Inspection on 02/09/05 for 134 Ashland Road

This inspection was carried out on 2nd September 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

134 Ashland Road 01/08/06

134 Ashland Road 17/01/06

134 Ashland Road 31/03/05

134 Ashland Road 28/02/05

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 18-65 134 Ashland Road West 134 Ashland Road West Sutton in Ashfield Nottinghamshire NG17 2HS Lead Inspector Susan Lewis Unannounced 2 September 2005 at 09:00 am nd 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 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 Stationary 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. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service 134 Ashland Road Address 134 Ashland Road Sutton in Ashfield Nottinghamshire NG17 2HS 01623 401668 0115 910 4267 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) NCHA Care Home (CRH) 12 (Twelve) Category(ies) of Learning disability (LD) - 12 (Twelve) registration, with number of places 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2 named service users are outside of the registration category (over 65). They must be able to choose whether to attend day services or not. One service user attends day services, the other does not. 2. As there are potentially 2 service users at home all day, staffing levels must reflect this. Two members of staff must be on duty (excluding the manager) throughout the day. 4 staff am, 3 staff pm on weekdays. 3. As these service users are outside of the category of registration, training for staff must be provided on Older People with Learning Disabilities in the coming year (2002-3). Evidence has been seen that staff have received appropriate training. Date of last inspection 31/03/05 Brief Description of the Service: 134 Ashland Road West is a purpose built bungalow providing personal care and accommodation for up to twelve adults with learning difficulties who may have additional physical disabilities. The home is situated in a residential area, close to the town centre amenities of Sutton in Ashfield. Two of the service users are over 65, and are therefore outside of the registration category. However, as they have been resident at the home for a number of years, conditions of registration were set to ensure that their needs can be met within the home. These have now all been complied with, including staff training in care of older people with learning disabilities. The accommodation is homely and comfortable, although it clearly is subject to a great deal of wear and tear and perspex sheeting has been fitted to walls. The manager reported that the home is due for a refurbishment later this year. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and was carried out by one inspector lasting 5 and half hours. Residents were preparing to go to their daytime activities and staff were observed supporting residents in this process. The manager arrived during the course of the inspection and three staff were observed to be on duty. There were no visitors available to give their views, some residents gave their views but no staff were spoken to in detail. Residents’ records were inspected and a partial tour of the building took place with communal areas being fully inspected. What the service does well: 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. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 7 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 standard(s) 1, 2, 3 and 5 The needs of the current users are met in this setting. EVIDENCE: Individual records inspected showed that support plans are agreed with residents and in some cases signed by residents. At the last inspection a requirement was set to ensure that the Statement of Purpose was reviewed and brought up to standard. This has now been met and is awaiting final agreement from the Area Manager of Nottingham Community Housing Association. A requirement was also set at the last inspection to include the contact details of the Commission for Social Care Inspection. Although the manager was sure it had been done no evidence to confirm this could be found during the inspection. The manager must send proof that this has been included. Support plans viewed provided evidence to show that residents’ cultural and social needs were met. Support plans now include a makaton description of the residents support plan. One resident spoken with confirmed that they were given a copy of this to keep in their bedroom. At the last inspection it was recommended that the Licence Agreement cover all aspects of the standard, evidence showed that the Licence Agreement met the standard. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 8 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 standard(s) 6, 7, 8 and 9 Individual plans address needs and risks, and residents are involved in decision making within the home. EVIDENCE: Support plans include individual risk assessments and residents where able are involved in drawing up plans, residents spoken with also confirmed this. Three support plans were viewed as part of this inspection and all clearly showed the type of support residents needed and how staff were to provide it including how staff were to speak to the resident. Residents spoken with also confirmed that they had key workers and had one to one days, which they enjoyed. Evidence was seen to show that residents where able sign risk assessments, however in some cases it was not always clear that support plans had been written with the resident. One example discussed with the manager could be tracked to a meeting with the particular resident and notes from that meeting clearly showed the resident was in agreement with a particular decision being taken, it is recommended that where a decision is taken that may have repercussions at a later date that where practicable the resident signs that this was their decision. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 9 Evidence was seen that residents are fully involved in the day to day running of the home and minuets of residents meetings are created using a format understood by residents and are displayed in the kitchen. Residents spoken with confirmed that they attended residents’ meetings and that staff kept them informed about what was happening. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 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 standard(s) 12, 13, 15 and 16 Lifestyle choices and opportunities for leisure activities are varied and appropriate. Service users feel respected and encouraged to be part of the local community. EVIDENCE: Support plans gave information regarding residents’ daily activities, including any jobs they may do around the home, one resident was seen cleaning parts of the home prior to going to day service. This was recorded on the support plan including the risk assessment due to the cleaning materials used. Staff were observed going about their daily duties supporting residents in a positive manner to take part in their daily activities including going in to town to collect money for their up coming holiday. On the day of the inspection there were enough staff on duty to enable staff to take residents out as well as support those who wished to remain in the home. Support plans provided information on how residents were supported in maintaining contact with their family and personal relationships, evidence was seen that advocates were being used to support one resident in decision making. