Care Home: Broadview

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What the care home does well The service is very well managed and the residents are well cared for by a stable and long-serving team of dedicated care workers. Their consistency in providing excellent care and support has been very beneficial to the residents who seemed happy and content when observed on the day of the inspection. All the residents have profound learning and physical disabilities and autistic spectrum conditions and they require assistance in all aspects of their life. They are all given opportunities to develop through a personalised care process. The residents are being cared for by a team of care workers who have the required skills and knowledge to assist them. All the residents have very limited comprehension and verbal communication skills. However, members of staff understand their body language and gestures and give individual attention and assistance when required. The management continues to find a simpler and better means of communication with the residents with the help of a language and speech therapist. On the day of the site visit it was noted that members of staff were gentle and softly spoken in their approach to each resident. The individual was treated with respect and dignity. The service provides a homely, safe and stimulating environment for the residents to live in, and the surrounding grounds are spacious, pleasant and attractive. Social, recreational and therapeutic activities are provided daily and elicited favourable comments from the residents` families and other stakeholders. Comments received included: "Broadview provides a very good service." "I am happy to be living in Broadview." "The staff have a good understanding of my needs and respond accordingly." "Staff always ensure the environment has a very high standard of hygiene and cleanliness." "The management is always making things better for the residents. There is good staff training. The manager is always willing and helpful to the staff." "The staff ensure that the highest standard of care is given and also ensure that the quality of life continues to improve for each resident." "The staff are very committed." "I love working at Broadview and enjoy supporting the service users who live here." "Very kind manager. Good caring and friendly staff." What has improved since the last inspection? The service continues to be well administered and well maintained. Since the last inspection, the provider has been approved by the UK Border Police as a sponsor for foreign care workers who require a work permit. What the care home could do better: Building work is in progress to construct a second outbuilding which will be the laundry room and to create an extra bedroom within the main premises. The management ensure the safety of the residents whilst building work is being carried out. Key inspection report Care homes for adults (18-65 years) Name: Address: Broadview 8 Great North Road Welwyn Hertfordshire AL6 0PL     The quality rating for this care home is:   three star excellent service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Yoke-Lan Jackson     Date: 1 0 0 3 2 0 1 0 This is a review of quality of outcomes that people experience in this care home. We believe high quality care should • • • • • Be safe Have the right outcomes, including clinical outcomes Be a good experience for the people that use it Help prevent illness, and promote healthy, independent living Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home: • • • • 3 2 1 0 stars - excellent stars - good star - adequate star - poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. that people have said are important to them: They reflect the things This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Care Homes for Adults (18-65 years) Page 2 of 27 We review the quality of the service against outcomes from the National Minimum Standards (NMS). Those standards are written by the Department of Health for each type of care service. Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by: • Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice • Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983 • Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. • Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for non-commercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Broadview 8 Great North Road Welwyn Hertfordshire AL6 0PL 01438712572 01438718929 CandourCare@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Candour Care Services (Broadview Limited) Name of registered manager (if applicable) Mr Rosario Fernandes Type of registration: Number of places registered: care home 6 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 learning disability physical disability Additional conditions: Date of last inspection Brief description of the care home Broadview, provided by Candour Services Limited, is a residential care home for six residents with learning and physical disabilities and autistic spectrum conditions. Five of the residents were transferred from Harperbury Hospital following its closure. The building is situated in Welwyn, a short distance away from the A1(M) motorway. There is a large front drive with spacious parking facilities. The extended bungalow has been refurbished to provide specialist accommodation for service users with high needs. There are three large bedrooms in the extended part and three in the original section of the building. The bedrooms are of single occupancy. Other facilities include the administrative office, dining room, kitchen, lounge and a laundry room. Care Homes for Adults (18-65 years) Page 4 of 27 Over 65 6 0 6 6 Brief description of the care home The back garden is extensive and arranged in two sections divided by a wooden fence. The second section is mainly laid to lawn with mature plants and apple trees. The first section has a patio and seating areas that are accessible to wheelchairs. In addition there is a separate building comprising a sensory room, a staff training room and an office. The home charges £1358 - £1858 per week. Information about the home and the service it offers is contained in the Statement of Purpose and Service Users Guide. A copy of these and the most recent CQC inspection report are available in the home. Care Homes for Adults (18-65 years) Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: three star excellent service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This service had a key inspection in June 2007 and annual service reviews in 2008 and 2009. An annual service review is a review of the service without a site visit. This unannounced key inspection was carried out on 10/03/2010. The registered manager was present. There were 6 