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Archived: Broadlands Park Residential Care Home

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Inspection report

Date of Inspection: 11 March 2014
Date of Publication: 8 April 2014
Inspection Report published 08 April 2014 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 11 March 2014, observed how people were being cared for and talked with people who use the service. We talked with staff and reviewed information given to us by the provider.

Our judgement

Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare.

Reasons for our judgement

At our inspection on 9 December 2013 we found that some people living in this home were not always supported correctly when nutritional risks were identified. For example, people who may be at risk of malnutrition due to their lack of appetite or as part of an illness were not monitored as stated in the home’s documentation. People were not weighed weekly with records seen showing gaps in weight recording that were in excess of six weeks. There were no records available to show how much or how little the people at risk had consumed.

During this follow up inspection we found that improvements had been made. Records of people at risk of malnutrition were now completed. Their weights were now recorded on a weekly basis and instructions were written on what fortified meals and supplement drinks those people should have. We noted on the daily records that staff were recording who had eaten well or not so well. We also were shown the newly created record sheets that were about to be introduced. These would record exactly how much had been eaten/drunk at each meal throughout the week. The senior staff member who talked us through the improved process told us that people were more closely observed on their dietary intake and any concerns handed over at the end of each shift.

The management also showed us the recent survey completed by people who lived in the home to ask their opinions on the meals provided. We were told that with the introduction of new cooks to Broadlands Park the meals had improved and the quality of the meals produced were more appealing and appetising. People who were at risk due to a poor dietary intake were now monitored closely and concerns would be acted upon and managed in a timely manner.

At the December inspection we found that a number of care plans had not been updated and reviewed. The four care plans we picked at random during this inspection had been reviewed and dated in January 2014. People’s care plans would now hold current information and would reflect any changes.

We also noted at the December inspection that a number of people were without tights or socks. There was no explanation as to why. The home had since introduced, as part of their care plan, a record to state what the person preferred to wear on their legs and feet. This ensured people had a choice and that preferences would be listened to and acted upon. We noted during this inspection that more people were wearing tights or socks. The provider may wish to note that not all documentation was dated so it was not clear when some records had been written.

At the previous inspection we noted people had limited stimulation and were not occupied when sitting in the lounge. During this visit, although limited stimulation was in place staff were noted to interact more with people and that a staff member was in the lounge throughout our visit ensuring people were monitored. Another staff member was seen appropriately encouraging a person to walk with them and a second staff member was encouraging mid-morning drinks in an appropriate manner. A senior staff member told us what activities would be taking place during the week and that a designated activities staff member would be in the home on the afternoon of our visit. We were told about the plans for the improved environment that had started to take shape. We saw pictures of the ideas to be used in one area of the home such as an old fashioned tearoom and another area decorated and furnished in a beach/seaside theme. We noted that the areas had already been painted in preparation. Once completed, there would be more areas for people to move around the home to see, touch and talk about what they find. This meant more stimulation for people living in the home would be available to occupy them once the project was completed.