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 11 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 standard(s) 19 and 20 Residents’ personal and health care needs are met. EVIDENCE: Personal support needs are detailed in the individual plans. Some service users have had ‘well person’ health checks and other medical appointments are noted. On the day of the inspection the month’s medication had just been delivered and this was stored securely in a locked cupboard. Records show appropriate procedures for recording medication are followed. Requirements set at the last inspection have been met. Where residents receive PRN medication this is specified on the support plan. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 12 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 standard(s) 22, 23 Service users are aware of how to make their views known. Staff protect service users. EVIDENCE: Neither the home nor the Commission have received any complaints regarding the service since the last inspection. Residents spoken with knew who to complain to if they had a problem and felt confident that it would be dealt with. The Nottingham Community Housing Association have a detailed Adult protection policy and a copy of Nottinghamshire Adult Protection procedure is also available in the home. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 13 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 standard(s) 24 and 30 A homely environment is provided, which is mostly comfortable and safe. Bedrooms suit the needs of individual service users and sufficient shared toilets and bathrooms are available. Some outside areas place residents at potential risk. EVIDENCE: The home is due to be refurbished shortly and some redecoration work was in progress during the inspection, such as repainting some communal areas. During the inspection a senior manager from NCHA arrived to carry out a visit as part of their quality standards. It was confirmed during this visit that the refurbishment would start soon and that the kitchen, bathrooms and some bedrooms would be improved during this process. The Commission has received plans regarding this refurbishment. As a result of the planned refurbishment the kitchen was not fully inspected. On the day of the inspection the home was clean and free from odour. The communal areas are comfortable and homely. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 14 At the last inspection a requirement was made to fit ceramic tiles to all bathrooms, this is to be done as part of the refurbishment. The exterior of the home fits in with the locality and had a pleasant accessible garden. However, the path around the property is very uneven and cracked, this is a potential trip hazard. This issue was also raised by one of the residents spoken with. The manager must ensure that this pathway is made safe. Residents spoken with said that they liked their bedrooms and that they were able to decorate them as they wished. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) EVIDENCE: Not assessed during this inspection. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 42 and 43 The overall management of the service safeguards the best interests of service users. Service users’ views and comments are valued and health and safety is promoted within the environment. EVIDENCE: The manager is still awaiting her registration with the Commission. Residents spoken with were positive about the manager and the way she worked with them. The manager was observed interacting with residents in a positive manner. Evidence was seen that all appropriate risk assessments, temperature recording of water and fridges and freezers was being done. On arrival at the home a door from the ‘music room’ to the corridor was propped open with a cushion. The manager must ensure that risk assessments are carried out regarding doors being propped open and if it is considered to be acceptable practice suitable wedges must be obtained. All incidents were recorded on the SuRe system and there was evidence that the manager regularly monitored these. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 17 The manager must ensure that the Commission is informed whenever a resident has an accident, which requires a visit to the Accident and Emergency department. A requirement was made at a previous inspection that the responsible person must make a report under Regulation 26 of The Care Homes Regulations 2001. After a meeting with senior managers of NCHA it was agreed that as senior staff visited each project regularly, a copy of the report that is issued to staff at that time can also be sent to the Commission to meet the requirement. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 x 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 2 3 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 x x x x x 3 Standard No 11 12 13 14 15 16 17 x 3 3 x 3 3 x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 134 Ashland Road West Score x 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 x x x 1 3 C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 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 24 Regulation 13 Requirement Timescale for action 01/03/06 2. 42 13 The registered person must ensure that all parts of the home that residents have access to are free from hazards to their safety. The pathway in the garden must be repaired. The registered person must 01/10/05 ensure that unnecessary risks to health or safety of residents are identified and so far as possible eliminated. Where doors are wedged open risk assessments must be carried out and cushions or other objects that may constitute a trip hazard must not be used. 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 7 Good Practice Recommendations Where decisions are taken by residents that may have repercussions these need to be clearly written in support plans as being made by the resident themselves. 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 Page 20 Commission for Social Care Inspection Edgeley House Tottle Road Riverside Business Park Nottingham, NG2 1RT 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 134 Ashland Road West C03 C53 S8619 134 Ashland Road V247218 020905 Stage 2.doc Version 1.40 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. 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!