Inspection on 06/12/05 for Ashbury

This inspection was carried out on 6th December 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 11/07/05

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 Mrs J Wright Unannounced Inspection 6th December 2005 3:00 Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 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 Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 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 Adults 18-65. 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. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ashbury Address 124-126 Aldwick Road Bognor Regis West Sussex PO21 2PA 01243 824689 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) Mrs Susan Rosalind Newman Mrs Margaret Anne Hibbert Care Home 25 Category(ies) of Learning disability over 65 years of age (5), registration, with number Mental disorder, excluding learning disability or of places dementia (20), Mental Disorder, excluding learning disability or dementia - over 65 years of age (20), Old age, not falling within any other category (1) Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. No further Service Users in the OP Category to be admitted A Maximum of (5) Service Users in the LD(E) may be accomodated. Only Service Users over (55) Fifty Five years in the MD category may be admitted. 11th July 2005 Date of last inspection 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 DS0000014369.V265262.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection, the second of a minimum of two statutory visits that an inspector must make to each care home during the course of a year. The first inspection, which was announced, was undertaken earlier in the year. At this inspection the Inspector looked at any outstanding issues from the last report, or concerns raised about the home since the last inspection. As all the standards were assessed at the previous inspection, many were not inspected on this occasion, the reader is advised therefore to look at the reports of both inspections for a fuller picture of the home. The Manager was present throughout the inspection. During this inspection the Inspector examined records of care being provided to residents; as well as records of any accidents, issues, concerns or complaints, to make sure that the residents at Ashbury were being taken care of. The inspector spoke with several residents, all of whom were very positive with regard to the care they were receiving, and spoke well of the Manager and the staff members. The Inspector also spoke with two staff members, who told the Inspector that they really enjoyed working at the home, and with the residents. 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. The Inspector would like to thank everyone who cooperated with her on the day of this inspection. What the service does well: There was evidence of much artwork throughout the home, clearly done by the residents, and the Inspector saw some residents going out with a care worker to the shops. Ashton Care employs a full time Activities Organiser who covers the three homes, and she was present at the start of this inspection. There was evidence of many Christmas decorations, including a “snowman collage” in the home. The Inspector was told that the residents attend a variety of activities, including college. The Inspector saw the results of a questionnaire that the Manager had recently circulated to residents and their representatives. The vast majority of the comments received back were very favourable, with such comments, as “I like the food and the staff “and” music with Pat is Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 6 wonderful”. Finally the home does not use agency workers, ensuring that the residents always know their carers. 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. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 8 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 the following standard(s): 1 and 2 Residents and their families have the information they need to make an informed choice about Ashbury, and are suitably assessed before placement. EVIDENCE: The Manager informed the Inspector that each resident is given a Statement of Purpose and Service Users Guide, and a Contract when they enter Ashbury. Most of the residents have family, or a solicitor, who act on their behalf. All residents are assessed by a senior staff member prior to their being accepted by Ashbury. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 9 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 the following standard(s): 6 and 9 Residents take part in the running of Ashbury, whenever possible, and are able to make their own decisions with regard to outings etc, supported by staff members. Residents are encouraged to maintain independence whenever possible, and are fully involved in their care planning. Care plans are reviewed regularly. EVIDENCE: The Manager informed the Inspector that residents have opportunities to meet people and join in activities outside of the home, and that risk assessments are undertaken to ensure the well being of the resident. These activities include outings, college and watching television. Care plans were seen to have been regularly reviewed, and to reflect the needs of residents. A resident told the Inspector that they “go out in the bus” and another said “we have tea out, and it’s nice”. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 10 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 the following standard(s): 11, 14 and 17 Residents have the opportunity for personal development, are able to engage in appropriate leisure activities. EVIDENCE: All the residents appeared extremely happy at Ashbury. Residents are able to take part in the home’s decisions with regard to outings, activities etc. The Inspector was assured that fresh home cooked food is provided, and asked many residents what they thought of the food. All said they liked the food, and one resident told the Inspector “you can chose what you like, and can have it in your room if you like”. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 11 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 the following standard(s): These standards were not assessed on this occasion, however these standards were met at the last inspection. EVIDENCE: Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 22 The Manager informed the Inspector that all staff, residents and their families are aware of the complaint’s procedure, and know how to complain. EVIDENCE: Residents told the Inspector that they would quite happily go to the Manager, or any other staff member, if they were concerned about anything, and that they felt that they would be listened to. There have been no complaints since the last inspection. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 24 Residents live in a homely, comfortable and safe environment. EVIDENCE: The inspector toured the premises, and found that the resident’s rooms, including the wash hand basins and toilets, had been recently cleaned, and the beds had been made. The resident’s rooms had been personalised by the addition of fluffy toys, photographs etc. Residents told the Inspector that they liked their rooms. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 32 and 36 Records showed there were sufficient numbers of staff on duty. Ashton Care appears very committed to training, and there was evidence that all staff members receive the appropriate support and supervision. EVIDENCE: Staff members spoken to on the day of inspection were able to show that they care very much about the people who live at the home. They said they felt supported by the Manager, and “liked working with this type of resident.” The Manager informed the Inspector that all the necessary procedures are followed, with regard to the 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. Staff members told the Inspector that they were supervised. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 15 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37 and 38 Residents benefit from a well run home, and from the ethos, leadership and management approach of the home. EVIDENCE: Clearly the staff members at Ashbury care a great deal for the people who live there. Staff members told the Inspector that there were meetings for both the staff members and the residents, and that they enjoyed working at the home, and felt supported by the Manager. The Manager informed the Inspector that she has just successfully completed her Registered Managers Award. Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 16 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 X X X Standard No 22 23 Score 3 X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 X X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 3 X X X X X X LIFESTYLES Standard No Score 11 3 12 X 13 X 14 3 15 X 16 X 17 Standard No 31 32 33 34 35 36 Score X 3 X X X 3 CONDUCT AND MANAGEMENT OF THE HOME 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashbury Score X X X X Standard No 37 38 39 40 41 42 43 Score 3 3 X X X X X DS0000014369.V265262.R01.S.doc Version 5.0 Page 17 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. 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 Ashbury DS0000014369.V265262.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Worthing LO 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. 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