Inspection on 14/03/06 for 296 Ashingdon Road

This inspection was carried out on 14th March 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 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

296 Ashingdon Road 26/04/07

296 Ashingdon Road 16/11/04

296 Ashingdon Road 31/08/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Ashingdon Road (296) 296 Ashingdon Road Rochford Essex SS4 1TR Lead Inspector Sarah Buckle Unannounced Inspection 14th March 2006 11:00 Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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 Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashingdon Road (296) Address 296 Ashingdon Road Rochford Essex SS4 1TR 01702 541661 01702 541661 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) www.mencap.org.uk Royal Mencap Society Ms Carol Rule Care Home 6 Category(ies) of Learning disability (6), Learning disability over registration, with number 65 years of age (6) of places Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Adults with a learning disability, some of whom are aged over 65 years of age – six. Date of last inspection 10th May 2005 Brief Description of the Service: 296 Ashingdon Road is a two-storey family home in a residential street in Ashingdon, Southend. It is situated close to local shops and amenities and a bus service runs regularly past the home. A railway station is nearby. The home has three single and one double bedroom for residents on the first floor as well as the staff sleeping in room, and a single room on the ground floor. There are sufficient bath and toilet facilities on both floors. There is a large kitchen and living/dining room. The garden is well maintained and of ample size. Residents are encouraged to take an active role in the maintenance of the garden. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and took place over two hours and forty-five minutes. The home was previously inspected on 16th November 2005, and at that time, all but one of the National Minimum Standards for Care Homes were inspected and all but three of these were met with no shortfalls. During the course of the inspection, the standards that were not previously met were examined, along with records and documents. A tour of the premises was undertaken. The registered manager was spoken with and residents and other staff members were observed within the home. What the service does well: What has improved since the last inspection? What they could do better: Some of the information in the medication file needs updating. The resident’s contracts have not been updated to reflect the National Minimum Standards. Some areas of the home were in need of redecoration and refurbishment. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 6 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. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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 Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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 The contracts have not been updated to reflect the National Minimum Standards. EVIDENCE: One contract was examined during the inspection, and this was the “MENCAP Licence to Occupy”. This document had not been updated to reflect the NMS for adult care homes as recommended at the last inspection. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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 and 9. Care plans and risk assessments were satisfactory. EVIDENCE: One care plan was sampled during the inspection and this was seen to be a thorough and detailed document, which addressed the identified and changing needs of the resident in a person centred manner i.e. the aim of the support plan was described as: “To provide (the resident) with the level of support she needs to be as independent and fulfilled as possible”. Risk assessments were contained within the care plan and these were indexed for ease of accessibility and reviewed on a regular three monthly basis. The risk assessments were concerned with keeping the resident safe whilst still encouraging risks to be taken i.e. one resident was risk assessed to be able to participate in horse riding and to attend college as long as specific control measures were adhered to. All staff members have to sign when they have read the risk assessments. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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): 12, 13 and 16. The residents at 296 Ashingdon Road have adequate opportunities for personal development and to access the local community. EVIDENCE: Since the closure of Maybrook all of the residents within the home have undergone changes in their daily routines and activities. The registered manager stated that there are currently no formal day services available for any of the residents within the home. She stated that the residents do go out to a friendship club where they can meet up with some of the people they knew at Maybrook. The residents are encouraged to engage in a variety of activities and occupations, which include visiting the library, attending college, cooking, gardening, music, walking and art. Visits are also arranged for the residents, and the registered manager stated that they are going to watch rugby at local rugby club and to visit a fire station. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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 the following standard(s): 19 and 20 The physical and emotional health needs of residents are well met. Medication is, in the main part, well managed. EVIDENCE: The care and support plan sampled during the inspection clearly demonstrated that the health needs of the resident were met. There were comprehensive details of visits to the doctor, dentist, optician and chiropodist. The medication file was examined. The file included specimen signatures and initials of staff members, a photograph of the each resident and details of any medical condition, the medication required and how this was to be administered. It was positive to note that there were also details of the medication to be administered including its uses and possible side effects. However, it was noted that some of the information contained within the file was out of date i.e. one residents’ medication stated that he required lunch time medication in a blister pack to take to a day centre which he no longer attends. It also had information about him taking Largactil, which was not printed onto his MAR sheet, and information about Chlorpromazine which stated, 10mg to be taken “2 morning, 2 noon and 2 teatime” but which was printed on his MAR sheet as Chlorpromazine 50mg one to be taken three times Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 12 a day. This conflicting information could prove confusing to staff members or bank/agency staff. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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 and 23 Residents are adequately listened to within the home and they are protected from harm and abuse. EVIDENCE: There have been no complaints since the last inspection. Staff training is comprehensive. Three files sampled had evidence of training in adult abuse during 2004 or 2005 and people moving during 2005. Both the Southend Borough Council and the Essex County Council adult protection information files were on display and accessible within the office. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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 and 30 296 Ashingdon Road is a comfortable and homely environment, however there are some maintenance issues. The home is clean. EVIDENCE: 296 Ashingdon Road is a relaxed and comfortable home. The living room, hallway and kitchen are clean and tidy, however, some of the décor is outdated. The paintwork in the upstairs hallway was chipped and the ceiling was damaged and untidy. The plugholes in the upstairs bathroom were corroded and stained and the toilet seat was stained, cracked and broken. The downstairs bathroom was generally tired and worn and in need of updating. The home was clean and tidy. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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): 35 Training of staff within the home is of a good standard. EVIDENCE: Three staff members training files were sampled and all of these demonstrated that satisfactory mandatory training had been undertaken, and that this was in date. It was positive to note that some specialist training had also been undertaken in areas such as epilepsy and person-centred planning. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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): 39 and 42 The quality assurance system within the home is adequate. The health and safety of residents is protected. EVIDENCE: The quality assurance file was examined and copies of stakeholder feedback questionnaires, which had been sent to parents/ relatives and health professionals were seen. An Improvement Plan for 2005/2006 was contained within the file. A number of health and safety certificates were seen during the inspection, and these were all in date. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 17 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 X 3 X 4 X 5 2 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 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 X 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X 3 2 X X X 3 X X 3 X Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 18 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 YA20 Regulation 13(2) Requirement The registered person must ensure arrangements are made for the safe recording, handling and administering of medication within the home. This is in relation to one resident having out of date information recorded in his medication file. The registered person must ensure that all parts of the care home are kept reasonably decorated. This is in relation to areas within the home that need updating and to the bathroom facilities that need renewing. Timescale for action 01/05/06 2. YA24 23(2)(d) 01/06/06 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 YA5 Good Practice Recommendations Residents should be issued with a contract to reflect the DS0000018068.V286968.R01.S.doc Version 5.1 Page 19 Ashingdon Road (296) NMS for Adult Care Homes. Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection South Essex Local Office Kingswood House Baxter Avenue Southend on Sea Essex SS2 6BG 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 Ashingdon Road (296) DS0000018068.V286968.R01.S.doc Version 5.1 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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