Inspection on 06/10/05 for Ashbourne

This inspection was carried out on 6th October 2005.

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

Ashbourne 16/01/09

Ashbourne 18/10/06

Ashbourne 10/06/05

Ashbourne 23/11/04

Ashbourne 23/06/04

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 Ashbourne Byways Selsey West Sussex PO20 0HY Lead Inspector Mrs H Church Unannounced Thursday, 6 October 2005. V246198 th 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 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. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashbourne Address Byways, Selsey, West Sussex, PO20 0HY Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01243 604612 Mr John Viret Wilford & Mrs Susan Mary Wilford. Mrs Natasha Gould Care Home (CRH) 18 Category(ies) of Old age, not falling within any other category registration, with number (OP) - 18 of places Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 10 June 2005 Brief Description of the Service: Ashbourne is a private care establishment registered to accommodate eighteen service users in the category of Older People. The property is detached and in a quiet area of Selsey. The house is a few yards from the sea front and ½ mile from the town centre. The accommodation is mostly arranged on the ground floor with the first floor accessed by stairs or a vertical lift. All rooms have ensuite facilities and following extensive alterations and new extensions, all are single rooms. The first floor has an assisted bath and the ground floor has both a disabled and an independent shower room. A new conservatory and extended dining room increases the communal space. Mr and Mrs Wilford privately own the establishment and Mr Wilford is the Responsible Individual. Mrs Natasha Gould (nee Honywood) is the registered and responsible for the day-to-day management of the establishment. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection, one of two required under the Commission for Social Care Inspection was planned to observe the mid-morning and lunch activities of the residents and discuss the outcomes for residents. The manager was present and two other members of staff. A number of residents were in the lounge room socialising with each other before the lunch was due to be served. The residents seemed generally happy and relaxed. Two visitors told the inspector how happy they were with the care provided to their relative and, as confirmed by other residents, there was a lovely homely atmosphere. To prepare for this inspection, previous reports and paperwork were reviewed. Two documents, namely the Statement of Purpose and Service Users Guide are provided to inform any enquirer or resident how they may expect the home to be run and how they can change the way things are done to improve their lives there. These documents form a contract of service and care and are regularly updated to keep residents informed. Mrs Gould has updated the information for this and provided this to all interested parties. During the inspection, three residents were spoken with privately and eleven others in the lounge or dining room. Four residents’ records were examined to see if all care was being provided. All residents were able to give a clear account of their life at Ashbourne and without exception all comments were enthusiastic. It was clear that residents are encouraged to say what they like or don’t like about the home. The residents were cheerful and clearly happy to be there. The members of staff gave high praise for the support received from their manager and the care plans showed that care is provided as required. There were no requirements made at this inspection but the inspector recommended that care plans are more informative and risk assessments are included on all care plans. What the service does well: Ashbourne provides a warm, homely and friendly environment where the resident’s collective and individual needs are central to all its activities. Residents are clearly listened to and their comments or proposes for any changes that would improve their lives are taken into account when looking at how the service is provided. From residents and visitor’s comments and Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 6 observing staff at work, it was clear that the outcomes for residents are good with staff committed to treat residents with respect and dignity. 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. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3,4,5. The new residents had been assessed before moving into the home. The staff at the home are meeting the residents identified needs. Relatives were given enough information to help them decide the home would be suitable. EVIDENCE: The manager has updated the Statement of Purpose and Service Users Guide for all their residents, representatives and prospective residents. Four care plans were examined and it was clear residents are being assessed prior to admittance to ensure the home would be able to meet their needs and trial visits arranged. Relevant risk assessments were in place but this was only on those care plans where a risk had occurred. The inspector advised the manager that these need to be considered for every resident and included on there care plans with more in depth information to assist carers to provide a holistic care service. However, it was clear that staff are well informed about the care needed, updating records accordingly. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7,8,9,10. All residents had an individual care plan set out for staff to follow. Some residents are managing some parts of their medication. Care staff are meeting the health care needs of the residents in a respectful manner. EVIDENCE: Four care plans gave clear but minimal information of the care needed with some care plans including risk assessments to inform staff how to minimise future risks. More information about the care provided would be beneficial for any new staff employed and also show the extent of the care that is actually provided. Two residents are managing their own medication with this being monitored regularly by care staff. Advice was given with storing this more safely. Medication sheets were completed accurately and from the primary health care team notes, it was clear that appropriate referrals are made regarding any nursing intervention required and care followed up as directed. Staff were observed speaking to and caring for the residents and treating them with respect. Staff knocked on doors before entering and spoke to residents in a caring manner. Residents comments included “staff are very kind”, “it’s wonderful here” and “they look after us well”. