Inspection on 26/09/06 for Ash Care Home

This inspection was carried out on 26th September 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

Ash Care Home 30/09/08

Ash Care Home 12/10/05

Ash Care Home 19/04/05

Ash Care Home 03/11/04

Ash Care Home 05/04/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Ash Care Home Ash Care Home 41 Court Farm Road Mottingham London SE9 4JL Lead Inspector Sue Meaker Key Unannounced Inspection 26th September 2006 09:30 Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 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.V304927.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 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.V304927.R01.S.doc Version 5.2 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.V304927.R01.S.doc Version 5.2 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 12th October 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.V304927.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a statutory unannounced inspection carried out over a period of five hours and comprises of a tour of the home, a discussion with the proprietor and registered manager. Conversations held with two residents and one member of staff. The information taken from the pre-inspection questionnaire and documents relating to health and safety, medication, staff development and training, menus, activity programmes and the business plan, Statement of Purpose and Service User Guide. All six care plans were inspected as were all the staff files. This was a very positive inspection and this home continues to provide a high standard of personal, health and social care to the six residents in their care. What the service does well: This home continues to provide a consistently high standard of care, the residents have been in the home for a number of years and all of them had completed the questionnaire sent to them by the CSCI the following comments were made by the residents; • Ash care home is a very nice place. • I enjoy going to the centre. • I am free to listen to my music and TV programmes. • I can have a drink when I want. • I go out with the staff on weekends. • The staff is always here for me, they listen and do their best. • The staff are always willing to help me. • I am given all the support and care. • I enjoy living here. • I like the home • I do what I like. • Staff are kind and listen to my needs. • I enjoy living at Ash Care Home. • Most of the time I do what I like and enjoy it. • All the staff are kind. • I like living here Four relatives returned their questionnaires, all were positive and no issues or concerns were raised, one relative said , “I am satisfied to date with my brothers care. He always appears happy and content” A questionnaire was received from the homes’ GP and said, “majority of the residents have only recently joined our list, manager appears competent and caring. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 6 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 satisfying inspection, the proprietor and registered manager and staff treat the residents with compassion and sensitivity and although there is always room for improvement this home has gone a long way to helping their residents to lead fulfilling and independent lives. I have included the homes’ mission statement and objectives in this section to illustrate how the home is continually striving for and in a lot of respects achieving excellence in the service they provide. MISSION STATEMENT Ash Care Home is for people with special needs and the aim is to help them to develop their potential; residents are supported in attaining the quality of life they would expect if living on their own or within a family group. This home enables their residents to fully participate in the community setting. The residents are treated as individuals and are shown the dignity and respect that we expect ourselves. The home is continuing to provide an enhanced service and to look to the future as well as learning from the past. OBJECTIVES FOR 2007 The renovate the kitchen. A new bathroom on the first floor. To organise holidays abroad in 2007. To try and get more funds for residents to improve their social care upon their assessments. To be able to achieve the blue band 4 of the Key Lines of Regulatory Assessment. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 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.V304927.R01.S.doc Version 5.2 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.V304927.R01.S.doc Version 5.2 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): 1, 2, 3, 4 and 5. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. All service users receive specific information about the home, and how the home will meet their personal, health and social care needs; enabling them to make an informed choice about whether they wish to live in the home. EVIDENCE: The home provides a Statement of Purpose and a Service Users’ Guide to prospective residents and their relatives detailing the aims, objectives and philosophy of the home. This was evidenced from speaking to the residents currently living in the home and from questionnaires completed by the residents’ relatives. Copies of the Statement of Purpose and the Service User Guide have been given to the CSCI and were approved and all the residents have a Service User Guide in their room and also have access to the homes’ Statement of Purpose Prospective residents are referred to the home by Social Services, an assessment of need is undertaken by a care manager from Social Services; all relevant documentation is sent to the home for their information; the home manager then meets the client to assess their personal, health and social care needs and offers a place on the basis that the home is able to meet the needs of the prospective resident. The prospective resident, their relatives and healthcare professionals are all involved in the assessment