Inspection on 18/05/05 for Ascot House

This inspection was carried out on 18th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ascot House 28/06/10

Ascot House 19/05/08

Ascot House 12/11/07

Ascot House 20/12/06

Ascot House 09/05/06

Ascot House 12/07/05

Ascot House 27/09/04

Ascot House 01/06/04

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

CARE HOMES FOR OLDER PEOPLE Ascot House 28-36 Wingrove Road Fenham Newcastle Upon Tyne NE4 9BQ Lead Inspector Aileen Beatty Unannounced 18 May 2005 9:30 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 Older People. 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. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ascot House Address 28-36 Wingrove Road Fenham Newcastle Upon Tyne NE4 9BQ 0191 272 1020 0191 272 5171 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) Ascot House Care Home Limited Mrs Tanya Jane Dixon CRH 35 Category(ies) of DE(E) Dementia - over 65 (35) registration, with number of places Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Two residents are under pensionable age, within the DE category. Date of last inspection 27/09/04 Brief Description of the Service: Ascot House is a 35 place care home with nursing providing care for older people enduring mental health problems. Care in the home is provided by Registered Mental Nurses supported by care staff. the home is owned and managed by Caring Homes Ltd q national provider of care to vulnerable client groups. The home is situated in Wingrove Road in the west of the city of Newcastle Upon Tyne close to local shops and good public transport links. The building is comprised of four floors the basement being staff and office accommodation and the upper three floors being residents accommodation. there are a number of lounges and dining rooms on the ground floor. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection found that the overall standard of care is satisfactory but that the environment is in need of a lot of attention. The inspection took 5 hours and involved an examination of records, inspection of the premises and discussions with staff, residents and relatives. Residents were joined for lunch. What the service does well: What has improved since the last inspection? A weekly programme of activities is now displayed. Staff and relatives meetings have been held more often and a regular newsletter now circulates. Care plans are more detailed and clearly written. Menus now record what is being cooked each day for breakfast. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 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. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 3 and 4 Standard 6 is not applicable as the home does not provide intermediate care. Assessments are carried out for all residents prior to admission. Information provided prior to admission ensures that relatives and residents know that the home will meet their needs. EVIDENCE: Care records for 5 people were examined and comprehensive assessment information is contained in resident’s files. There is sufficient information obtained prior to admission to enable staff to plan care effectively. The home completes assessments on each resident relating to activities of daily living, continence, moving and handling, pressure sore risk, behaviour mental state and general and specific risk assessments. The files examined show that these assessments are completed on a regular basis. The information gathered from such assessments does not always appear to be used in a preventative way. Care plans should reflect that the information obtained form assessments is used proactively. (See standard 7). Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 9 A new scale is in use for monitoring pressure area risk (Braden scale) this replaces the Waterlow scale. It became apparent that it is not currently being used effectively as there is no information relating to outcomes and “what to do next”. Waterlow scales must remain in use until the Braden scale is fully implemented and staff are confident with it. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9 and 10. Standard 11 was not assessed but it was noted that there is an outstanding recommendation relating to specific information required when caring for residents who are dying and have different religious or cultural needs. The overall standard of care is good. Care plans are of a generally good standard and residents are well cared for. Health needs are met, but medication procedures need to be improved. Service users are treated with dignity and respect. EVIDENCE: Care plans were examined and found to be up to date and regularly reviewed. It was noted that where a resident is deemed at high risk of developing a pressure sore, a preventative care plan is not put in place. Physical care provided by the home is of a good standard. A care home liaison nurse has written to the home to complement the standard of pressure area care she observed being carried out by the home. Most residents spoken to said that they feel well looked after. One resident said that he had lived in a number of places and likes Ascot House the best. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 11 Residents look clean and tidy in appearance. Clothing is appropriately laundered and staff provided assistance with personal care. The dignity of residents is preserved by staff discretion when offering assistance. They were also seen knocking on bedroom doors prior to entering. A notice with personal details about residents such as what time they were up, and had passed urine etc was seen on the fireplace in the lounge. Staff must ensure that such information is stored correctly and not in public as this compromises the dignity of residents. Staff handover must not take place where other people may overhear confidential information. A satisfactory administration of medication policy is in place. The treatment room and medication trolley cupboards and fridge were checked. It was noted that there are a number of gaps in medication records. There are also gaps where pulses should be recorded before giving a heart medication. The manager has identified these omissions and is checking these weekly. Training has also been arranged. A random check of controlled drugs for 2 residents found totals to be correct. A weekly check is also in place to check the cleanliness of the trolley, suction machine, fridge and Glucometer. There is a fully stocked first aid box and it was noted that no out of date stock is carried. Eye drops and cream found in the trolley should have been stored in the fridge. The suction machine is portable and reportedly not easy to assemble. It is recommended that a machine that can be used quickly in an emergency should be made available. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 15. Residents are able to participate in a range of activities, that meet their needs. A wholesome balanced diet is provided. EVIDENCE: There is currently no activity coordinator in post. A list of activities was displayed on the notice board, and there are a number of small and larger lounge areas in the home for people who wish to watch TV or sit quietly etc. A pleasant garden area is available. Entertainment has been organised by the home such as “stars in their eyes” evenings and pie and pea suppers. Takeaways are sometimes ordered. Staff relate well to residents and communicate effectively with those who find it difficult. The company has made changes to the paperwork used by the home to monitor the risk of social isolation and social interaction. The home must demonstrate how this will be monitored and recorded. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 13 A “biography” completed by relatives is in use and contains a lot of useful and interesting information about the past lives of residents. This can be used to formulate personalised social care plans. Residents were joined for lunch. Residents appeared to be in the room for a long time prior to the meal being served. Tables were set with tablecloths only; no cutlery was given until the meal was served. The tablecloths were very creased, and this was brought to the attention of the manager. New table centrepieces had been ordered and arrived the next day. Napkins are not provided. The meal was a “Sunday Lunch” although it was Wednesday, as residents enjoy this meal. It was Beef or chicken. The meal was tasty and served with a good selection of vegetables. The meat was served cold with hot gravy and vegetables, and this was discussed with the cook. The reason for this is due to the fact that the meat is cooked the day before, and should not be re – heated. The point was raised from a customer satisfaction point of view, as it did taste bizarre having a hot meal with stone cold meat. It is recommended that this be considered. Residents spoken to said that they enjoy the meals. The kitchen was inspected and found to be clean and tidy. Records of food and fridge temperatures were examined and found to be in place. A new microwave has been provided. Cleaning schedules were inspected. The cook demonstrated a good understanding of the needs of residents. A list of likes and dislikes is now found in the kitchen. He confirmed that there are currently no residents who are underweight and knows about the ways to supplement meals if necessary. Fresh fruit and vegetables are delivered regularly. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18. There are satisfactory complaints procedure. Adult protection procedures are in place, but not always followed. EVIDENCE: The home has a satisfactory complaints procedure. This is publicly displayed in the home. There has been 1 complaint since the last inspection. This was noted to have been dealt with effectively by the manager. There is a Protection Of Vulnerable Adults and Whistle Blowing procedure in place. Staff receive regular POVA training. A double bedroom on the ground floor has been used as staff accommodation. This is particularly for oversees staff. It was reported that an oversees member of staff lived in this room for a time with her boyfriend. The staff member had undergone relevant criminal records checks but the boyfriend had not. The home must describe measures in place to protect vulnerable adults in this case and inform CSCI whether they would use the room in the same way in the future. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,23,24,25,26. The physical environment in the home is generally poor and in need of maintenance and redecoration. Indoor facilities are not satisfactorily safe and comfortable. There is a pleasant garden area. There are sufficient lavatories and washing facilities. Bedrooms are not furnished to a satisfactory standard. Residents may have their own belongings around them. The home is not satisfactorily clean and hygienic. EVIDENCE: The overall impression is that the home is in need of major refurbishment and investment. Many items of furniture are badly marked or worn and mismatching. A tour of the premises took place commencing in the basement. The stairwell leading to the basement is quite unpleasant with a strong smell of cat urine. The flooring in the basement corridor is patchy and uneven and must be improved for safety and hygiene reasons. The home was re inspected the Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 16 following day. Despite the cat litter tray being cleaned, the strong urine smell remains as it is possibly on the carpet, which must be replaced. The basement contains office and administration areas and staff rooms and storage. Given that relatives may be brought down to the basement for a meeting, it is of a very poor standard of décor and design. Fortunately, the only area used by residents is the hairdressing salon. They do not have access to the corridor area. It was reported that there are some plans to re decorate and reorganise office space. The staff room is a smoking room and is functional yet not a particularly pleasant room. There are sofas, which must be checked to ensure they comply with fire regulations. There is a storeroom off the staff room full of combustible materials. It is quite cluttered and appears hazardous. A risk assessment must be carried out in this area. The ground floor contains lounges and dining areas. The “parlour” is a very nicely decorated room spoilt by mismatching and badly marked furniture. It is recognised that this room has a reminiscence purpose so contains some old items. It is not these items being referred to. Chairs must be cleanable for infection control purposes (green parlour chair) or removed. The grey chair with brown arms must be replaced. A badly marked bed table needs to be replaced. The large lounge is light and airy and generally well maintained. Again, some chair arms are badly marked. The toilet areas have been brightened up with tile transfers. A colourful mural has been painted on the wall outside the bathroom and toilet. It is reported that residents appear to be very pleased with this. It is recommended that bathrooms or toilet areas should have net curtain or blind. This should be considered for a number of bedrooms that are overlooked. The “nurses station” area is untidy and furniture is mismatching. The desk is damaged and an appropriate office chair is not provided. Staff handovers occur in this open space, which is poor practice as confidentiality is breached as anyone can overhear. Records, discussions and notices about care should be inaccessible to residents and visitors. Dining areas are tidy and table centrepieces have been ordered. A number of chairs in the small lounge must be replaced as they are marked. The bedroom furniture belonging to the home is old and damaged and all needs to be replaced. The radiator cover in an identified bathroom is broken and must be replaced. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 17 There is condensation between the panes of Velux windows, which must be repaired or replaced. The carpet on the first floor corridor near the lift is marked and threadbare and must be replaced. The wooden frames around windows in some rooms are rotting and have been identified as a risk by the maintenance man. There is a concern that window restrictors may not hold fast as the surface is not stable. An immediate requirements notice was served requesting that a date for repair works to be carried out to be provided to CSCI and that a risk assessment be carried out for each resident occupying one of these rooms. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30. There are sufficiently trained and experienced staff on duty in the home. There are satisfactory recruitment procedures in place. Staff receive regular training and support to do their job. EVIDENCE: Staff rosters were examined and minimum staffing levels are maintained. There are 2 qualified and 4 care staff on duty during the day, and 1 qualified and 2 care staff at night. Staff records were examined and found to contain the required recruitment information. References and criminal records checks are in place. It was noted that the second reference for one staff member had been written in 2003 overseas to Whom it may concern. References should be requested in writing by the home. Recruitment policies and procedures are satisfactory. A training plan is in place. Staff attend regular statutory training. The home continues training staff in NVQ. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 33, 36 and 38. The home is run in the best interests of service users. Staff are supervised regularly at formal sessions. There are some hygiene and safety requirements. EVIDENCE: The manager is experienced in caring for older people and encourages high standard of care. Residents are consulted and relatives are kept informed by regular newsletters. There are currently no residents with a formal advocate. Regular staff supervision and annual appraisal take place. There is evidence of group meetings with staff and minutes are available. The manager monitors the performance of staff and identifies gaps in knowledge or training needs (e.g. medication). Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 20 There are a number of health safety and hygiene concerns. 1. The flooring in the basement is uneven and not cleanable. 2. There is a strong smell of cat urine. 3. Some window frames are rotting and need to be replaced. 4. The lift has no sensor to prevent it closing on somebody. 5. The storage area in the basement is untidy and full of combustible material, next to a smoking room. 6. Portable equipment such as hoists must be cleaned on a regular basis. 