Inspection on 27/06/06 for Ascot Lodge

This inspection was carried out on 27th June 2006.

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 no outstanding requirements from the previous inspection report, but made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ascot Lodge 04/11/08

Ascot Lodge 07/11/07

Ascot Lodge 16/11/05

Ascot Lodge 08/06/05

Ascot Lodge 29/09/04

Ascot Lodge 21/04/04

Similar services:

Polesworth Group Friary Road

Polesworth Group Pooley Heights

Polesworth Group 32 Station Road

Polesworth Group 70 Long Street

Breme

Polesworth Group 64 Long Street

Polesworth Group 68 Long Street

10 Whitfield Avenue

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

CARE HOME ADULTS 18-65 Ascot Lodge 17 Ascot Road Moseley Birmingham West Midlands B13 9EN Lead Inspector Sarah Bennett Unannounced Inspection 27th June 2006 11:30 Ascot Lodge DS0000017108.V293679.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 Ascot Lodge DS0000017108.V293679.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. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ascot Lodge Address 17 Ascot Road Moseley Birmingham West Midlands B13 9EN 0121 247 8760 F/P 0121 247 8760 lornastreasure@yahoo.co.uk 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) Dr Kandiah Somasundara Rajah James White Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Residents must be aged under 65 years That the manager undertakes appropriate training in Autism and forwards confirmation of completion to the Commission no later than December 2005. 16th November 2005 Date of last inspection Brief Description of the Service: Ascot Lodge is situated on the ground floor of a three storey Victorian house in a quiet cul-de-sac in Moseley. The upper floors of the property are let to private tenants with a front entrance shared by tenants and care home residents. Ascot Lodge comprises of three bedrooms, a small kitchen, bathroom and WC, lounge, dining area, office and rear garden with a shed and garden furniture. There is off road parking available for three cars at the front of the property, which is shared with private tenants who occupy the rest of the building. The home provides a vehicle, which is used by residents to access community based facilities, attend appointments and day trips. All bedrooms at the home are single and there are no en suite facilities. The home provides a service to three adults who have a learning disability and autism spectrum disorders. The home is not suitable for people who have mobility difficulties. The pre-inspection questionnaire completed by the Acting Manager states that the fees charged are £1217.99 per week. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Prior to the fieldwork visit taking place a range of information was gathered to include notifications received from the home and a completed pre – inspection questionnaire. One inspector carried out the unannounced fieldwork visit over five hours. This was the homes key inspection for the inspection year 2006 to 2007. The staff on duty and the Acting Manager were spoken to. The inspector met with all the residents and time was spent observing care practices, interactions and support from staff. A tour of the premises took place. Care, staff and health and safety records were looked at. What the service does well: There are regular meetings with the people who live in the home to talk about things they want to do and the day-to-day running of the home. Residents go out often to places they want to go to. They go to college and have planned activities during the week such as going to the leisure centre to use the gym and go swimming. Staff and the people who live in the home attend courses together like healthy eating and fire safety. This gives the residents information on how they can keep safe and well. The staff have had lots of training to help them meet the needs of the people who live there and this is all up to date. Residents are encouraged to do things for themselves. They do their washing, ironing, clean their bedrooms, wash up and help to prepare their meals. Staff support them as much as they need to. Staff spend time talking to residents if they are upset or worried about something to try to help them be calm and enjoy what they are doing. Residents are supported to attend health care appointments when needed and advice given from health professionals is followed to ensure that residents can be healthy as possible. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 6 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. Ascot Lodge DS0000017108.V293679.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 Ascot Lodge DS0000017108.V293679.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): 1, 5 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents have the information they need to make an informed choice about whether or not they want to live at the home. Each resident had an individual contract so that they are aware of the terms and conditions of their stay at the home. EVIDENCE: The statement of purpose of the home and the service users guide included all the relevant and required information. These provide the information that prospective residents needs so that they can make an informed choice about whether or not they want to live in the home. Both of these documents were updated in March 2006 when staff left and new staff were employed. Residents records sampled included a copy of the service users guide. The residents have lived in the home for a number of years so there had been no new admissions. Therefore, the standard relating to assessment of prospective residents could not be assessed. Residents records sampled included an individual contract that stated the terms and conditions of their stay at the home including their rights and responsibilities. The contracts had been signed by the individual resident, their representative where appropriate and the Acting Manager. Ascot Lodge DS0000017108.V293679.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, 7, 8, 9 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff have the information they need to support residents to meet their needs and achieve their goals. Residents are supported to make decisions about their day- to- day lives and are consulted on all aspects of life in the home. Residents are supported to take risks within a risk assessment framework. EVIDENCE: Two residents records were sampled. Records included an individual care plan that stated how staff are to support the person to meet their needs and achieve their goals. They included how staff are to support them to maintain contact with their family and friends, social activities, communication, personal hygiene, health needs, medication, daily living skills, encouraging independence, dietary needs and religious needs. The care plans were updated regularly as the individual’s needs and goals changed. The individual had signed their care plan. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 10 Regular residents meetings are held and minutes of these are kept. These showed that residents chose the agenda for these. In one meeting one resident said they wanted to talk about food and the meals. They said they were happy with the variety provided but sometimes the portion sizes were too big. Other residents said they were happy with the choice and portion sizes. Therefore, it was agreed that this resident would have smaller portions. In one meeting about activities one resident said that they did not like going to Relax away (a local sensory room). The other two residents went to Relax away in the morning of the inspection but this resident stayed at home. Residents were asked at one meeting whether they wanted to meet all together or have 1: 1 meetings with their key worker, they said that they would usually want to meet together. In one meeting residents were given the opportunity to choose their key worker, they have the option to meet with their key worker weekly for a chat if they want to. Residents and staff had signed the meeting minutes. The residents to show that they agreed they were an accurate record and the staff to state that they had read them and agreed to support the residents in their decisions made. Records sampled showed that residents were supported to vote in the local elections in May if they wanted to. Records sampled included individual risk assessments. These stated how staff are to support the individual to minimise the risks of smoking, using roads when accessing the community, food preparation and using knives, having their medication, using gym equipment, swimming, going to local shops alone, drinking alcohol, going on fairground rides, having their own key to the home, ironing and using electrical appliances and travelling in the vehicle. These were detailed and regularly reviewed and updated where necessary. The individual had signed their risk assessments to state that they agreed to them. Staff had signed to say that they had read them. Because the residents have an autistic spectrum disorder (ASD) they can sometimes be misunderstood by the behaviour they may display in the community. To reduce the risks of misunderstanding and the problems this may cause all residents carry an Autism West Midlands Alert Card, which gives details of ASD and who to contact if there is a problem. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 11 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, 14, 15, 16, 17 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place so that people living in the home experience a meaningful lifestyle. Residents are offered a healthy and varied diet of their choice. EVIDENCE: In the morning two residents went to Relax away and the other resident who does not like this activity stayed at home and watched TV. In the afternoon two residents went to the gym and swimming and the other resident went out with their family. Residents regularly attend college courses in literacy, computers, life skills, crafts and maths. One resident said that instead of literacy they were going to look at another course in September, possibly drama. Residents said that during the summer months when their courses are closed they hope to do some short courses at the summer school run by the college. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 12 Records sampled showed that residents go to college, shopping, the gym, the barbers, parks, pub, swimming and to restaurants. Residents said they have their own bus pass and regularly use public transport. A vehicle is provided which they sometimes use to access the community particularly for day trips and holidays. Residents were talking about where they would like to go on holiday this year; one resident said Blackpool and another said Rhyl. Holidays are not yet booked but plans are being made as they usually go on holiday at least once a year. Residents records sampled showed that staff support residents to maintain contact with their family and friends through visits and telephone calls. Residents said that they regularly have contact with their family and go out with them and sometimes stay with them for the weekend. Relatives visit the home regularly. Records showed and residents said that they are supported to be as independent as possible and take part in the running of the home. Residents said that they have chores to do which keep them busy, they clean and tidy their bedrooms and staff support them when needed. Residents were observed washing up, helping to prepare meals and tidying their bedrooms. Each resident has an opportunity to earn some extra money in addition to their benefits each week that they can spend on what they want. The resident agrees to a target that they want to achieve, for one resident this was ironing their clothes and another was to help prepare lunch and dinner. One residents target was to learn the telephone number of the home and use a public telephone so if they needed to contact the home when they were out on their own they would be able to. The target is set until they have accomplished the skill but no longer than four weeks at which time a new target is set. When the resident has attempted to achieve their target they are rewarded with £2 per day and work on these from Monday to Friday not at weekends. If they don’t attempt to achieve the target they are not rewarded. Residents said this has helped them work towards achieving more skills and they like to do the things so that they can have extra money to spend or save if they want to. Menus and records of food provided showed that residents have a healthy and varied diet that includes fresh fruit and vegetables. Residents said that they eat healthy food that includes fruit and drink lots of water. Lunch provided was jacket potatoes with beans and salad. Staff sat with residents to eat, talking to them about their morning and what they were going to do in the afternoon. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19, 20 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents receive personal support in the way they prefer and require and generally their health needs are met. The arrangements for the management of the medication ensure that residents are protected from harm. EVIDENCE: Residents care plans sampled stated how staff are to support the individual with their personal hygiene. Residents were dressed appropriately to their age, the weather and the activities they were doing. Residents said that they buy their own clothes with support from staff when needed. Records sampled showed that residents have their hair cut at the local barbers. Each resident had their own individual hairstyle. Records sampled showed that where appropriate health professionals are involved in the care of residents. These include the Psychiatrist, Dietician and the Speech and Language Therapist. Records showed that residents had regular checks with the dentist and optician. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 14 Residents attended a healthy eating and menu planning session with staff so that they have knowledge of what a healthy diet is when they are choosing their menu. Residents are regularly weighed and a record of this is kept. The records stated the target weight for the individual. Records showed that residents are being supported appropriately to reach their target weight. Each resident had an individual Health Action Plan in line with ‘Valuing People.’ This is a personal plan about what a person needs to stay healthy and what support they need to access appropriate healthcare services. These had been developed since the last inspection as required. However, they included all aspects of the support the individual needed and were not just relevant to their health. Some parts of the plan therefore need to be removed so it is clear what support the person needs in relation to their health. Medication is stored in a locked cabinet. Lloyds Pharmacy supplies the medication to the home weekly in blister packs. Residents are supported to administer their own medication as much as possible. An assessment is in place as to what support each person needs to do this. All the Medication Administration Records (MAR) were signed appropriately. The MAR crossreferenced with the blister packs indicating that medication had been given as prescribed. Each resident had a list of the homely remedies i.e. Lemsip, Paracetamol that they could take with their prescribed medication when needed. These were signed by their GP. Creams prescribed had been dated when opened to ensure that they are not used after the expiry date. Staff had received the accredited training in the ‘Safe Handling of Medicines.’ Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 15 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22, 23 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that resident’s views are listened to and acted on. Arrangements are in place to ensure that residents are protected from abuse, neglect and self-harm. EVIDENCE: A copy of the complaints procedure was included in resident’s service user guides. This included all the relevant and required information. It included details of how to contact the CSCI and stated that they can be contacted at any time if the person is not satisfied with the service that the home provides. In one residents records sampled they had an inventory of their belongings. This was not signed by the resident or a member of staff to show that they agreed that these were the person’s belongings. One resident had written their inventory of belongings and had signed and dated this. Residents display behaviour sometimes that may be ‘challenging.’ Detailed individual behaviour management strategies are in place that state how staff are to support the person to manage their behaviour by distracting them or allowing them time to talk about their anxieties that may trigger the behaviour. These are regularly reviewed and updated when necessary. Residents said that when they get upset and may throw things that staff let them calm down and then sit and talk about if there is any problem or why they have been upset. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 16 Two residents financial records were sampled. Each resident has their own bank account. Bank statements sampled showed that their benefits are paid into their accounts regularly and they regularly pay their rent. Residents have a cash point card to withdraw their money. Individual risk assessments are in place to minimise the risk of this being abused. Each resident has signed to say that they agree to continue to use their cash point card and are aware of the risks involved. Bank statements showed that personal money was regularly withdrawn from individual accounts but this did not exceed the personal allowance that residents receive. Individual records are kept of monies withdrawn and these showed that they spend money on personal items. Receipts are kept of all purchases. Bank statements sampled showed that residents live within their means and the money held in their accounts had risen. The money that residents earn through working on their individual targets is recorded separately. The Acting Manager said that residents are encouraged to spend this on something they would like so that they can reap the benefits of their rewards. All staff had received training in adult protection and the prevention of abuse and in managing challenging behaviour. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 17 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, 26, 27, 30 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Arrangements are in place so that generally residents live in a homely, comfortable and safe environment. EVIDENCE: Space in the home is limited. Communal areas include a lounge, small dining room and small kitchen. There is one small bathroom for the use of residents and staff. Each resident has their own bedroom. The washing machine and tumble dryer are located in an alcove off the hall. The office is accessed through the garden. The garden is private has grassed areas and flowerbeds with shrubs and trees. There is a garden shed and facilities for drying washing. Laminate flooring was being laid in the hall. Since the last inspection a new kitchen had been fitted. This includes a new integrated cooker. The kitchen flooring was not replaced and some edges of it do not meet the units. This could cause dirt to collect at the bottom of the units and the flooring must be replaced and sealed around the edges. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 18 Since the last inspection the dining room, lounge and bathroom had been redecorated. As required at the last inspection an extractor fan had been fitted in the bathroom to reduce condensation and a radiator cover had been fitted to prevent the risk of scalding. Staff and residents said that residents had been involved in choosing the new kitchen and the colours of the rooms that were redecorated. Resident’s bedrooms were personalised and decorated according to individual tastes and interests. One resident had a double bed, which they said they prefer. One resident said that they have everything they need in their bedroom. The home was clean and free from offensive odours. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 19 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, 33, 34, 35, 36 The quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Arrangements are in place to ensure that an effective staff team who have the skills to meet their individual needs supports residents. EVIDENCE: The pre-inspection questionnaire stated that two care staff have completed NVQ level 2 or above in Care. The Acting Manager has NVQ level 3 and has completed the work for level 4 and this is currently being assessed. The Business Manager who also works at the home has NVQ level 4 and the Registered Managers Award. One member of staff is doing level 3 and two members of staff have not completed NVQ training. Therefore, 57 of staff had completed NVQ level 2 or above, which meets this standard that at least 50 of staff had completed this. The pre-inspection questionnaire stated that since the last inspection one member of staff had left the home. The Acting Manager said that there is a vacancy for one member of staff. They have advertised in the local job centre and on the Internet. They are specifically looking to recruit a male member of staff to address the gender balance of the residents of which two of the three are male. There has not been much interest in this post so far. Rotas showed that minimum staffing levels are met. Regular staff meetings are held and staff Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 20 said that they could put items on the agenda to discuss if they want to. Staff said that they are expected to attend these meetings. Two staff records were sampled. These showed that the necessary checks were completed before staff started working at the home to ensure that suitable people are recruited to work with the residents. These included a Criminal Records Bureau (CRB) check. When staff started working at the home they completed an induction. Training records showed that staff have had training in fire safety, first aid, food hygiene, epilepsy, adult protection and the prevention of abuse, managing challenging behaviour, autism, manual handling, healthy eating, communication and the accredited Safe Handling of Medicines training. Staff records sampled showed that staff had regular, formal, recorded supervision sessions with their line manager. During these they discussed individual residents needs, the role and responsibilities of the key worker and identified the training and development needs of the member of staff. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 21 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 42 The quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The Acting Manager has ensured that resident’s benefit from a well run home and applying for registration with the CSCI will ensure that this continues. Residents are confident that their views underpin all self-monitoring, review and development by the home. The health, safety and welfare of residents is generally promoted and protected. EVIDENCE: The Acting Manager has several years of experience of working with people who have Autistic Spectrum Disorders. They were previously a Senior Care staff at the home. The Acting Manager has completed NVQ level 4 in Care and this is currently being assessed. They hope to start the Registered Managers Award in September. They have not yet made an application to be registered with the CSCI and this is required. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 22 The home has a comprehensive quality assurance system that includes the views of residents and their representatives. A consultant completes the monthly visits to the home on behalf of the provider. A report of these visits is written and available. These consider the views of residents and staff and reports seen showed that they were positive about the home and how it is run. Staff have regular training in fire safety and residents attend this training so that they are aware of what to do if there is a fire and how to prevent fires from starting. Regular fire drills are held so that residents and staff know what to do if there is a fire. Staff test the fire equipment regularly to make sure it is working. Staff test the water temperatures regularly to make sure they are not too hot or cold for the residents. The recommended safe temperature is 43 degrees centigrade. Records of the last test showed that they were between 39 – 41 degrees centigrade. A Corgi registered engineer tested the gas equipment in February 2006. They stated that there was a defect in the cooker flue however, this has been replaced. An electrician tested the portable electrical appliances in June 2005 and stated they were safe to use. These should be tested annually. The Acting Manager said that they had contacted the electrician to try to arrange a date for them to complete this. When completed evidence of this must be sent to the CSCI. The home has a vehicle for use of staff to enable residents to access the community. The MOT was due to expire the following week. The Acting Manager stated that they were aware of this and the vehicle was booked to go to the garage the next day. A valid certificate of insurance with appropriate cover was seen. Staff test the fridge and freezer temperatures regularly and these were recorded as within the recommended limits for safe food storage. A valid certificate of employers liability insurance was displayed in the home. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 23 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 3 2 x 3 x 4 x 5 3 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 3 27 3 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 3 33 3 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 x 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 2 3 x 2 x 3 x x 2 x Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 24 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 YA19 Regulation 12 (1) (a) (2) Requirement Health Action Plans in line with Valuing People must include only the relevant information about the person’s health needs. A Health Action Plan is a personal plan about what a person with a learning disability can do to be healthy. It lists any help people might need to do those things. It helps to make sure people get the services and support they need to be healthy. The kitchen flooring must be replaced and sealed around the edges. An application for registered manager must be submitted to the CSCI. Evidence that an electrician has tested the portable electrical appliances must be sent to the CSCI. Timescale for action 31/08/06 2. 3. YA30YA24 YA37 16 (2) (j) 23 (2) (b) 8 (1) (a) (2) 13 (4) (ac) 31/08/06 30/09/06 4. YA42 31/07/06 Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 25 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 YA23 YA39 Good Practice Recommendations Inventories of resident’s belongings should be signed and dated by the resident and a member of staff. The quality assurance system should be reviewed twice yearly. Ascot Lodge DS0000017108.V293679.R01.S.doc Version 5.1 Page 26 Commission for Social Care Inspection Birmingham Office 1st Floor Ladywood House 45-46 Stephenson Street Birmingham B2 4UZ 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. 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