process making sure that the home is aware of the care needs of the individual and how those care needs are met enabling the residents to maintain their independence by Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 10 respecting their wishes and preferences. The assessment process also incorporates a “Coping Skills Assessment” that covers all aspects of daily living and this forms part of the person centred care plan of the individual; at this time specialist health care requirements are identified and the relevant services are accessed by the home for the particular resident. Residents confirmed that they spent time in the home prior to making their decision to live there; they had meet the manager and staff of the home and most importantly the other residents. A review is conducted with the management of the home, social services, relatives, friends and advocates, after the first three months enabling the resident to decide if they wish to remain in the home and for the management of the home to re-affirm that they are able to meet the residents’ personal, health and social care needs. The manager of the home also updates the assessment document annually. A re-assessment had been completed for one resident who had reached retirement age and wished to remain in the home, the home manage submitted the assessment and care plan to enable the CSCI to grant a variation to registration to accommodate this resident; the home will be instigating this process in respect of another resident who has reached retirement age and wishes to remain in the home. The Social Services and the home managers assessment documents are kept in the residents’ personal file. The residents’ personal files contain copies of their contract from Social Services and the homes’ “Residents Contractor Statement of Terms and Conditions”; this contract is signed by the resident and the home manager; the contract contains details of the room to be occupied, the furniture and fittings provided and the facilities within the home. It was evident from the residents questionnaires supported by the information in their personal files that the assessment and admission processes are managed with sensitivity and that the residents and their relatives were consulted at every stage of the process. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 11 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 and 9. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Care plans are personalised and individual to each resident, promoting their independence, wishes and preferences ensuring their dignity and privacy at all times; enabling the residents’ to take prescribed risks and to make informed decisions about how to achieve their personal identified goals and aspirations. EVIDENCE: All residents have a care plan giving specific details of how their individual personal, health and social care needs are to be met. The care plan is formulated from a combination of the social services assessment, the homes pre-admission assessments and the coping skills assessment. The care plan document is completed with input from the resident, their relatives or advocate, their care manager and the management and staff of the home. The care plan gives all the basic information appertaining to the resident, identifying the next of kin, key worker and details of GP, dentist and optician. The care plan is person centred and focuses on all the activities of Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 12 daily living, the coping skills assessment is used to identify the residents’ capabilities to carry out tasks such as personal care, shopping, education and travelling. The care plan looks at attainable objectives for the resident looking closely at problem areas where there may be scope for improvement in the residents skills, two or three simple objectives are set, as it is better to have small successes which can be maintained than to take on a major programme which fails and leaves the resident and staff feeling that they have failed in some way. Residents confirmed that they were involved in setting their own objectives, strategies, responsibilities and timescales, and that they were supported and encouraged by the management and staff of the home to attain these objectives and aspirations. One of the residents recently had a hip operation and it was noted that the care plan reflected the changes and specified the care and exercises needed to rehabilitate the resident, he was encouraged and supported by the manager and staff of the home to complete the exercises set by the physiotherapist; and it is a credit to the home that he has recovered well and is walking unaided. The care plan is reviewed on a regular basis and amended as and when required, the effectiveness of the plan is reviewed, an assessment of the residents aims/objectives and areas of successful achievement is discussed as are any unmet needs and/or assessed requirements for a change to the service users plan of care. The review document is signed by the resident, key worker and manager. From speaking to residents and looking at the questionnaires received it is evident that the residents are encouraged and supported to participate in all aspects of life within the home, such as planning menus, helping to prepare and cook meals, keeping the home clean and tidy, helping to do laundry, discussing and planning days out, social functions and holidays. Residents meetings are held on a monthly basis are documented and residents said that any ideas or suggestions they have or any concerns are listened to and acted upon by the manager and staff of the home. Risk assessments are completed for each resident, all residents have a moving and handling and environmental risk assessment. Residents then have specific risk assessments for example going out alone, using public transport, attending the GP surgery, the optician, dentist or a hospital appointment, going shopping and attending day centres or a place of work. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 13 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, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. Residents are encouraged and supported to participate in activities to enable them to live fulfilling lives outside as well as within the home. Residents are involved in the planning of menus and the preparation and cooking of their meals enabling them to eat a healthy diet. EVIDENCE: All the residents in the home enjoy a varied programme of leisure, educational and work related activities tailored to their individual aims and objectives and capabilities. Four of the residents attend local day centres on a regular basis; one of the residents organises his own leisure and outdoor activities and one of the residents is retired and spends time at home and is supported by the home manager to undertake outdoor and leisure activities. One of the residents is involved in recycling project with the Shaw Trust, whilst another of the residents is involved with Angus Horticulture Project. The day Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 14 centres attended by the residents offer a range of activities including computer studies, cookery woodwork and music. The home also provides a varied activities programme that includes the use of a computer, watching Sky television, listening to music, reading and playing board games. The residents have a spacious lounge and dining area in which to enjoy group activities; they can also enjoy watching television and playing music and entertaining visitors in the privacy of their own rooms. The home also has a good sized garden, and two of the residents are very involved in gardening planting flowers and vegetables; the garden is also used for BBQ’s and al fresco dining, weather permitting. The manager and staff of the home also arrange days out visiting local attractions, places of interest and trips to the seaside and countryside and are in the process of arranging a foreign holiday in the new year. Four of the residents attend local leisure clubs and take part in sporting activities such as swimming and also enjoy going bowling, visiting the local pubs and social clubs, the cinema, theatre, library and local fetes and boot fairs. All of the residents are supported to do their own personal shopping and visit the local shopping centre in Bromley. Residents confirmed that they are encouraged to invite their relatives and friends to the home and that the management and staff of the home make them feel welcome; relatives and advocates are invited to reviews if the resident wishes them to attend; one of the residents spends every weekend with his mother, and attends his local church on the Sunday. Another of the residents keeps in touch with relatives by letter and four of the other residents visit relatives and friends on a regular basis. The home has a weekly menu incorporating the choices and preferences of the residents; the residents discuss what they would like to eat and they are involved in organising the shopping for the provisions on a weekly basis. The menu seen has a choice of a cooked breakfast with the healthy eating option of cereals, yoghourt toast, rolls and fresh fruit and fruit juices; two of the residents have lunch during the week; the rest taking packed lunches or having a meal at their respective day centres. All the residents sit down together for their meal in the evening, this is a social occasion and they said they enjoy finding out about what they have done that day and discussing social events and planning holidays and days out. Currently none of the residents require a special diet, there is an emphasis on healthy eating and the menu reflects this issue. Hot and cold drinks and snacks are available throughout the day and it was notes that residents were making cups of tea and sandwiches. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 15 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 and 20. Quality in this outcome area is good. This judgement has been made using available including a visit to this service. The management and staff of the home have a good understanding of the residents’ needs relating to personal and healthcare support needed to promote their privacy, dignity, choice and independence. EVIDENCE: Currently all the residents in the home require support and encouragement to be able to address their personal care needs. Staff will assist, if required, with showering and bathing. The care plan reflects the capabilities of the individual and what level of support they require with personal tasks; the coping skills assessment covers all aspects of daily living and identifies the level of care that is required to meet the personal needs of he individual. The residents personal care needs are reviewed on a regular basis as it was with the resident who has recently had a hip operation; equipment was loaned by the hospital physiotherapy, he visited the local hospital on a regular basis as an outpatient; exercises were given and the staff were trained in how to support him when walking and exercising; the care plan reflected the level of support that was needed to assist the resident. