Inspection on 16/01/06 for 99 Ashley Road

This inspection was carried out on 16th January 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 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

99 Ashley Road 22/08/06

99 Ashley Road 26/07/05

99 Ashley Road 15/02/05

99 Ashley Road 09/08/04

99 Ashley Road 03/02/04

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

CARE HOME ADULTS 18-65 99 Ashley Road New Milton Hampshire BH25 5BJ Lead Inspector Ms Sue Kinch Unannounced Inspection 16th January 2006 09:30 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 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 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 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. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service 99 Ashley Road Address New Milton Hampshire BH25 5BJ 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) 01425 628308 Bell House Homes Ltd Nicholas Cook Care Home 10 Category(ies) of Learning disability (10) registration, with number of places 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 26th July 2005 Brief Description of the Service: 99 Ashley Road is a care home providing personal care and accommodation for 10 service users with a learning disability. It is also registered to provide for one of these persons to have an additional physical disability. It is owned by Bell House Homes Ltd, which has a number of other registered properties in the area. The home is located on the outskirts of the town of New Milton, with relatively easy access to the shops and other public amenities. The home comprises a detached, double fronted property with car parking for 6-8 vehicles to the front of the building and a well-maintained and accessible garden to the rear. All bedrooms are occupied on a single basis; none of these have an en-suite facility. There is one lounge area, which can be subdivided to provide two smaller areas, and a separate dining room. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection in the year 2005-2006. The inspection took three hours and involved talking with two staff six residents and the manager. Some records were viewed. Two bedrooms and shared areas of the home were observed with some of the residents. Findings in this report need to be considered with those of the previous report that addressed the other key standards. 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. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 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 the following standard(s): None The key standards of this section were assessed on 26/7/05. EVIDENCE: 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 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 the following standard(s): None The key standards of this section were assessed on 26/7/05. EVIDENCE: 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 9 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): None The key standards of this section were assessed on 26/7/05. EVIDENCE: 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 10 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): None The key standards of this section were assessed on 26/7/05. EVIDENCE: 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 11 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): 23 Adequate systems are in place to promote the protection of the service users. EVIDENCE: The management deals with issues relating to adult protection and provides training for staff. Since the last inspection the manager has reported an incident subsequently investigated under the local adult protection procedures. Action had been taken to improve the situation including a short-term increase in staff levels. Training about the protection of vulnerable adults is organised for staff. The manager reported that seven staff had received training in the last year and that further refresher training is planned for February 2006. A member of staff confirmed that they had received the training and that it was helpful. The training was documented in another member of staff’s training record. The manager organises training for staff in dealing with difficult and challenging behaviours. This includes de-escalation of situations and diffusion. The manager reported that a physical intervention plan had been written for one service user but had not yet been used. This was documented and available for staff to read. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 12 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 Service users benefit from regular improvements to the environment and adequate arrangements for infection control. EVIDENCE: The home is comfortable, clean and adequately decorated. Bell House Homes employ a maintenance worker shared by four homes. A system is in place to report repairs and improvements needed. The manager reported that the system worked well and that when necessary an external contractor could be used. A book is available for staff to record problems. The records showed that issues highlighted in the two weeks before the inspection were being addressed. Obvious hazards were not noted during the partial tour of the home. Some improvements have been made to the home since the last inspection. These include new kitchen cupboards, replacement of some bathroom floors, and provision of a tracking hoist. One service user spoken with about improvements was pleased with the changes. Some new furniture has been provided in the lounge. Dining room furniture and new lounge curtains are planned. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 13 Adequate arrangements are in place for the control of hygiene and infection. A service user and member of staff showed the laundry to the inspector. This was clean and suitably equipped. A laundress is employed for 15 hours a week and all new staff spend time with her during induction including elements of infection control. The manager has arranged for all staff to have a days training on infection control this year. A contract is in place for clinical waste. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 14 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): 32,35 An increasingly supported and trained staff group work with service users. This will be enhanced further as staff work towards National Vocational Qualifications. EVIDENCE: Staff were noted to be supporting residents in a positive and friendly manner during the inspection. Staff are supported, by the manager to do training. Records are held of training received. Records showed that training in the home in 2005 included medication, POVA, fire, challenging behaviour, health and safety, food hygiene and first aid. A member of staff spoken with about training had found it helpful. The manager has also identified new areas of training required by staff. This includes epilepsy awareness, dementia and autism. Some staff have received some (LDAF) induction training. Induction was discussed with the manager during the inspection. Whist staff are provided with some induction, it is not based on LDAF. Consideration of this is advised. The manager recognises that work is needed to have enough staff assessed to NVQ level 2. At the time of the inspection none had been assessed to this level. He reported that four staff have been registered at college for assessment. Steady work is needed to reach the standard of 50 of staff assessed to this standard. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 15 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): Service users benefit from the home being run by an experienced and trained manager. EVIDENCE: The manager has an NVQ level four in care and a registered manager’s award. Evidence was seen of recent training that he had completed. This demonstrates a commitment to being updated regularly. Further training is planned. A requirement was made in the last inspection report to ensure that regulation 26 visits (visits by a responsible person) are taking place monthly. The manager confirmed that these are taking place regularly. Copies have been sent to the commission more often but not yet on a monthly basis. This is needed. Checklists are in place in the home to monitor elements of the service regularly and a representative of Allied Care, the parent company, to Bell House Homes complete regular quality audits. Consultation with residents was assessed at the last inspection. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 16 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 X X X X X Standard No 22 23 Score x 3 ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X 3 LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 2 X X 3 x CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 99 Ashley Road Score X X X x Standard No 37 38 39 40 41 42 43 Score 3 X 3 x x x x DS0000012387.V273198.R01.S.doc Version 5.0 Page 17 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. Standard Regulation Requirement Timescale for action 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 YA32 Good Practice Recommendations The registered manager is advised to take action to ensure that sufficient numbers of staff are assessed to NVQ level 2. 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 99 Ashley Road DS0000012387.V273198.R01.S.doc Version 5.0 Page 19 - 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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