people in residence. The inspection visit included a tour of the premises and observation of how the staff interacted with the residents in the communal areas and during activity sessions. Staff and residents were spoken with and key documents were examined. The inspection ended with a thorough discussion with the registered manager. Survey questionnaires were sent to the residents and staff and their responses and other information received by us were reviewed. This included the Annual Quality and Assurance Assessment (AQAA) which providers of registered services are required to complete annually. The AQAA focuses on how the outcomes are being met for the Care Homes for Adults (18-65 years) Page 6 of 27 people using the service and also provides us with statistical data. Care Homes for Adults (18-65 years) Page 7 of 27 What the care home does well: The service is very well managed and the residents are well cared for by a stable and long-serving team of dedicated care workers. Their consistency in providing excellent care and support has been very beneficial to the residents who seemed happy and content when observed on the day of the inspection. All the residents have profound learning and physical disabilities and autistic spectrum conditions and they require assistance in all aspects of their life. They are all given opportunities to develop through a personalised care process. The residents are being cared for by a team of care workers who have the required skills and knowledge to assist them. All the residents have very limited comprehension and verbal communication skills. However, members of staff understand their body language and gestures and give individual attention and assistance when required. The management continues to find a simpler and better means of communication with the residents with the help of a language and speech therapist. On the day of the site visit it was noted that members of staff were gentle and softly spoken in their approach to each resident. The individual was treated with respect and dignity. The service provides a homely, safe and stimulating environment for the residents to live in, and the surrounding grounds are spacious, pleasant and attractive. Social, recreational and therapeutic activities are provided daily and elicited favourable comments from the residents families and other stakeholders. Comments received included: Broadview provides a very good service. I am happy to be living in Broadview. The staff have a good understanding of my needs and respond accordingly. Staff always ensure the environment has a very high standard of hygiene and cleanliness. The management is always making things better for the residents. There is good staff training. The manager is always willing and helpful to the staff. The staff ensure that the highest standard of care is given and also ensure that the quality of life continues to improve for each resident. The staff are very committed. I love working at Broadview and enjoy supporting the service users who live here. Very kind manager. Good caring and friendly staff. Care Homes for Adults (18-65 years) Page 8 of 27 What has improved since the last inspection? 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 on page 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line 0870 240 7535. Care Homes for Adults (18-65 years) Page 9 of 27 Details of our findings Contents Choice of home (standards 1 - 5) Individual needs and choices (standards 6-10) Lifestyle (standards 11 - 17) Personal and healthcare support (standards 18 - 21) Concerns, complaints and protection (standards 22 - 23) Environment (standards 24 - 30) Staffing (standards 31 - 36) Conduct and management of the home (standards 37 - 43) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use this service can be confident that a thorough pre-admission assessment will be carried out to ensure that the home can meet all their care needs. They can be assured that they will be supported since the home will only admit a prospective resident whose care needs can be met. Evidence: The registered manager will carry out a full assessment before a prospective resident is admitted. The home will only admit a prospective resident whose care needs can be met. The manager confirmed that the pre-admission documents have been revised and improved and these new forms will be used in future pre-admission assessments. There have been no new admission for some years. Five of the residents were transferred from Harperbury Hospital following its closure and one other resident was transferred to Broadview by Westminster Social Services. Since then there have been no further admissions. Care Homes for Adults (18-65 years) Page 11 of 27 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service will be given the opportunity to participate in the daily routine in the home and they will be supported to take risks as part of an independent lifestyle. Their assessed and changing needs will be reflected in their written care plan to enable staff to care for them appropriately. Evidence: Each resident has a written care plan which is detailed and comprehensive. This ensures that those who are looking after the residents have the required information to deliver the care needs of the people living in the home. The care plans examined reflected the personal and healthcare needs of the individuals concerned. There is also a detailed activity plan for each resident and all members of staff are involved in the activity programme. Some of the residents have restricted mobility and risk assessments have been updated to reflect their conditions. All written care plans are reviewed regularly. The home operates a key-working system to ensure that each resident is consulted on Care Homes for Adults (18-65 years) Page 12 of 27 Evidence: all aspects of life in the home and that they are supported in the choices made. Members of staff assist the residents to lead an independent lifestyle as far as possible. On the day of the inspection, there were three residents present and they appeared content and well cared for. Care Homes for Adults (18-65 years) Page 13 of 27 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can expect that their rights will be respected, and that they will be encouraged to lead an independent lifestyle, and engage in communal activities. They will be encouraged to maintain contact with their family and friends. A healthy diet is promoted. Evidence: Residents have the opportunity for personal development both within the home and through an individual daytime activity programme. One resident has regular horse riding lessons. Most of the residents attend their respective day centres during the week. For those who remain in the home on a particular