Inspection on 11/07/05 for Ashbury

This inspection was carried out on 11th July 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

Ashbury 24/04/07

Ashbury 06/12/05

Ashbury 07/12/04

Ashbury 10/08/04

Ashbury 20/06/02

Similar services:

Thorndene

Insight - Eastchurch

Southfields

Magenta

Seabourne House

33 St John`s Church Road

Dovedale Court

1 Marten Road

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

CARE HOME ADULTS 18-65 Ashbury 124-126 Aldwick Road Bognor Regis West Sussex PO21 2PA Lead Inspector Jennifer Wright Announced 11 July 2005, 8:30 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashbury Address 124-126 Aldwick Road, Bognor Regis, West Sussex, PO21 2PA 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 824689 Mrs Susan Rosalind Newman Mrs Margaret Anne Hibbert Care Home (CRH) 25 Category(ies) of Learning disability over 65 years of age registration, with number (LD(E)),(5) of places Mental disorder, excluding learning disability or dementia (MD),(20) Mental disorder, excluding learning disability or dementia-over 65 years of age (MD(E)),(20) Old age, not falling within any other category ((OP),(1) Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1 No further Service Users in the OP category to be admitted. 2 A maximum of (5) Service Users in the LD(E) may be accomodated. 3 Only Service Users over (55) Fifty Five years in the MD category may be admitted. Date of last inspection 4 December 2004 Brief Description of the Service: Ashbury is registered with the Commission for Social Care Inspection to provide personal care for up to 25 residents. The registration categories are; Mental Disorder, excluding learning disability or dementia-over 65 years of age (MD/E) Old age, not falling within any other category (OP) Learning disability over 65 years of age (LD/E) and Mental disorder, excluding learning disability or dementia (MD). Additional conditions of registration are; 1) No further service users in the OP category to be admitted, 2) A maximum of 5 service users in the LD/E category and 3) Only service users over 55 years in the MD category may be admitted. Ashbury is situated in Bognor Regis, West Sussex, close to the sea and the town centre, with gardens, local shops, and cafes nearby. All the bedrooms are single occupancy, with either bath or shower ensuites. The service is owned by Mrs. Susan Newman, and managed by Mrs. Margaret Hibbert. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, the first of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. A second inspection, which will be unannounced, will be undertaken later in the year. The Manager was present throughout the entire inspection. During this inspection the Inspector toured the building, visited the majority of the rooms and spoke to many residents about what the care was like at Ashbury. The Inspector found Ashbury to be homely and welcoming, and residents told the Inspector how much they liked living there. Five staff members were also spoken to on the day of inspection about how they found working at Ashbury. All were very positive in their response, and told the Inspector how much they enjoyed working with the residents and for the Manager and the owner Mrs.Newman. The Inspector examined records about care being provided to residents; and questioned the Manager regarding any accidents or concerns or complaints, to make sure that the residents at Ashbury are being taken care of. The Inspector shared a meal with the residents on the day of inspection, and sat and watched some residents during the morning’s “activities”. Prior to the inspection, residents, their relatives and visitors to the home, were offered the opportunity to complete a short questionnaire where they could make their views on Ashbury known to the Commission for Social Care Inspection. Six people people responded, including two professionals, and all stated that they were really satisfied with the care provided by the home. At this inspection Ashbury was audited against the National Minimum Standards for Younger Adults. All the elements in each of the standards assessed were met and two were exceeded. The Inspector would like to thank everyone who cooperated with her at this inspection. What the service does well: Ashbury was seen to offer the people who live there, good care, good food, and the opportunity for many activities, which include art and craftwork, games and trips out in the mini-bus. All the people that the Inspector spoke to on the day of inspection responded very favourably with regard to the care provided by Ashbury. The building is in good decorative order, and well Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 6 maintained, with the relevant records in place to ensure the safety of the people living there. The inspector saw that staff training was ongoing at Ashbury, and it was seen that some staff members have worked at the home for many years. The records seen were extremely well kept. The home is about five minutes walk from the sea, and one resident told the Inspector that she was taken there recently and “had a lovely time”. The Manager informed the Inspector that that some residents had won an award recently as part of a “widening Participation “ Project between the local college and The Times newspaper. Two visiting professionals both commented on the “homely atmosphere” of the home. 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. