Inspection on 30/10/07 for Ashberry Court

This inspection was carried out on 30th October 2007.

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 found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ashberry Court 21/03/07

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ashberry Court 39 Lewes Road Eastbourne East Sussex BN21 2BU Lead Inspector Christine Lawrence Key Unannounced Inspection 30 October 2007 11:30 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 Ashberry Court DS0000067506.V348289.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. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashberry Court Address 39 Lewes Road Eastbourne East Sussex BN21 2BU 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) 01323 722335 01323 722335 ashberry@broadgate-healthcare.co.uk Mr Ramachandran Jalatheepan Mr Varunatheepan Ramachandran Mr David Short Care Home 22 Category(ies) of Old age, not falling within any other category registration, with number (22) of places Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1 2 3 4 The maximum number of service users to be accommodated is twenty-two (22). Service users accommodated must be older people aged sixty-five (65) years or over on admission. That one named service user with a dementia type illness to be accommodated. That one named service user aged sixty-five (65) years on admission to be accommodated. 21 March 2007 Date of last inspection Brief Description of the Service: Ashberry Court is a large converted house in an area of similar properties. The house provides accommodation and support for 22 older people. Access to some rooms is by passenger lift; other areas of the home are accessed by stairs or stair lifts. Fourteen rooms have an en-suite toilet and washbasin; the remaining rooms have a washbasin. Residents have use of two lounges and two dining rooms. There is access to a rear garden. The home is sited on a main route into Eastbourne and although there are no shops close by, the town centre is approximately 1 mile away and can easily be accessed by bus. There is on street parking available locally, in side streets. At the time of the inspection fees ranged from £330.00 to £500.00 per week. Residents pay for their own hairdressing, chiropody, personal telephone and TV, personal clothing and toiletries. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection visit started at 11.30 and finished at 16.00. I looked at various records in the home and also used information sent to the commission by the registered manager, David Short, before the visit. This was in the form of the Annual Quality Assurance Assessment (AQAA). Information from the previous inspection was also referred to. I spoke with several of the residents. A tour of the parts of the building was undertaken. I made observations of staff interacting with and supporting residents. Staff chatted informally with me and I also spoke to the registered manager, David Short. Comment cards and surveys were sent out to the residents; the information contained in those returned is also used for this inspection. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 6 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 Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 7 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 (Standard 6 does not apply to Ashberry Court) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents can be confident that the home judges that it can meet their needs. EVIDENCE: David Short, the registered manager, confirmed that a pre-admission assessment is always undertaken. He tries to ensure that this is done by himself and the deputy manager and there is always discussion and agreement about whether the home can meet the needs of a prospective resident. I looked at the individual record of one new resident and the information was informative, covering a range of subjects. There was also information from health and social services. David Short uses all the assessment information to compile a care plan (see Standard 7). Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 8 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. 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. Residents benefit from having an individual plan of care which identifies how their health and care needs are to be met. They are protected by the home’s procedures for dealing with medication and they can be confident that they will be treated with respect. EVIDENCE: The care plans seen contained all the relevant information relating to the identification of individuals’ social and health care needs and how they should be met. The care plans are considered working tools and are kept up to date. They are clearly written and contain assessments of any risk. The records showed that health care professionals are involved as and when required. There were examples of the home managing the complex needs of some residents. The home uses a comprehensive care plan computer package which has sections to cover a range of physical, social, emotional, spiritual and health needs. Hard copies of this information are also available. Consistency and Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 9 accuracy are considered important. It was clear that residents are involved in compiling the care plans and any reviews. Medication is stored securely in a drug trolley and wall mounted metal cupboard. The manager said that the dispensing pharmacist had recently undertaken an audit and found things to be satisfactory. David Short confirmed that only staff who have undertaken training are permitted to give out medications. He further confirmed that he has a copy of the new guidelines from the Royal Pharmaceutical Society of Great Britain (The Handling of Medicines in Social Care) and he will use this to ensure all of the home’s policies and procedures are compliant. Staff knows residents’ preferences for how they wish to be addressed. Residents who I spoke to were very satisfied about how they were treated with regard to their privacy and dignity. Some people have their own telephones and others would be supported to make calls in private if they wished. My observations of staff helping and supporting residents confirmed that privacy and dignity are not just ideas but are put into practice. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 10 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. 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. Residents can be confident that their preferences will be responded to as far as possible and that they will be enabled to maintain contact with friends and family. Residents are given opportunities to make choices, therefore allowing for some level of control over their lives. The meals in this home offer both choice and variety and catering for special needs. EVIDENCE: The home provides various activities but is also very conscious of individual people’s preference for not joining in or for pursuing their own interests. In answer to the question ‘Are there activities arranged by the home that you can take part in?’ in the residents’ survey, 6 replied yes and 2 replied usually. At the time of my visit, residents were in various places around the home, in their own rooms and in communal areas. The manager gave examples of how the home can meet the diverse needs of residents. The assessments and care plans reflect individuals’ interests and preferences. There are no restrictions on visiting times and residents said that their relatives are made welcome. As part of the pre-assessment procedure, Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 11 information is gathered which helps staff to support residents in their choice of daily routine. Times to get up or go to bed, times for breakfast amongst other things, all help the residents to feel comfortable and ‘at home’. There were many examples of residents making choices and decisions for themselves. The majority of people who completed surveys, and those spoken to during this inspection, had positive things to say about the food provided at Ashberry House. The manager confirmed that special diets can be catered for. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 12 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. 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/their representatives can be confident that any concerns will be taken seriously and responded to. Staff spoken to were very clear about their responsibilities relating to protecting residents. There are policies and procedures in place which include whistle blowing and systems relating to protecting residents’ finances. EVIDENCE: Everybody who completed a survey, as well as those spoken to during the inspection visit confirmed that they new who to talk to if they were dissatisfied. The manager demonstrated a positive attitude about any concerns or complaints, seeing them as a way of improving the service. The home dealt appropriately with three complaints in the last twelve months. The complaints policy and procedures were reviewed in June 2007. All staff have received training with regard to the protection of vulnerable adults and the manager is now a trainer for delivering this course. All relevant policies and procedures (disclosure of abuse and bad practice, gifts to staff, management of residents finances, physical intervention and safeguarding) were reviewed in June. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 13 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents benefit from a home which is homely, clean and hygienic. They would further benefit from some improved facilities and décor. EVIDENCE: The home is comfortable and homely. The manager has compiled a list of things that need to be improved or replaced but this has not yet been progressed very far. It includes things such as replacing worn carpets and upgrading a stair lift. The grounds are kept tidy and safe so residents can use them. A maintenance person is employed. One bedroom has recently had replacement windows fitted. The manager has decided to wait to complete the redecoration of one room until a prospective resident has made a choice about colour schemes, in order to make it more personal. A recent inspection by the local authority environmental health officer was positive in its judgements. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 14 The home was clean and fresh at the time of the inspection and all the people who completed surveys said this was always so. There are two cleaners employed at the home and the manager said that there is a cleaner on duty throughout the week, including Saturdays and Sundays. The laundry is satisfactory and the relevant policies and procedures were reviewed in June 2007. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 15 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. 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. Residents’ needs are met by sufficient staff who are competent and trained. Residents are supported and protected by the home’s recruitment procedures. EVIDENCE: The rota indicates that there are sufficient care staff on duty. Many of the staff team have worked at the home for some time. There are also cleaners, cooks and a maintenance person employed at Ashberry Court. National vocational qualifications have been achieved by four staff members at level 3, three staff members at level 2 and three members of staff are currently undertaking level 2. New staff must provide references, attend for an interview, complete an application form and have a criminal record bureau check. All members of staff are given a copy of the General Social Care Council’s code of conduct and practice. There is a training programme in place and the manager is fully aware of the need to maintain this as a rolling programme. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 16 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. 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. Residents benefit from the home being managed by someone who is competent, experienced and knowledgeable. Residents’ financial interests are safeguarded and their views are sought. Staff and residents have their health and safety promoted and protected. EVIDENCE: The manager is qualified and experienced (NVQ Level 4 Care and Level 5 management), keeps up to date with periodic training and is proactive in ensuring his knowledge of good practice is up to date. The home seeks the opinions of residents and their representatives about the home. The home currently has Investors in People accreditation. Visits under Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 17 Regulation 26 ie the owners visiting the home regularly to undertake their own checks on quality, have been less frequent than they should be. Subsequent to the visit to the home an exchange of letters with the owners resulted in a commitment from them to ensure that these visits are undertaken appropriately and are recorded in a written report. The manager confirmed that policies and procedures are regularly reviewed and updated when necessary. He does this every year. He also confirmed that any involvement with residents’ money is properly recorded. The training programme covers a range of aspects of health and safety such as first aid, food hygiene, manual handling and fire safety. The fire safety checks are appropriately carried out. The home has relevant and appropriate policies and procedures and information provided in the AQAA regarding maintenance and service contracts showed that these were satisfactory and up to date, with the exception of a certificate for the periodic inspection of the electrical installation. This is because after the last inspection the contractor who carried out the inspection went out of business. David Short has tried to rectify the situation but has not been successful. The owners have agreed to have another inspection carried out. Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 18 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 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 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 4 X 3 X 3 X X 2 Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 19 Are there any outstanding requirements from the last inspection? YES STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard OP19 Regulation 23(2) Requirement Timescale for action 31/12/07 2 OP38 13(4)(a) The programme for the renewal of the fabric and decoration of the home should be updated with priorities so implementation can be planned. A copy of the programme to be provided to the commission. A current certificate indicating 15/01/08 that the electrical installation has been inspected needs to be in place. 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 Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 20 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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. Extracts may not be used or reproduced without the express permission of CSCI Ashberry Court DS0000067506.V348289.R01.S.doc Version 5.2 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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