day, members of staff ensure that therapeutic and recreational activities continue to be provided. Residents have the opportunity to use the outlying activity building which is situated in the back garden. There are art and craft sessions, known as the therapeutic Care Homes for Adults (18-65 years) Page 14 of 27 Evidence: expressive process, using art materials ranging from paint to clay. Staff initiate and demonstrate how to use the materials, promoting interaction. The session is adapted to suit individuals abilities, preferences and strengths. There are music sessions which aim to help the individual explore the way in which an instrument works and how a sound can be produced. The experience of making a sound is both tactile and aural. Softer sounds can produce a calming effect and can be used in conjunction with the sensory room which is also located within the same outbuilding. The sensory room is well equipped with different sensory stimulation equipment, such as light and music equipment, tactile panels, vibrating cushions and mattresses. The individual is encouraged to touch different kinds of equipment and explore different textures and stimuli. There are visual projectors with different picture wheels with changing random moving shapes. Colour changing wheels and bubble tubes create a visual and aural experience. The sensory room provides a safe, secure and relaxed environment to enable the individual to have different sensory perceptions and experiences. Residents are supervised by a member of staff trained in the use of the sensory room and its equipment. As most of the residents have close links with their relatives, who visit regularly, the relatives are often invited to use the sensory room with the resident. The home also provides a range of holidays and short term breaks for residents. Holidays are arranged by staff for interested residents who choose where they want to go. The manager and two members of staff are accompanying two residents on their holidays on 12/03/2010. Similar arrangements have been made for two other residents for the end of March 2010. The home offers residents a nutritious and healthy diet. Each member of staff takes turns to cook the meals. Mealtimes are both flexible and relaxed and members of staff assist those who require help during mealtimes. Care Homes for Adults (18-65 years) Page 15 of 27 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can expect to be treated with respect and they will receive personal and healthcare support in the way they prefer and require and they will be protected by the homes medication policy and procedures. Evidence: On the day of the site visit it was noted that the the three residents present were all treated with respect and dignity. They appeared content, relaxed and well cared for. There have been no hospital admissions or any form of incident in the home since the last inspection in 2007. As all the residents have profound learning and physical disabilities and autistic spectrum conditions, they require care in all aspects of their lives. All the staff are trained to assist and support them to lead a reasonably independent lifestyle. Each resident is assigned a key worker who ensures that the individual is given the opportunity to develop through a personalised care process. All the residents have communication problems and there is no simple communication method except through long term observation and care by members of staff. Most of Care Homes for Adults (18-65 years) Page 16 of 27 Evidence: the staff are long term staff who therefore understand the gestures and body language of each resident in their care and assist them appropriately. The majority of the staff have cared for five of the residents when they were in Harperbury Hospital. Therefore staff interaction with the residents have been consistent. The residents quality of life is further enhanced as there is continuity of care given by the staff. The residents continue to show progress in their lifestyle and development. The management continues to find a simpler and better means of communication with the residents with the help of a language and speech therapist. Any health and behavioural concerns are referred to the appropriate mental healthcare team for immediate assessment. Each resident has a whole life review periodically that involves the resident, their relatives and members of the multi-disciplinary and multi-agency teams. The manager confirmed that the relatives and the professionals were complimentary about the care and service provided. A trained member of staff administers the medication. There have been no medication errors. The Medication Administrative Record (MAR) charts were examined and they were found to be accurately recorded, signed and updated. The storage facility for medicines has been relocated and arrangements have been made for a controlled drug cupboard to be installed on 15/03/2010 although there are no controlled drugs in use at the present time. The manager confirmed that one of the residents has required covert administration of medicines for two of the prescribed medicines since 04/05/2008. The General Practitioner has been involved and there is a regular review of this best practice measure to ensure that the resident takes their medicines appropriately. Care Homes for Adults (18-65 years) Page 17 of 27 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that the service has a robust complaints policy and procedure and can be assured that they will be listened to and any concerns raised will be investigated and appropriate action taken. Evidence: There have been no complaints raised about the service or the care provided since 1998. The provider confirmed that any complaints or concerns raised will be thoroughly investigated in accordance with the homes robust complaints policy and procedure. All members of staff will be attending refresher training on the Protection of Vulnerable Adults and on the Hertfordshire Joint Safeguarding Procedure. Four workshops have been planned for June and July 2010 to increase staff awareness of safeguarding issues and the Whistle-Blowing Policy. Since the last inspection, there have been no safeguarding referrals made. Staff have training on the Mental Capacity Act 2005 and the Deprivation of Liberty safeguards to ensure that staff have an awareness of the assessment of capacity and that decision-making for a resident is being undertaken in a way that complies with the law. This also ensures that people living in the home are not deprived of their liberty without an authorisation. The provider confirmed that there have been no cases subjected to Deprivation of Liberty authorisation. Care Homes for Adults (18-65 years) Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that