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12,13,14,15. Activities are suited to the conditions and dependency levels of each of the current residents. Visiting is positively encouraged. Residents are served meals that are nutritious and appetising and highly regarded. EVIDENCE: Activities are based on ability with staff assisting with these. The number and choice of activities has remained at the increased level since the last inspection and according to the wishes of the new residents. Music sessions are very popular and there was good evidence that the quiz sessions are well attended. The home is full but staff still seemed able to spend individual time with them and arrange group or individual activities. The visitor told the inspector he has always been made welcome and it was clear from the visitor’s book that visitors come every day at all times of the day and evening. The meal served at the time of the inspection looked very appetising. The residents confirmed this and told the inspector that they really enjoyed their food. Menus are changed regularly from feed back from each meal. Care staff were clearly aware of the likes and dislikes of each resident and the inspector was impressed with the care each meal was prepared to ensure it met the approval of the residents. Menus are planned accordingly. Alternatives were available if residents aren’t happy with the meal provided. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16,17,18. Residents are confident that any complaints they may have are taken seriously and acted upon appropriately. Staff training in adult protection procedures is up-to-date so staff are equipped to protect residents from abuse. EVIDENCE: The home has a complaints procedure displayed and included in the Statement of Purpose and Service Users Guide. One resident said they knew who to complain to, but had no occasion to do so. The West Sussex Multi Agency guideline was available in the home and staff appeared to know the procedures for protecting residents from abuse. Updated training is arranged annually and is included in the National Vocational Qualification training that some staff are completing. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19 - 26. The indoor areas used by residents are clean, safe and homely with good access to the newly landscaped front garden. The resident’s rooms are suitable for their needs and are homely. EVIDENCE: During a tour of the home it was clear that residents are encouraged to move around the home as they wish and tend to congregate in the lounge and garden area. The conservatory still remains popular with the residents and gives another area where they can enjoy the sun and just converse with each other. There is a passenger lift for those residents whose rooms are upstairs. The rear courtyard garden is due to be redesigned to provide those residents whose rooms overlook it, with a more cheerful outlook. The manager has planned to provide pots of flowers, a birdbath and table to give added interest. The front garden areas are furnished with occasional garden furniture. There are enough toilets and assisted baths to meet the needs of residents and thermostatic valves protect residents from scalding water temperatures. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 13 Radiators are guarded and the home was clean and hygienic. Resident’s rooms were visited and were homely and comfortably furnished with their own possessions around them. Staff have received training in fire safety procedures and fire risk assessments were in place. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 14 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,28,29.30 There were sufficient staff on duty to meet needs of the residents and the skill mix, recruitment and training for staff is in place. EVIDENCE: The inspector noted that staff had time to socialise with residents before and after their lunch. Two members of staff said they had received updated mandatory training and felt well supported by the manager. The inspector examined records relating to the recruitment of new staff and noted that they met the National Minimum Standards. A training schedule is being included in each person’s personal file to cover mandatory training and periphery courses relating to older people. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 15 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31 - 38. The registered manager is Mrs Natasha Gould who is well experienced to manage the home and be actively involved in the care of residents on a daily basis. The home is run in the best interests of the residents whose health, safety and welfare is promoted and protected. EVIDENCE: Mrs Gould has completed the National Vocational Qualification level 4 in Management and the Registered Managers Award. Both members of staff said Mrs Gould supports the staff to carry out their roles and provides a good clear sense of direction that puts residents at the centre of all activities. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 16 The inspector examined records showing Mrs Gould is supervising staff appropriately and that all financial procedures are robust to protect the residents. A yearly quality assurance questionnaire gave good insight in to the views of residents and all areas were seen to be safe giving resident’s sufficient space for them to have personal possessions or necessary equipment to support their care needs and move around their rooms safely. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 17 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 4 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 4 COMPLAINTS AND PROTECTION 3 3 3 3 3 3 3 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 Standard No 16 17 18 Score 3 3 3 3 4 3 3 3 3 3 3 Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 18 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. 1. 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. 1. Refer to Standard OP 7 Good Practice Recommendations Care plans need to include comprehaensive information including identifying any potential risks. Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection 2nd Floor Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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. Extracts may not be used or reproduced without the express permission of CSCI Ashbourne H60-H11 S14368 Ashbourne V246198 061005 Stage 4.doc Version 1.40 Page 20 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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