Inspection on 08/08/06 for Ascot Nursing Home

This inspection was carried out on 8th August 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

Ascot Nursing Home 20/07/07

Ascot Nursing Home 15/12/05

Ascot Nursing Home 25/07/05

Ascot Nursing Home 14/02/05

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ascot Nursing Home 19-21 The Crescent Linthorpe Middlesbrough TS5 6SG Lead Inspector Julia Connor Key Unannounced Inspection 8th August 2006 09:40 X10015.doc Version 1.40 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 Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 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 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 Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ascot Nursing Home Address 19-21 The Crescent Linthorpe Middlesbrough TS5 6SG 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) 01642 825283 01642 850412 Mr George Dixon Mrs Susan Olive Ellis, Mrs Angela Catherine Allick, Mr Michael Dixon Mrs Angela Claire Walsh Care Home 32 Category(ies) of Old age, not falling within any other category registration, with number (0), Physical disability (0) of places Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2005 Brief Description of the Service: Ascot is a care home providing both nursing and personal care for older people. It is a three-storey building providing single and double accommodation for 32 Residents; the 30 single bedrooms are a minimum of 10 sq.m. and the 1 double bedroom is a minimum of 16 sq.m. There is a passenger lift giving access to the upper floors. There is one large lounge and one communal dining room. The home is close to local shops and amenities with a small area for parking at the front of the home. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out by one Inspector and took a total of seven hours to complete. Three Residents’, two visitors and two members’ of staff were spoken to during the inspection. Eight Residents’ and six relatives’ returned the Commission for Social Care Inspection comment cards. The current fees structure is £338.00 to £458.00 a week depending on the level of care the Resident requires. What the service does well: What has improved since the last inspection? The home has purchased a new assisted bath and a new hoist. There are new lounge chairs and patio furniture for the new patio area at the back of the home. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 6 Seven bedrooms’ had been decorated and new curtains and carpets purchased and two bedrooms’ had new furniture. Four bathrooms’ had been decorated and new bed linen and towels purchased. The entrance hall had been decorated and new extractor fans purchased for the kitchen. New lift doors had been purchased as the previous doors had been sticking. 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 Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 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 the following standard(s): 3 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents have their needs assessed prior to their admission to the home. EVIDENCE: Three sets of Residents’ documentation were audited and contained evidence that the Resident had been assessed by the appropriate professional prior to being admitted to the home. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 9 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 the following standard(s): 7, 8, 9 and 10 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The Residents’ health, personal and social needs are recorded in an individual plan of care and their health care needs are met. Residents’ feel they are treated with respect and dignity. Medication is dispensed appropriately and Residents’ are protected by the home’s policies and procedures for dealing with medication. EVIDENCE: New care documentation is currently being introduced. Three sets of Residents’ care files were audited and all contained an adequate amount of information. There was evidence that the Residents’ representative had had access to their files and agreed the plans of care. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 10 There was evidence in the care documentation that the Residents’ had access to out side health professionals e.g. Doctor, District Nurse, Dentist and Optician. There is a policy and procedure for the receipt, recording, storage, handling, administration and disposal of medicines. The Residents’ who spoke to the Inspector stated that they felt they were treated with dignity and their right to privacy was respected. One Resident stated that s/he was encouraged to be independent but was aware that the staff were there should s/he require help. The Residents’ who returned the Commission for Social Care Inspection comment cards had recorded that they received the care and support they needed. One Resident had recorded about the staff ‘I can’t speak well enough of them all’. Both of the visitors’ who spoke to the Inspector stated that they felt that their relative was cared for with respect and dignity. One visitor stated that the staff ‘always put themselves out for the Residents’. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 11 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 the following standard(s): 12, 13, 14 and 15 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Activities take place within the home on a regular basis and appear to be varied. Residents’ maintain contact with family and friends and are encouraged to make choices in their every day lives. The Residents’ receive a wholesome and well balanced diet. EVIDENCE: There is an activities organiser in post. There were photographs available which showed the Residents’ enjoying activities. One Resident informed the Inspector that there were activities available but s/he also liked to watch TV, read or do crosswords. There were visitors’ in the home on the day of the inspection. Both visitors’ stated that they were always made welcome. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 12 The Residents’ who spoke to the Inspector and those who had returned their comment cards were satisfied with the care they received. The Residents’ who spoke to the inspector and returned comment cards thought that the food was good and they had no complaints. One Resident stated that the food was ‘very good’ and there was always something different if you did not like what was being served. One Resident who returned a comment card made the statement ‘good variety and well cooked’. The visitors’ to the home stated that the meals always looked nice. On the day of the inspection there were sufficient staff in the dining to give assistance to those Residents’ who required it. There were also family members’ in the dining room assisting their relative with their meal. One member of staff who spoke to the Inspector described the food ‘as brilliant’. Another member of staff stated that the there was a good variety of food and that it was always served hot, on time and the portion appropriate for the Resident. The member of staff stated that the Residents’ enjoyed the homemade cakes and scones. The Inspector was informed that the Cook made her own cakes and scones, which she evidenced when she visited the Kitchen. