Inspection on 07/08/07 for Ashbourne Court Residential Care Home

This inspection was carried out on 7th August 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 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 Court Residential Care... 25/10/06

Ashbourne Court Residential Care... 17/10/05

Ashbourne Court Residential Care... 21/04/05

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

CARE HOMES FOR OLDER PEOPLE Ashbourne Court Residential Care Home Ashbourne Court Ashbourne Close Ash Hampshire GU12 6AG Lead Inspector Sarah MacLennan Unannounced Inspection 7th August 2007 09:30a 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 Ashbourne Court Residential Care Home DS0000061309.V342637.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. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashbourne Court Residential Care Home Address Ashbourne Court Ashbourne Close Ash Hampshire GU12 6AG 01252 326769 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) Ashbourne Court Residential Care Home Ltd Mrs Anusha Doorga Care Home 16 Category(ies) of Dementia - over 65 years of age (16) registration, with number of places Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 25th October 2006 Brief Description of the Service: Ashbourne Court is a privately owned care home. Personal care and accommodation is offered for up to 16 older people. Located in a quiet residential area of Ash, the home is in close proximity to shops and all other community amenities. Ashbourne Court is a large detached property with parking facilities to the front and an attractive enclosed garden and furnished terrace to the side. Accommodation is arranged over two floors with all communal facilities located on the ground floor. Service users have their own single rooms with en-suite facilities. The fees for this service range from £475 to £650. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit formed part of the key inspection process and took place over 5 hours commencing at 09:30 and ending at 14:30. Sarah MacLennan, Regulation Inspector, carried out the visit. The registered manager, Mrs Anusha Doorga, was present throughout the inspection. As part of the inspection process a tour of the premises took place. Various written records were examined, including care plans and service user assessments, three staff personnel files, samples of staff training records, the complaints record, the medication storage facilities and a sample of the medication administration records. The inspector spoke to a number of service users, relatives and some staff members. Some of the comments made to the inspector are quoted within this report. The inspector would like to thank the staff and service users for their time, assistance, and hospitality during the visit. What the service does well: What has improved since the last inspection? Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 6 All of the requirements made at the previous inspection have now been met. The home has undergone a period of building work and refurbishment and is now registered for 16 service users. The manager had recently updated the induction for new staff and the home had a comprehensive induction programme in place. It was not possible to assess how this was working in practice as no staff members had completed the programme. 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. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 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 Outcomes Statutory Requirements Identified During the Inspection Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users had been assessed prior to admission to the home to ensure that the home can meet the service users identified needs. The home does not offer intermediate care. EVIDENCE: The inspector was advised that the registered manager carries out a preadmission assessment on all prospective service users. Two service user care plans were seen and had comprehensive pre-admission needs assessments completed. The assessment covered all elements of physical, mental, and social needs. Service users and relatives spoken to felt they had received enough information prior to moving to the home. Service users were admitted on a months trial basis. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Comprehensive care plans and medication policies, procedures and practices were in place to ensure the service users health care needs are met. Care was seen to be provided in a respectful and sensitive manner. EVIDENCE: The service user care plans and files were randomly sampled; two care plans and daily statements were looked at in detail. The care plans were detailed and comprehensive, with risk assessments being completed. The service users daily statements evidenced that the care plans were followed and provided details of the service users 24hr day. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 10 Service users and relatives spoken with were complimentary regarding the care that they received in the home. Comments included; ‘I’m very well looked after’, ‘I love it here’ and ‘I am very pleased with the care’ Service users were registered with a local GP and had access to other health care services. The homes storage and recording of medication were seen and found to be in order. The home had a suitable policy for the administration of medication. Conversation with staff and service users evidenced that the service users are encouraged to be as independent as possible and to make their own choices, such interactions were observed. When asked if they received the support they required service user comments included ‘yes, I just ring down and they fetch me tea and biscuits if I wish’. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 11 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The provision of activities and food are suitable for the needs of the service users. EVIDENCE: From examination of the service user records and discussion with staff, relatives and service users it was apparent that service users are encouraged and enabled to live a full life and to participate in age related activities such as boat trips, shopping, visiting garden centres, having meals out, quizzes, exercise classes, reading and singing. Service users spoken to gave examples of activities they had recently enjoyed and stated that the provision of activities was suitable for their needs. One service user stated that they ‘enjoy the activities – I like the music and exercise class’. The manager stated that, due to the small size of the home a structured activities programme was not appropriate. Other comments from service users included ‘lots of fun’ and ‘the staff are lovely, they really are. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 12 All I have to do is ring them and they bring me up a tray of tea and biscuits – this is lovely when I have visitors – I get lots of visitors’. Relatives surveyed and spoken to stated that the staff always welcomed them in the home. All service users and relatives surveyed and spoken to stated that they were happy with the food provision within the home. Service users were observed to eat lunch during the inspection. Comments from service users included ‘great food’, ‘it’s nice’ and ‘these carrots are lovely’. The menu was on a four weekly rota and alternatives were available on request. Conversation with staff, relatives and service users evidenced that the service users are encouraged to be as independent as possible and to make their own choices, such interactions were observed. Staff were observed to treat the service users with respect and care was provided in an unobtrusive and dignified manner. From the evidence seen by the inspector and comments received, the inspector considers that this service would be able to provide a service to meet the needs of individuals of various religious, racial or cultural groups. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 13 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home had a simple and accessible complaints procedure; service users stated that they felt safe at the home. EVIDENCE: The home had a simple and accessible complaints procedure. Service users surveyed and spoken to during the inspection were aware of the complaints procedure, and felt confident about using the process. There had been no complaints since the last inspection. One service users spoken to said ‘I have absolutely no complaints’. No complainant has contacted the Commission with information concerning a complaint made to the service since the last inspection. All appropriate safeguarding adults policies and procedures were in place and readily available to staff. Staff spoken to were aware of these policies and procedures and their whistle blowing responsibilities. Staff had received training in the protection of vulnerable adults. All service users spoken with stated that they felt safe at the home. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 14 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home was found to be clean, tidy and suitable in layout for its purpose. EVIDENCE: The inspector toured areas of the home. The premises were seen to be well maintained with service users able to access all areas of the home and grounds. The home was suitable for the needs of the service users. The décor was domestic in nature and general standards of maintenance were good. It was seen to be clean, tidy and free from offensive odours. Service users spoken to stated that the home is always clean, other comments from service users included ‘I have a lovely room’ and ‘the gardens are beautiful, there is a lovely fish pond’. Ashbourne Court Residential Care Home DS0000061309.V342637.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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The staffing arrangements in place on the day of the inspection were sufficient to meet the needs of the service users. EVIDENCE: Discussion with staff, service users and examination of the staff rota demonstrated that the staffing numbers and skill mix were appropriate to meet the assessed needs of the service users living in the home. Three staff files were seen during the visit and found to contain the required information and documents specified in paragraphs 1 – 9 of Schedule 2 of The Care Homes Regulations 2001 (as amended by The Care Standards Act 2000(Establishments and Agencies) (Miscellaneous Amendments) Regulations 2004). The staff training records evidenced that staff had received training in first aid, infection control, basic food hygiene, manual handling, fire safety, medication, protection of vulnerable adults and dementia. The manager had recently updated the induction for new staff and the home had a comprehensive induction programme in place. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 16 It was not possible to assess how this was working in practice as no staff members had completed the programme. Service users and relatives spoken with were complementary about the staff at the home. Comments included ‘the staff are lovely, they really are’, ‘I am very well looked after’ and ‘… is awfully good’. All interactions observed between the staff and service users were caring and respectful. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The service users benefit from the management approach at the home, which provided an open, positive and inclusive atmosphere. EVIDENCE: The registered manager, Mrs Anusha Doorga, demonstrated a good knowledge and awareness of the service users need. Service users were seen to interact readily with the registered manager and an open and inclusive atmosphere was evident within the home. Mrs Anusha Doorga is a registered nurse who has achieved her registered managers award. All service users and relatives spoken to spoke very highly of her. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 18 All staff and service users appeared happy, contented and relaxed with the inspection process. The atmosphere within the home during the inspection was lively and cheerful. The registered manager stated that various quality audit systems were in place to ensure the staff, service users and their relatives had a forum for airing their views. These included staff meetings, service users meetings, service user and relative surveys, staff supervision and a comments book was available in reception. The manager consults regularly with the service users on a one to one basis, but there was no documentary evidence to support this. The home does not currently conduct audits of the processes within the home. All service users spoken to felt that their views were listened to and taken seriously. Procedures were in place to safeguard the financial interests of service users. No staff members are appointees for service users. The registered manager is aware of the need to maintain a safe environment for service users and staff. Required policies, procedures and safety checks were in place; samples of which were seen. Staff were observed to be following appropriate health and safety practices as they went about their work. Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 19 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 3 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 3 X 3 X 3 X X 3 Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 20 Are there any outstanding requirements from the last inspection? No 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 Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection Oxford Office 4630 Kingsgate Oxford Business Park South Cowley Oxford OX4 2SU 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 Ashbourne Court Residential Care Home DS0000061309.V342637.R01.S.doc Version 5.2 Page 22 - 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. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!