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 7 The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 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 standard(s) 1, 2, 3, 4, 5 Residents and their families have the information they need to make an informed choice about Ashbury, and are suitably assessed before placement EVIDENCE: The Inspector was told that each resident is given a Statement of Purpose and Service Users Guide and a Contract when they enter Ashbury. The majority of the residents have family, or a solicitor, who are able to act on their behalf. A member of staff assesses all residents before they join the home. The records of these assessments were seen by the Inspector, and found to be satisfactory. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 10 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 standard(s) 6, 7, 8, 9, 10 Wherever possible residents take part in the running of Ashbury, and are able to make their own decisions, supported by staff members. Examples of this include activities, outings, and choice of food. Residents are encouraged to maintain independence whenever possible, and are fully involved in all aspects of their care planning where able. Resident’s needs are carefully monitored, and care plans are regularly reviewed. EVIDENCE: Care plans were seen to be comprehensive, and to reflect the needs of the residents. They were detailed, and contained a record of the individual, including assessments from other agencies. Residents are encouraged to take part in outside activities and some go to college. The Inspector was told that an ex-resident who now lives independently in the community calls in for a visit occasionally. The Manager informed the Inspector that staff would go with residents if they feel that the resident would benefit from assistance. One resident recently went with a member of staff to Brighton, and had “a lovely time”. All personal information with regard to residents was seen to be securely stored. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 11 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 standard(s) 11, 12, 13, 14, 15, 16, 17 The residents seen appeared happy with their life at Ashbury. The Manager informed the Inspector that all residents are encouraged to keep in contact with their family and friends. The activities that residents take parts in are determined by their individual needs and care plans. Meals are planned after consultation with the residents, and provide a variety of choice. Fresh home cooked food is provided. It was seen that the home offers a choice of menu, with people able to eat with other residents in one of two dining rooms, or in their own room if they prefer. EVIDENCE: Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 12 Some residents were enjoying a quiz on the morning of the inspection, and some were going out in the mini-bus later in the day. Ashton Care employs an activities organiser who visits the home on a regular basis with a variety of activities for the residents to take part in should they wish. There was evidence of resident’s artwork throughout the home. The Inspector was shown some tubs of flowers that the residents had helped plant in the rear garden. The Manager informed the Inspector that residents have opportunities to meet people and join in activities outside of the home, which include, college, visiting friends and family etc. and that risk assessments are undertaken to ensure the well being of the resident. On the day of inspection the Inspector shared a meal with the residents, which was very tasty, plentiful, and clearly enjoyed by all. One resident told the Inspector that “the food is good here” and another said, “everything is really nice”. From direct observation, the Inspector noted that the mealtime appeared to be unhurried, with residents being afforded sufficient time to eat their meal. Where it was necessary staff members were seen to help residents in a sensitive and unobtrusive manner. The inspector examined a range of records and discussed resident’s lifestyles with staff members. Everything was seen to be satisfactory. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 13 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 standard(s) 18, 19, 20, 21 The resident’s health, personal and social care needs are well met through good staff training. All procedures for medication involve a thorough assessment of the resident. All staff members administering medication have been appropriately trained. EVIDENCE: Medication is stored safely and records were well kept with regard to the administering and disposing of all medication. There was evidence that staff members have received appropriate accredited training in medication. There are policies and procedures in place with regard to death and dying. A Nurse Practitioner commented that they “had always observed good standards of care” at Ashbury. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 14 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 standard(s) 22, 23 The Manager informed the Inspector that all staff, residents and their families are aware of the complaint’s procedure, and know how to complain. Staff members are aware of the Adult Protection Procedures and of the policies and procedures with regard to Whistle Blowing. No complaints had been recorded since the last inspection. EVIDENCE: Residents spoken to on the day of inspection assured the Inspector that they know who to go to if they were unhappy with anything. The Manager confirmed that staff members have access to a Whistle Blowing Policy and to the guidelines on how to refer any abuse, or suspicions of abuse. The Inspector was told that all staff members have received training on Adult Protection. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 15 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 standard(s) 24, 25, 26, 27, 28, 29, 30 On the day of inspection Ashbury appeared clean and well-maintained in the main, and the location of the home is suitable for the residents who live there. Accommodation is on three floors, and was seen to provide a lift, aids, and ramps and assisted bathing facilities. There are two separate lounge/diners, and all the twenty-five bedrooms are en-suite EVIDENCE: During the course of the inspection the majority of the rooms were visited to ensure that the environment was safe and comfortable for people who live there. It was noted that many residents had brought personal possessions into the home, including, ornaments, pictures and photographs. Records were available to show that the home is maintained to a satisfactory standard. On the day of inspection, Ashbury was seen to be clean, and free from offensive odours. Policies and procedures were available for staff regarding control of infection, and the safe disposal of clinical waste. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 16 Residents told the inspection how much they liked their bedrooms, and the Inspector was told that one resident regularly ate her meals in her room, as this is what she preferred. All the residents, when asked if they liked living at Ashbury, replied that they did. There is a well-maintained garden to the front of the building and a garden to the rear, which residents sit out in when the weather allows. On the day of inspection, the weather was extremely hot, and doors were seen to be wedged open to allow a through breeze. The Manager was made aware of the safety implications surrounding this. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 17 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 33, 34, 35, 36 There are sufficient numbers of staff employed to ensure that the people who live at Ashbury receive the support that they need. The home has a sound recruitment policy, and all required checks are made. There was evidence that all staff members receive the appropriate training support and supervision. It was seen that policies and procedures are in place to ensure that all residents are protected. EVIDENCE: The ratio of care staff to residents conformed to the Department of Health guidance, and records showed a low staff turnover, and sickness absence. The staff team was comprised of a good age and gender mix. The Manager informed the Inspector that trainee carers work under supervision, and do not provide personal care. Staff members spoken to on the day of inspection were able to give a clear picture of the needs and preferences of the residents. They were clearly enthusiastic about working at Ashbury and with the client group accommodated at the home, and said that they felt well supported by the Manager, and Ashton Care. On the day of inspection there were sufficient Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 18 staff members on duty. Staffing records were examined and it was seen that all necessary procedures had been followed, with regard to recruitment of staff, including ensuring that all staff members have received Criminal Records Bureau enhanced checks, so that they are safe to work with vulnerable people. Records were seen to be stored appropriately, and showed that all staff members had received appropriate training, and that supervision was being carried, out and notes kept. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 19 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 38, 39, 40, 41, 42, 43 It is apparent that the needs of the residents are uppermost at Ashbury, and staff members ensure that resident’s rights and best interests are safeguarded at all times. Reviews are held at regular intervals and these are recorded. All records and policies and procedures are well maintained, and showed that all requirements made by the Fire and Environmental Health Officers had been met. In addition all equipment is serviced regularly, thus ensuring that Ashbury is a safe environment for the people who live and work there. Continuing training, plus policies and procedures in place ensure that the health, safety and welfare of residents are promoted. EVIDENCE: The Manager informed the Inspector that there are staff meetings, where minutes are taken. Ashbury appears to be run in the best interest of the residents, and staff members told the Inspector that they enjoyed working at Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 20 the home and that they felt well supported by the Manager. Two staff members told the Inspector that there was “a nice atmosphere at the home “, and another said “if you have a problem, you can always take it to the Manager or the proprietor”. Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 21 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 3 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 4 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 3 3 3 Standard No 11 12 13 14 15 16 17 4 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 3 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashbury Score 3 3 3 3 Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 3 3 H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 22 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 Good Practice Recommendations Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 23 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 Ashbury H60-H11 S14369 Ashbury V229056 110705 Stage 4.doc Version 1.30 Page 24 - 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!