the environment they live in is well maintained, comfortable and safe and that they will have access to all communal facilities. Evidence: The home is clean and tidy and provides a homely atmosphere. There is ample communal space and the surrounding ground is extensive and secure. There is a purpose built outbuilding behind the main house, which has a sensory room and an activity room for arts and craft and music sessions. Building work is in progress to construct a second outbuilding behind the main building which is to be used as a laundry facility. The existing laundry room and office will be converted into a new bedroom. Risk assessments are in place to ensure the safety of residents and staff during the conversion. Apart from the building work, there is a rolling maintenance programme. The manager said that all the carpets in the premises will be replaced this year. The home is fully equipped with high-tech equipment to assist residents in their dayto-day care requirements. This includes an electronically operated hi-lo bath with side access, a hi-lo shower trolley, a hoist and specially designed toilet seats. Each Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: residents room is personalised to meet their individual needs and to match their personal tastes. The sensory equipment in the bedroom is customised for each residents personal developmental needs. An interactive soundboard was installed in one bedroom. In another there was a floor mat with soft sensory lighting, which creates a calming environment. Care Homes for Adults (18-65 years) Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that the home has an effective staff team who will support them and can be confident that they are safeguarded by the homes robust recruitment policy and procedures and the improved training programme for staff. Evidence: The service operates a thorough recruitment procedure based on equal opportunities and ensuring the protection of residents. New recruits have Criminal Record Bureau checks and Protection of Vulnerable adults (POVA) checks. The service has recently recruited a maintenance man and driver. Staff supervision is carried out six times a year and proper records are kept. All the staff have NVQ qualifications. One of the care workers spoken with said that they have recently completed NVQ3. The service has a continuous staff development and training programme. The care model is fully person-centred with a comprehensive assessment of each residents personal, healthcare and social care needs. The service has an in-house service development facilitator who organises the therapeutic activity and sensory stimulation programme for each resident. The facilitator, a qualified trainer and assessor, is responsible for staff training and the development programme. Staff have regular in-house training and updates on information that is relevant to Care Homes for Adults (18-65 years) Page 21 of 27 Evidence: ensure residents are cared for appropriately. Each member of staff has a training and development record, which is kept updated. Staff training includes the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards, Infection Control, Epilepsy and Nutrition. The members of staff spoken with confirmed that they recently had refresher training on First Aid, Food and Hygiene, Fire Safety and Moving and Handling. The manager confirmed that arrangements have been made for all staff to attend refresher training on safeguarding issues and the Whistle-Blowing Policy. In a recent survey by us a respondent commented, Staff are always very responsive to training and appear to want to learn. Care Homes for Adults (18-65 years) Page 22 of 27 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service can be assured that the standards of administration and management of the service are well maintained and that their health and safety are promoted and protected. Evidence: The standards of administration and management of the service continue to be well maintained. There have been no safeguarding referrals and the service has not received any complaints since 1998. The registered manager is a trained nurse in Mental Health and knows all the residents clinically. Staff are well supported and staff turnover has been negligible since the home opened. In a recent survey by us, staff have been complimentary about the management and they all seemed to enjoy working in Broadview. Comments received included: The manager is very supportive, kind and understanding. Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: I have worked here for ten years. I enjoy my job and hope to continue working here. I am pleased to be one of the staff working in this home. I enjoy coming to work here. The home has systems in place to safeguard the residents finances and personal allowances. The accounting records are readily available for inspection. The registered manager acts as appointee for four of the residents. All records for the protection of the residents are kept secure and handled in accordance with the Data Protection Act 1998. The servicing records have been well maintained. All policies and procedures have been revised and updated to reflect legislative changes. The management promote equality and diversity. All members of staff are trained to ensure they follow the homes policy and procedure on equality and diversity issues and they are aware of the Mental Capacity Act 2005 and the Deprivation of Liberty safeguards. The home manager confirmed that there have been no cases subjected to Deprivation of Liberty authorisation. Broadview is accredited for ISO 9000 (2001). The service provides student placement for trainee nurses from the University of Hertfordshire. The University carries out regular educational audits which have been ongoing since 1999. It has maintained a very good record with the university. The provider carries out an annual quality assurance and monitoring survey. This includes written questionnaire feedback from residents, relatives and others. Since the last inspection, the provider has been approved by the UK Border Police as a sponsor for foreign care workers who require a work permit. The Annual Quality Assurance and Assessment (AQAA) forms issued by the Commission were received on time for this inspection. The information provided was detailed and was included in this report. Care Homes for Adults (18-65 years) Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 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, Care Homes 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 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 Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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