7. Chair covers must be removable for cleaning or easy to wipe. 8. The wheelchair belonging to a resident was very dirty. A new system is due to be implemented to ensure wheelchairs are kept clean. 9. Clothing and towels were found to be stored in bathrooms. Incontinence pads must also be stored away from damp conditions and off the floor. 10. The underside of the bath hoist was checked and found to be very dirty. 11.Emergency pull cords are tied up or too short. 12. Bleach and Dettol were found in a bedroom and had been brought in by relatives. 13. The home is not satisfactorily clean. 2 domestic posts are vacant. Some areas are very dusty and have clearly been missed during routine cleaning for some time. These areas were pointed out to the home manager. 14. Steradent must be locked away unless risk assessment in place, due to choking hazard. 15. The carpet is frayed on the first floor corridor. Health and safety policies are in place. They are company policies. The records examined include fire records, accident book, COSHH (control of substances hazardous to health guidelines), water temperature checks and electrical safety. Small appliances and the hoist are tested annually. On the day of the inspection, engineers were adjusting valves, as the water temperature was too high. The temperatures are being checked daily as an added precaution. Accidents are appropriately recorded and audited monthly by the manager. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x x 3 3 x x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 1 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 1 2 3 x 2 2 3 1 STAFFING Standard No Score 27 3 28 x 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 2 x x 3 x x 3 x 1 Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 22 yes 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. 2. Standard 7 7 Regulation 15 2 (b) 14 2 (a) Requirement Preventative care plans must be devised in response to high risk assessments. Staff must fully understand the Braden scale prior to replacing Waterlow scale for pressure area assessment. Personal information must not be publicly displayed. Staff handover must not take place in public. Medication must be administered and stored correctly in line with NMC guidelines. Tables must be fully set and napkins provided. People not employed or vetted by the home must not reside in the home or have access to vulnerable adults. Areas identified during the inspection must be redecorated. OUTSTANDING REQUIREMENT Velux windows affected by condensation must be repaired or replaced. OUTSTANDING REQUIREMENT. Overlooked bedrooms must be offered nets. All old and marked bedroom furniture owned by the home Timescale for action 18/07/05 18/07/04 3. 7 12 4 (a) immediate 4. 5. 6. 9 15 18 13 2 16 13 (6) immediate immediate immediate 7. 8. 19 19 23 2 (b) 23 2 (b) 18/08/05 18/08/05 9. 10. 10 19 12 4 (a) 23 2 (b) immediate 18/08/05 Page 23 Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 11. 38 13 4 (a) 12. 13. 29 38 13 2 (6) 13 3, 13 4 (a), 23 2 (d), 16 2 (k), must be replaced. Chairs and bed tables identified during the inspection must also be replaced. The first floor carpet is frayed and threadbare in places and must be replaced. Sofas in staff room and storage immediate arrangements in basement must be checked and risk assessed to ensure they meet fire regulations. Staff references must be recent immediate and sought by the home. The following health safety and 18/07/05 hygiene issues must be addressed. Those asterixed require immediate attention. 1. The flooring in the basement is uneven and not cleanable. 2. *There is a strong smell of cat urine. 3. *Some window frames are rotting and need to be replaced. 4. The lift has no sensor to prevent it closing on somebody. 5. *The storage area in the basement is untidy and full of combustible material, next to a smoking room. 6.Portable equipment such as hoists must be cleaned on a regular basis. 7.Chair covers must be removable for cleaning or easy to wipe. 8.The wheelchair belonging to a resident was very dirty. A new system is due to be implemented to ensure wheelchairs are kept clean. 9.*Clothing and towels were found to be stored in bathrooms. Incontinence pads must also be stored away from damp conditions and off the floor. 10. *The underside of the bath hoist was checked and found to be very dirty. Version 1.30 Page 24 Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc 11.*Emergency pull cords are tied up or too short. 12. *Bleach and Dettol were found in a bedroom and had been brought in by relatives. 13. The home is not satisfactorily clean. 2 domestic posts are vacant. Some areas are very dusty and have clearly been missed during routine cleaning for some time. These areas were pointed out to the home manager. 14. *Steradent must be locked away unless risk assessment in place, due to choking hazard. 15. The carpet is frayed on the first floor corridor. 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. 2. Refer to Standard 9 15 Good Practice Recommendations The suction machine could be replaced for a more user friendly easy to assemble model. Consider how hot meat can be served with Sunday dinners if this is preffered. Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 25 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Ascot House B53-B03 S391 Ascot House V222616 180505 Stage 4.doc Version 1.30 Page 26 - 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. 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