This inspection was carried out on 15th June 2009.
It is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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.
Annual service review
Name of Service: Ash Hall Care Home The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Yvonne Allen Date of this annual service review: 1 4 0 7 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Ash Bank Road Ash Bank Stoke-on-Trent Staffordshire ST2 9DX 01782302215 01782305088 Ashhall@ashbank.fsnet.co.uk Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Name of registered manager (if applicable) Ms Karen Harford Conditions of registration: Category(ies) : dementia old age, not falling within any other category physical disability Conditions of registration: Geoff Bowker Limited Number of places (if applicable): Under 65 Over 65 5 0 41 0 61 0 The maximum number of service users who can be accommodated is: 61 The registered person may provide the following category of service only: Care Home with Nursing (Code N); To service users of the following gender: Either; Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 5, Old age, not falling within any other category (OP) 61, Physical disability (PD) 41 Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: There have been no changes to the registration details of this service within the last 12 months. Date of last key inspection: Annual Service Review Page 2 of 6 Date of last annual service review (if applicable): Brief description of the service The establishment is an extended two storey Grade II listed building situated in Ash Bank, within easy access to Werrington and Bucknall through good road and rail links, and a regular bus service. The establishment has an impressive vista in spacious, well-attended gardens. There is adequate parking and vehicle loading space, The establishment provides accommodation to people requiring 24 hour care, including nursing care to elderly persons requiring personal and/or nursing care, the home may also accept up to five elderly people who suffer with Dementia. A provision is approved for the care of up to five terminally ill elderly people. Thirty-Eight single (13 with ensuite) and 11 double bedrooms (4 en-suite) are located on the ground and first floors. First floor accommodation is accessed via stairs and shaft lift. Internally the home provides spacious accommodation, which is furnished to a grand and homely style. Communal accommodation on the ground floor provides three lounge facilities and three separate dining rooms. The approach to care in the home is based on integration of individuals admitted under the above categories with all the people using the full range of communal space. The range of fees charged by this home are from # 344.00 to #630.00 and this will be included in the Service User Guide. Services available at extra cost consist of hairdressing, toiletries and newspapers. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We asked the service to complete a Self-Assessment known as the Annual Quality Assurance Assessment (AQAA). We sent for surveys sot hat we could obtain the views of people who live in the home and staff who work at the home. We looked at any information we have received about the service in the last 12 months. This includes any concerns or Safeguarding referrals we have received. What has this told us about the service? The AQAA is detailed and provides us with information about how the service meets the needs of the people who live in there. The comments we received from people who live at the home and the staff who work there are mainly positive but there are some concerns about staffing and people having to wait for long periods of time for the toilet The home provides a very good activity leader who encourages residents to take part in most activities with a programme rotating every two weeks, bingo, quizzes, dominos, and an organist and singers They could provide more carers so that residents arent kept waiting to be toileted They provide an excellent activity leader who encourages residents to take part in most activities with a programme rotating every two weeks They should provide more staff to toilet and feed residents so they dont have to wait so long They care for my needs well. If I need anything I get it Everything is alright They look after my aunt very well. The staff are very pleasant and willing to help when needed Need more staff day and night Quality care - the nurses are pretty good Better communication between all staff needed Short of staff sometimes. Unable to attend immediately when I need to go to the toilet Annual Service Review Page 4 of 6 They seem to be well looked after. Everywhere is nice and clean. When asked to go to the toilet they take too long and when we have asked a member of staff they say they will be back but never do. You always have to ask a few times The home offers diversity, empowerment and choice to the residents It could improve the supply of sundry medical and nursing equipment Provides a good service. Provides individual care and equal opportunities for all staff More experienced care staff and more incentives for staff are needed. More staff needed or in some cases give staff a few more hours The home does most things well We have received some concerns from Social Services about the care of a person who lives in the home. These concerns were in relation to a person not receiving their medication on time on several occasions. Also the person has to wait for long periods of time before being taken to the toilet. The Social Worker told us that she had raised these concerns with the manager during a review but has recently contacted us to say that there have been no improvements in these areas. We suggested that she goes through the services formal complaints procedure. The service has now informed us that this complaint has been addressed. What are we going to do as a result of this annual service review? We are going to continue with our planned programme of inspection for the time being but we may bring the Key Inspection forward if we receive any more concerns about the service. Annual Service Review Page 5 of 6 Reader Information
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