Inspection on 31/05/06 for 1-6 Ashby Court

This inspection was carried out on 31st May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

1-6 Ashby Court 06/08/07

1-6 Ashby Court 17/11/05

1-6 Ashby Court 25/04/05

1-6 Ashby Court 24/09/04

1-6 Ashby Court 16/06/04

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 08/07/2008.

CARE HOME ADULTS 18-65 1-6 Ashby Court Spilsby Lincolnshire PE23 5DR Lead Inspector Kima Sutherland-Dee Key Unannounced Inspection 31st May 2006 09: 20 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 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 1-6 Ashby Court DS0000002596.V297755.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 Adults 18-65. 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. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service 1-6 Ashby Court Address Spilsby Lincolnshire PE23 5DR 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) 01790 753432 01754 811004 Boulevard Care Care Home 11 Category(ies) of Learning disability (11) registration, with number of places 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th November 2005 Brief Description of the Service: Ashby Court is a row of 6 terraced houses, owned by the Boulevard Care Group. The houses are 2 bedroom and they are very close to the centre of the small market town of Spilsby. The service can accommodate and support residents under 65 years old with the primary need of learning disability. The homes are aimed towards residents who can live semi independently although at least 2 members of staff are on duty with 2 staff sleeping in on the premises. Each house is decorated and furnished and they are different depending on the preferences and abilities of the 2 residents sharing each home. The fees for the home vary depending upon the individuals needs. The range is between £575.00 and £1200.00 per week. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Key inspection was undertaken using a review of all the information available to the Inspector regarding 1-6 Ashby Court, and through undertaking a visit to the home. During this visit the inspector used a method of inspection called “case tracking”. This involved identifying three residents who currently live at the home and tracking the experience of the care and support they have received during the time they have lived at Ashby Court. The inspector spoke to 8 clients, and the staff on duty, looked at information on 2 care plans and observed the day-to-day care practice within the home. What the service does well: What has improved since the last inspection? The manager has met both the requirement and the recommendation from the last inspection, by changing the medication administration and the care plans. The providers continue to repair the houses and up date the furniture for the benefit of the clients. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 6 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. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR 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) Scoring of Outcomes Statutory Requirements Identified During the Inspection 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 5 Quality in this outcome area is adequate. This judgment has been made using available evidence including a visit to this service. The clients do not have access to their contracts at the home, therefore they may not be aware of their terms and conditions. EVIDENCE: Contracts are kept at the provider’s head office. 7 of the clients returned their ‘Have Your Say’ surveys, stating that they didn’t know if they had signed a contract, and this was confirmed during the site visit. Because of this the providers must make copies available in the home so that key workers can explain them and refer to the terms and conditions with the clients. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8,9 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The clients make decisions and participate in all aspects of their life. The providers have met the previous requirement by improving the care plans. EVIDENCE: The care plans have improved and they now detail each persons preferred routine. The clients who live at these homes are generally very independent therefore having this information means that new staff can offer support in the way each client prefers. The staff interacted very positively with the clients and the clients said they like the staff. A number of the clients use community facilities independently and their care plans do include risk assessments. The staff are aware of the risks and they were seen offering support to a client. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,14,15,16,17 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The service provides support for the clients to develop and take part in activities of their choosing. The staff respect the clients rights and they are supported with their relationships. EVIDENCE: There is a diary of activities, but the clients have chosen not to participate recently. 2 of the clients have conducted their own survey and they are taking the results to the manager. The staff do support the clients to take part in appropriate activities and although they do not generally offer one to one support this can be arranged. The client’s spoke about a trip they had the night before the inspection to see the wrestling and they said what fun it had been. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 11 The information from the last inspection and the pre inspection questionnaire demonstrated the clients are planning, and preparing their own food. This was confirmed at the visit when 2 clients showed me their individual menus. The staff described how they have supported several clients with their relationships, and the clients confirmed this. Holidays were talked about with 3 clients who said they were all going to a ‘ big house in the country’. They said when asked that the manager had chosen this. One client said they ‘wanted to go to Blackpool but they were O.K about going to this house’. It was unclear whether the clients had been involved in the decision making about their annual holiday, although they clearly had been regarding other activities. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this service. The service provides staff support in a way that meets each clients healthcare needs. Medicines are stored and administered safely. EVIDENCE: The provider has changed the way that medicines are administered and they have included protocols for the administration of P.R.N medicines, for staff information. One of the clients showed the inspector their medicines, and they explained how they were supported to take these at the correct times. Staff were observed supporting the clients to access healthcare, they also recorded appointments and follow up in the care plans. The staff also offered advice and help. The clients said that the staff were good at giving them help but also letting them do what they can for themselves. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgment has been made using available evidence including a visit to this The providers are protecting the clients, within their individual risk assessment framework. EVIDENCE: Most of the clients use the community independently, and the staff are aware of the risks that involves. The care plans do contain risk assessments and the clients are supported to manage the risks. The staff act appropriately to protect the clients from abuse. The last inspection demonstrated that the providers have the procedures in place to deal with complaints appropriately; no new complaints have been received. The inspector observed the staff assisting the clients with their money. The staff discussed the process and supported the clients to increase their daily living skills. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good’. This judgment has been made using available evidence including a visit to this The clients live in houses that suit their individual needs. EVIDENCE: The previous inspections show that the providers do carry out repairs and provide replacement furniture where there are defects. The clients said in their survey forms that the houses were always fresh. Staff supported the clients to keep their homes clean. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35,36 Quality in this outcome area is good’. This judgment has been made using available evidence including a visit to this There are suitably, trained and supervised staff in enough numbers to meet the needs of the clients. EVIDENCE: Staff said they can manage to support the clients but they cannot offer 1; 1 care unless this is arranged before an event or an appointment. A member of staff said they filled in application forms and attended interviews for both the assistant role and the team leader role. They also said that they had been given a job description and a CRB had been sought before they started. This demonstrates that the providers are completing a robust recruitment procedure in order to protect the clients. The staff meet every month and they have a delegated responsibilities list. Staff also said that the acting manager carries out supervision with each staff member every two months. This means that the staff are clear about their roles and they are being supported to carry them out, for the clients benefit. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good’. This judgment has been made using available evidence including a visit to this The acting manager is managing the service effectively, and protecting the client’s health and safety. EVIDENCE: The acting manager has supplied very detailed information to the commission with the pre inspection questionnaire. This has been helpful in assessing that the service is being managed safely. All the appliances and fittings are being regularly serviced and maintained. The providers visit the houses once a month and again they produce a report for the commission, which has been useful in assessing the outcomes for the clients. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 17 The staff were gathering completed forms from a recent quality audit, most of the clients are able to complete these without staff input and the providers do analyse the results. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 X 2 2 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 2 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 19 NO Are there any outstanding requirements from the last inspection? 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. 1. Standard YA5 Regulation 5(1)(b)(c) Requirement The registered provider must provide each client with a copy of their contract in the home. Timescale for action 30/06/06 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 YA14 Good Practice Recommendations The registered provider should ensure that all of the client’s views are taken into account, regarding the annual holiday and that their views are recorded. 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Lincoln Area Office Unity House, The Point Weaver Road Off Whisby Road Lincoln LN6 3QN National Enquiry Line: 0845 015 0120 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 1-6 Ashby Court DS0000002596.V297755.R01.S.doc Version 5.2 Page 21 - 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. 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