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 16 The home has changed the GP, this was done in consultation with the residents. The GP arranges via the district nurse for blood test etc. and the home is able to access podiatry and dental services via the community health clinic; optical services are provided by a local optician and specialist services relating to learning disabilities and mental health are accessed via the Bassetts Centre in Bromley. The input from all specialist services are documented on the residents file and therefore a comprehensive record is kept for referral purposes. The home also has a new medication system in place, medication is delivered by the local pharmacy in blister packs and dispensed to the residents’ by a trained member of staff. Medication dispensed in recorded on the Medication Administration Record Sheet, that has a photo of the resident, this document is computerised and details the name of the medicine, the dosage and the time; the MARS is signed by the staff member. All the staff have received training in the safe administration of medication from the pharmacy; medication is also covered in the induction training and in NVQ level two. The medication policy and procedure has been revised to reflect the changes in the system and staff are aware of how to access this information. Currently none of the residents self-medicate, it was noted that all the residents’ medication is kept in a locked cupboard in the office and MARS checked were completed correctly and signed in the correct format. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 17 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 and 23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has systems in place to protect residents enabling them to feel safe in their home environment. EVIDENCE: The home has a robust and comprehensive policy and procedure relating to complaints; this is detailed in the Statement of Purpose and the Service User Guide, it is also displayed in the hallway of the home. Residents spoken to and questionnaires received confirmed that the policy and procedure is easily accessible to all and that it is self explanatory and easy to follow. The have not been any recorded complaints since the last inspection and residents and relatives confirmed that if they did have any concerns they would take them to the home manager; confident that the concern would be dealt with in a sensitive and compassionate manner and quickly resolved. The home holds monthly meetings with the residents where issues are discussed and residents confirmed that any concerns or suggestions they voiced are listened to and acted upon; they felt involved in the way in which the home operated. Residents are also invited to staff meetings; details of these meetings are recorded and the documentation was seen at the time of the inspection. The home have a copy of the local authority’s guidelines on Protection of Vulnerable Adults, supplemented by the homes’ own policy and procedure. Training records confirmed that staff had received training relating to the Protection of Vulnerable Adults and Abuse Awareness. Staff demonstrated that they had an understanding of issues relating to the identification of abuse and the types of abuse and that they were able to instigate the homes’ “whistleblowing” policy and procedure. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 18 Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 19 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, 25, 26 and 27. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home supports and encourages the residents to pursue their chosen lifestyle by providing appropriate accommodation and facilities tailored to their individual needs. EVIDENCE: The home provides the residents with a homely, comfortable and safe environment in which to live; the home is decorated and furnished to a high standard, and maintained by the owners of the home. On the ground floor there are two comfortable lounges both well decorated and comfortably furnished, where the residents could socialise either watching television, listening to music, using the computer, playing board games and holding meetings. One of the lounges is used as a quiet area where the residents can entertain visitors and where confidential meetings are held. The home also has a conservatory adjacent to the kitchen that is used as a dining room where residents have their meals together, the kitchen is light, airy and bright, well equipped, the owners of the home are looking to refurbishing this area in consultation with the residents as to decoration and fixtures and fittings; the home has a Clean Food Award from Environmental Health Department of the Local Authority. Since the last inspection the laundry facilities have been Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 20 moved outside the house and the area has been converted to a shower room specifically for the use of the two residents who have bedrooms on the ground floor there is also a toiled on the ground floor. Upstairs there are the four remaining bedrooms plus a main bathroom and separate toilet. The managers office is also located on this floor, incorporating space for confidential records to be kept, and locked facilities for residents medication and monies to be kept safe. The residents also have access to a large enclosed garden with a vegetable patch, tended by two of the residents who enjoy gardening; the garden is also used for socialising. The residents’ bedrooms are well decorated and comfortably furnished, incorporating the wishes and preferences of the individual; and reflected the tastes, interests and hobbies of the resident. The rooms are personalised with items of furniture, ornaments, pictures, posters, photographs, CD’s, DVD’s. videos and books. The residents have their own televisions and music systems in their rooms and one of the residents has in own computer. All the bedrooms have wash hand basins and the residents have access to toilets and bathrooms near to their rooms and in the communal areas. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 21 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): 31, 32, 33, 34, 35 and 36. