for leisure and a small contribution for some day opportunity placements. Private chiropody Leisure activities and social events Holidays Further information regarding the home can be obtained by contacting the registered manager at Broadstone Close. Care Homes for Adults (18-65 years) Page 3 of 9 What we found: The purpose of this Random unannounced Inspection was to check compliance with the Care Homes Regulations 2001 in a narrow focus of Inspection activity and in preparation for the registration transfer under the Heath and Social Care Act 2008. We have not visited the home since its last key inspection on the 3rd August 2007 when the current quality rating was made. The registered manager was present at the inspection. One member of the staff team was spoken with to ascertain their views of the service and their opinion of the training and support provided to them. One person that used the service was spoken with to ascertain their views of the support and services provided to them. The health and personal care records for one person using the service was looked at and other records such as staff training, staff recruitment and quality assurance were also looked at. Surveys were sent out to all of the people that used the service and to ten members of staff that worked at the service.The comments provided in surveys received from six people that used the service and four staff surveys are also reflected throughout this report. What the care home does well: The registered manager and staff team continue to provide a high standard of care and support to the people that live at Broadstone Close. The records of the person case tracked demonstrated to us that their personal care needs were maintained. There were support plans in place that instructed the staff on the support or prompts that were required to enable the persons needs to be met in a way they preferred,whilst ensuring their independence and dignity was maintained and promoted. This was confirmed by the person using the service that was spoken with and within the surveys received. Comments included, staff listen to you and understand how I feel and sometimes I like a quiet time to myself . Staff comments also reflected that peoples independence was promoted. When asked what the home does well they said pass on Mencaps values to staff about how important it is to provide support that enables people to live a full independent life and respect choices on day to day things as well as supporting people to ascertain their goals. The person case tracked had a health file and a health action plan in place.This information was extensive and covered all areas of health care, such as their prescribed medication and support plan, health checks, medical reports, health and medication consent forms and their method of communication regarding expressing pain or illness and their capacity to consent. Care Homes for Adults (18-65 years) Page 4 of 9 The health profile addressed any support the person required with mobility, their dietary needs, any known allergies and the level and type of support they needed for all health interventions.Again this information reflected the persons preferred support, to ensure that their choices and Independence was maintained. Visits to medical professionals was documented within the personal file of the person case tracked including details of the visit, date, time any further appointments made. This included an annual health check. All medication was stored within the lockable cabinets within the duty office. No controlled drugs were held. The information regarding the prescribed medication for the person case tracked was detailed and included not only information such the name, dose and times the medication was to be administered but also information about each medication, such as what the medication was prescribed for, any side effects, what action staff should follow if a dose was missed or if too much was taken and when the medication was due for review. Written confirmation was seen that showed us that this person had confirmed that they wanted staff to be responsible for storing and administering their medication. The homes complaints procedure was seen and was available in an appropriate format to suit the communication methods of everyone using the service. The person spoken with on the day of this visit was able to confirm that they would speak with the registered manager if they had any concerns or problems.Within the surveys returned four people confirmed that they knew how to make a complaint. The other two said they did not know how to make a complaint. However all six people did confirm that they knew who to speak to if they were not happy. Staff comments also reflected that people using the service were encouraged to express their views, such as listen to people that live in the home to have their say and enable them to express any problems they may be experiencing or anything they are unhappy with. Broadstone Close had received one complaint in the last twelve months and has made two safeguarding referrals to the Local Authority. On both occasions the registered manager informed us and updated us on the outcomes of both. Both were dealt with appropriately following the correct procedure to ensure the safety of people using the service was maintained. Derby and Derbyshires Safeguarding Vulnerable Adults procedure was in place along with the No Secrets document. This ensured that the staff had up to date information on the procedure to follow. The staff training matrix and records within one staff looked at showed us that all of the staff working at the home had undertaken safeguarding adults training and updates were planned as required. Seven of the eight permanent staff employed at Broadstone Close had achieved a National Vocational Qualification at level 2 or above. The staff training matrix and records within one staff looked at also showed us that Care Homes for Adults (18-65 years) Page 5 of 9 mandatory training was kept up to date for the staff employed at Broadstone Close and training specific to the needs of the people living there was also undertaken.The member of staff spoken with and information with staff surveys received also confirmed this. Comments included, there is plenty of training, we are always kept up to date and can request training that we feel would benefit the residents. All of the staff had their own professional development file and one member of staffs was looked at. This file was organised and showed us the training that this person had undertaken and that they received regular supervision from the registered manager. Their recruitment information was also looked at and demonstrated to us that a thorough recruitment checks were made before they commenced employment.This ensures that the people using the service are safeguarded. The quality assurance process was looked at during this visit. Monthly meetings were organised for the people living at Broadstone Close and an independent advocate facilitated these meetings. Any issues or concerns raised were then fed back to the registered manager for action if required. Questionnaires were sent out to people using the service to enable them to give their views on the support and services provided to them. These were also completed with the support of an independent advocate. Any issues raised or actions taken were fed back to the independent advocate to discuss at the monthly meetings. What they could do better: 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 20 13 A Controlled drugs cupboard 13/08/2010 that complies with the Misuse of Drugs (Safe Custody) regulations must be in place at the home This is for security reasons and to meet legal requirements. 2 20 13 A controlled drugs register must be available within the home for any controlled drugs that have to be recorded within a controlled drugs register. This is for security reasons and to meet legal requirements. 13/08/2010 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 6 Support plans should be reviewed at least every six months and updated to reflect any changing needs. Page 8 of 9 Care Homes for Adults (18-65 years) 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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