CARE HOME ADULTS 18-65
Ash Care Home Ash Care Home 41 Court Farm Road Mottingham London SE9 4JL Lead Inspector
Sue Meaker Unannounced Inspection 12th October 2005 10:00 Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information
Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION
Name of service Ash Care Home Address Ash Care Home 41 Court Farm Road Mottingham London SE9 4JL 020 8857 1183 020 8402 2416 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) Mr Ashok Kumar Aubeeluck Mrs Rajwantee Aubeeluck Mrs Rajwantee Aubeeluck Care Home 6 Category(ies) of Learning disability (5), Learning disability over registration, with number 65 years of age (1) of places Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION
Conditions of registration: 1. 2. 5 Adults / Elderly men with a learning disability ( within the category mental handicap) I place registered for LD(E) for named service user only. Date of last inspection 19th April 2005 Brief Description of the Service: Ash Care Home is a detached house situated in a quiet residential area\of similar properties, overlooking playing fields. The home is within walking distance of local shops, amenities and public transport. The home provides care and accommodation for six people with a learning disability. The residential accommodation is on two floors accessed by steep stairs with a banister fitted to the wall, which makes it partly unsuitable for people with significant mobility problems. Central heating is provided to all areas of the home and the residents can control the temperatures in their own rooms. Each of the residents have their own bedroom , fitted with a vanity unit with hot and cold running water. There is a shared bathroom on the first floor and a toilet on both levels. Residents have full use of the kitchen, a comfortable lounge, a dining and conservatory area and access to a very pleasant garden, with patio furniture. Residents are also able to access to a telephone, computer and television/DVD/Video and may have these items in their own rooms , at their own expense, if they wish. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. This was the second unannounced statutory inspection of Ash Care Home undertaken on the 12th October 2005. The inspection began at 10.00 am and continued until 3 pm; the inspection include a tour of the home, inspecting care plans, rotas, activity plans for individual residents and menus. The home caters for six gentlemen with learning disabilities. The Registered Manager came to the home, but could not be available for the duration of the inspection; the inspection was managed by a competent member of the staff team at the home. Two residents were available to chat as the remaining four residents were at their respective day centres. There were no relatives or friends visiting the home on the day of the inspection; all the residents had completed the Commission’s Service User Comment Cards; all of which were positive and extremely favourable. The two residents spoken to spoke positively about living in the home, what they did, where they went, the food they ate, the staff who cared for them, the home managers, their rooms and the outings and hobbies they enjoyed. What the service does well:
The management and the staff of the home encourage and support the service users to lead independent lives inside and outside the home. The home has a comfortable homely feel and is decorated, furnished and equipped to a high standard providing the service users with a safe and friendly environment in which to live. The service users spoken to confirmed that they were happy and that they felt involved in the day to day running of the home, they enjoyed the facilities and activities they pursued, particularly the recent holiday they all enjoyed. The service users have individual plans of care that are detailed and tailored to specific needs particularly relating to how much support and encouragement was needed by individual service users to maintain their independence. The home has good links with the local community and is able to access healthcare facilities for the service users including doctors, chiropodists, dentists and opticians. The home has a stable staff team, who are supported by the home manager, the home has a robust recruitment and selection process and all staff receive an in depth induction prior to commencing employment. The management of the home support and encourage the staff to update and improve their skills by accessing relevant training enabling the home to provide a consistent quality of care.
Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 6 The home involves the service users, their family and the staff in how the running of the home, everyone has input and are encouraged to make suggestions and to voice any concerns or problems they may have, it was evident from talking to the service users that they are listened to and that they feel comfortable discussing issues with the owner and the manager of the home. What has improved since the last inspection? What they could do better:
It has been difficult to find what this home could do better; this was a very satisfactory inspection, the management and staff of the home care for the service users with compassion and sensitivity and although there is always room for improvement this home has gone a long way to helping these service users to lead fulfilling and independent lives. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 7 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. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 8 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 Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 9 Choice of Home
The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: All the standards in this section were assessed in detail at the previous inspection on the 19th April 2005, and were met. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices
The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): NONE EVIDENCE: All the standards in this section were assessed in detail at the previous inspection on the 19th April 2005, and were met. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 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): 11,16 and 17. Residents of the home are supported and encouraged to participate in activities to enable them to live fulfilling lives outside as well as within the home. The residents have input into the menu, the shopping, the preparation and cooking of meals; enabling them to discuss on a weekly basis what they wish to eat. EVIDENCE: In addition to the care plan each resident has a leisure list and a list of outdoor activities that they enjoy doing either with a peer group or with family and friends. Leisure activities include watching TV, DVD’s and Video’s, playing board games, bingo and dominoes, reading books, magazines and newspapers and using the computer. The residents attend local day centres, undertake recycling work with the Shaw Trust-Oakfield, attending the local church, activities, such as life skills, wood work and arts and crafts, at the Bassetts Centre in Bromley, Gateway Club in Penge, the Odd fellows Club that provides activities and social outings the Angus Horticultural project, Sport activities at Orpington Leisure Centre and the Pavilion Centre in Bromley, visits to the local library, cinema and theatre.
Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 12 It was evident from talking to residents that their privacy, choice and independence is recognised by virtue of the fact that they have keys to their bedrooms and the front door of the house if they wish and it is appropriate. On speaking to the member of staff on duty, it was evident that he was aware of the correct form of address for each individual and that it was necessary to obtain the residents permission before entering their room. From the menus seen it is evident that the home provides nutritious and healthy meals, it was evident from looking at resident meeting notes that the residents have a lot of input into deciding what they want to eat; the fridge, freezer and store cupboard are well stocked offering an extensive choice of food and drink. Residents stated that they enjoyed their meals, eating together in the dining room which gave them the opportunity to discuss their day and what they had been doing and how they would spend their evening leisure time. Standards 12,13,14 and 15 were comprehensively assessed in the last report on 19th April 2005, and were met. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 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): 21 The resident is facilitated by the home management to make the appropriate choices relating to their ageing, illness or death and to be sure that their wishes are adhered to. EVIDENCE: All the key standards identified in this section of the report were comprehensively assessed in the previous inspection report on the 19th April 2005, and were met. Standard 21 was assessed at this inspection, the home has a comprehensive policy and procedure relating to the issues around ageing, illness and death. Discussions are held by the manager with individual residents relating to this issue, with all specific wishes being recorded on the care plan. Because this home is small and the residents have been together for some considerable time; the managers of the home have group discussions with the residents on the subject of bereavement and counselling. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 14 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): NONE EVIDENCE: All the standards identified in this section of the report were comprehensively assessed in the previous inspection report on the 19th April 2005, and were met. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 15 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): 28 and 29 The residents have a lot of communal space within the home enabling them to socialise with their family and friends and with the other residents. EVIDENCE: Each of the residents have their own comfortable, well decorated and furnished single room with a vanity unit in the room; the bathroom and toilets are easily accessible to the residents The home has a lot of communal space for the residents use, there is a spacious well equipped kitchen, a separate dining/conservatory area, that looks out on to the garden, where the residents have their meals. There are two well decorated and furnished lounges for social activities one of the lounges for quiet pursuits and the other equipped with a wide screen TV with DVD and Sky Sports access. There is also a large enclosed garden with garden furniture and BBQ; and the residents said they had enjoyed being in the garden in the summer and that they had had meals outside and enjoyed their BBQ’s. The home does not have any environmental adaptations or disability equipment in situ as the residents currently at the home are assessed as not needing this level of input. Standards 24,25,26,27 and 30 were all assessed in the previous inspection report on 19th April 2005, and were met.
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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): NONE EVIDENCE: All the standards in this section of the inspection report were assessed in detail at the previous inspection on the 19th April 2005, and were met. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 18 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): NONE EVIDENCE: The key standards 39 and 42 were assessed in detail in the last report on the 19th April 2005, as were standards 37 and 38, and were met. Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 19 SCORING OF OUTCOMES
This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from:
4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable
CHOICE OF HOME CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score X X X X X Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score X X X X X Standard No 24 25 26 27 28 29 30
STAFFING Score X X X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 X 15 X 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X X X CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21
Ash Care Home Score X X X 3 Standard No 37 38 39 40 41 42 43 Score X X X X X X X DS0000006885.V256268.R01.S.doc Version 5.0 Page 20 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ash Care Home DS0000006885.V256268.R01.S.doc Version 5.0 Page 21 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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