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The management and staff of this home have proved themselves to have the skills, competency and skills appropriate to meet the personal, health and social care needs of their residents achieving this by effective and efficient recruitment, training and supervision. EVIDENCE: The home is run by a team of six staff members including the Registered Manager and the proprietor who is also a training nurse. All the staff employed are trained to NVQ level 2 standard and above. The staff employed have the skills, experience and knowledge to undertake the tasks necessary to meet the needs of the residents and to make sure that the day to day running of the home is efficient and effective. The staff are given definitive job descriptions and person specifications enabling them to understand their roles and responsibilities. Staff are made aware of the aims and values of the home as part of their induction training and are encouraged to develop an empathy with residents being aware of the goals to be achieved by the individual residents, encouraging and supporting where appropriate so as not to compromise the residents wishes and preferences and therefore encouraging the residents independence. It was demonstrated, at the inspection, that the Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 22 residents felt comfortable when approaching managers and staff and that they are treated with respect and sensitivity. The home has comprehensive policies and procedures relating to the recruitment and selection of staff. It was evident from the staff files that the home manager is fully conversant with the regulations governing the employment of staff; all the procedures are implemented and documented and the personnel files contain proof of the staff members qualifications, experience and skills to meet the needs of the resident group. Since the last inspection the home has introduced a more structured development and training plan individualised to the staff members’ specific development and training needs. Staff confirmed that they have opportunities to attend and contribute to in house training sessions that are designed to meet the specific requirements of the work setting. Participating in staff meetings, which address a range of training topics, particularly relating to current practice concerns. Participating in individual and group supervision sessions used to evaluate and improve their performance and practice. Participating in on the job training sessions with input from the home manager and proprietor, healthcare professionals and colleagues. The provision of varied types of work experience in different settings and visiting other work settings and attending college courses, seminars, conferences and work shops. This increases the motivation and self -confidence of staff particularly if a formal qualification is the outcome. Currently staff undertake a “Managed Care Training Package” relating to medication, this training is delivered by the homes’ pharmacy. Level one has three modules, managing medication, administration and older people and medicines. Level two’s three modules are legal and practical aspects of medicine administration, adverse drug reactions and medicines and older people. Level three’s modules are diabetes, wound care and pain and analgesia. Staff receives a certificate for successfully completing each level Mandatory training for moving and handling, first aid, fire safety, first aid and health and safety including regular updates is accessed via the local college; Protection of Vulnerable Adults training is accesses via the Local Authority Social Services. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 23 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, 38, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. The home benefits from efficient and effective management enabling the residents to fell safe and protected. The proprietor and the home manager ensure that staff are supported and encouraged in their work; through training supervision and appraisal and being involved in the day to day operations. EVIDENCE: The home has a stable staff team and is able to offer the residents a consistent high standard of care. It was evident that the proprietor and registered manager are very involved in the day to day operation of the home; and that the residents and staff feel comfortable in speaking to them about any concerns or problems. The six residents in the home have been there for a considerable number of years and this is reflected in the atmosphere and ambience of the home; how well everyone relates to each other a very family like situation. The home has an annual questionnaire completed by the residents and their relatives giving a good indication of how they perceive the service they Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 24 receive, copies of these questionnaires are kept on the residents personal file, comments made were positive and demonstrated how much the residents valued the care they receive from the manager and staff. This was also reflected in the questionnaires completed by residents, relatives and health professionals that were sent out by the CSCI. The safety of the residents is a high priority for the proprietor and registered manager of the home and is monitored on a regular basis, fire alarms, fire fighting equipment and smoke alarms are regularly tested and it was evident from speaking to staff and residents they knew what to do in the event of a fire being discovered. Health and Safety records and certificates were checked and found to comply with Health and Safety legislation as specified in the Care Standards Act 2000. Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 25 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 3 3 3 4 3 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 3 25 3 26 3 27 3 28 X 29 X 30 3 STAFFING Standard No Score 31 3 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 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 26 NO Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ash Care Home DS0000006885.V304927.R01.S.doc Version 5.2 Page 27 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 © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. 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