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 13 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 the following standard(s): 16 and 18 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents’ and family members’ are confident that their complaints will be listened to seriously and action taken. There are polices and procedures in place to follow should abuse be reported. EVIDENCE: There is a complaints policy and procedure in place, which outlines the stages the complainant should take to make a formal or informal complaint. Complaints are recorded appropriately and are available for inspection. Policies and procedures are in place in relation to adult protection and prevention of abuse. The home has a copy of the Teeswide No Secrets Protection of Vulnerable Adults Guidance. Staff who spoke to the Inspector were aware of the action to take should they witness any form of abuse. Staff have received training in the Protection of Vulnerable Adults. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 19, 20, 22, 24 and 26 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. Residents’ live in a well-maintained environment, their bedrooms meet their needs and specialist equipment is available. On the day of the inspection the home was clean, pleasant and hygienic. Residents’ have access to safe and comfortable outdoor communal facilities. EVIDENCE: There were no issues identified during a tour of the home. Residents’ bedrooms appeared comfortable and had been personalised, for example there were bedrooms, which had fridges, personal chairs, furniture, pot plants, flowers and telephones. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 15 The ground at the back of the home had been made into an attractive patio area for the Residents’ and their visitors to use; new patio furniture had been purchased. The home has specialist equipment to ensure the Residents’ are cared for safely and encourage independence. A new assisted bath and hoist had been purchased. All of the Residents’ who returned their comment cards had ticked that the home was always fresh and clean; one Resident had made the comment ‘Ascot is kept spotlessly clean every day, the cleaners do a fantastic job’. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 16 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. The duty rota indicated the appropriate number of staff where present in the home on the day of the inspection. Staff are being trained to NVQ level 2 which should ensure that they can meet the Residents’ needs. The Residents’ are protected by the home’s recruitment practices and staff receive training to enable them to care for the Residents’. EVIDENCE: On the day of the inspection there was one qualified nurse and five care assistants’ on duty for the day shift, one qualified nurse and four care assistants’ on duty for the evening shift, and one qualified nurse and two care assistants’ on duty on a night shift. Five members’ of staff who spoke to the Inspector felt that there were insufficient staff on duty to meet the needs of the Residents. The Residents’ and visitors’ who spoke to the Inspector felt there were sufficient staff on duty. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 17 Five Residents’ who had returned comment cards had recorded that staff were available when they needed them; the remaining three had recorded that usually the staff were available when needed. Two of the relative comment cards had ticked that in their opinion there was insufficient staff on duty to meet their relatives needs; the remaining four relative comment cards had ticked that they felt there was sufficient staff on duty. The Manager recorded in the pre-inspection questionnaire that 72 of the care staff had an NVQ level 2 or 3 in care, which is an increase of 11 since December 2005. An audit of three personnel files showed that the home complied with the requirements stipulated in Schedule 2 of the Care Home Regulations 2001. Four training files were audited and showed that training had taken place, for example fire, manual handling, the role of the care worker and the needs of the Resident. Staff who spoke to the Inspector confirmed that training takes place. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 18 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 Quality in this outcome area is Good. This judgement has been made using available evidence including a visit to this service. There is no Manger currently in post. There was evidence that quality assurance and quality monitoring takes place. The Residents’ personal finances are safeguarded and there are polices and procedures in place for the staff to access. EVIDENCE: There is no registered manager currently in post, however the Commission for Social Care Inspection has received an application to register a manager. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 19 There is a quality assurance and quality monitoring system in place within the home. The audits cover the different departments within the home e.g. Residents care documentation, the kitchen and the environment. Regulation 26 visits are sent to the Commission for Social Care Inspection. Each Resident has his/her own money wallet. A record is kept of all the money a Resident receives and spends and receipts are obtained and kept in the individual wallet. There are two signatures when money is deposited or withdrawn. There is a policy and procedure in place for Residents’ finances. The home has Health and Safety policies and procedures in place. It had been recorded in the Pre-inspection questionnaire that equipment was maintained as required. A random audit of the maintenance book showed that the lift had been serviced on the 24th August 2005 and the emergency lighting on the 7th August 2006. Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 20 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 4 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 3 X 3 X 3 X 4 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 21 Are there any outstanding requirements from the last inspection? NO 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. Refer to Standard Good Practice Recommendations Ascot Nursing Home DS0000061594.V306413.R01.S.doc Version 5.2 Page 22 Commission for Social Care Inspection Tees Valley Area Office Advance St. Marks Court Teesdale Stockton-on-Tees TS17 6QX 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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