Random inspection report
Care homes for older people
Name: Address: Ashcott Lawns Chapel Hill Ashcott Bridgwater Somerset TA7 9PJ zero star poor service 09/02/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Shelagh Laver Date: 0 1 0 5 2 0 0 9 Information about the care home
Name of care home: Address: Ashcott Lawns Chapel Hill Ashcott Bridgwater Somerset TA7 9PJ 01458210149 01458210932 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Monica Diana Corbett care home 17 Number of places (if applicable): Under 65 Over 65 17 old age, not falling within any other category Conditions of registration: Date of last inspection Brief description of the care home 0 0 9 0 2 2 0 0 9 Ashcott Lawns is registered with the Commission for Social Care Inspection to provide personal care only for up to 17 people over the age of 65 years. The home is not registered to provide nursing care. The registered provider/manager is Mrs M. Corbett. Mrs Corbett lives on the premises. The home has been converted from a Grade II house to provide a homely environment for service users. It has been adapted as far as possible to meet the needs of older people however, service users need to be ambulant as there are further steps to most first floor bedrooms and assisted bathing facilities are limited at this time. This period house is full of character and furnishings and fittings are in keeping with this. The home is located in the village of Ashcott where there are some amenities and village activities. Attractive gardens surround the home and there is ample parking. The current fee range is #430 to
Care Homes for Older People Page 2 of 11 Brief description of the care home #530 per week. Additional charges include; hairdressing, chiropody, personal items and some staff escorts to appointments. Care Homes for Older People Page 3 of 11 What we found:
At this Random Inspection on 01/05/09 we met with Simon Ewington who is the Assistant Manager, members of staff and three people who lived in the home. We were pleased to see that progress had been made and action had been taken to address the requirements made at the key inspection of 09/02/09. Mr Ewington has commenced an appropriate Leadership and Management qualification programme. Mr Ewington had contacted Care Focus and had received visits from two of their staff. he had found these visits very helpful. The basis of a sound management system had begun. Appropriate contacts and required information had been accessed. There are plans to revise the medication system in line with current best practice. A Boots system will be commenced om 01/06/09. The staff will receive appropriate training and support from the same company. The revised complaints procedure was seen. A Quality Assurance system has commenced and will be further developed. Mr Ewington has written to relatives of people in the home informing them of changes to the home management. There is a staff structure diagram displayed showing key staff and their roles. Staff files have been reviewed and organised. Whilst no requirements have been removed at this Random Inspection it should be noted that action has been taken to address most of them. What the care home does well:
Mr Ewington had taken prompt action since the last random inspection. He has organised training for himself in managing a safeguarding incident and providing staff supervision. Staff spoken to in the home were enthusiastic about the planned training opportunities. Safeguarding Adults training has been accessed for staff in the form of computer based learning programmes. The computer and organisation of training was seen. Further training is planned using the same format. At the next inspection the response of the staff who have undertaken this will be assessed. Minutes of a full staff meeting held on 21/04/09 were clear and comprehensive. There are plans to meet monthly to keep staff informed of the progress and changes to be made in the home. Care Homes for Older People Page 4 of 11 The fire risk assessment has been completed and training for staff is planned by the end of June. People spoken to were pleased with the care they received in the home and could talk about some entertainment and activities that had occurred recently. People were pleased that they could make choices about how they spent their days. The home appeared comfortable and clean. There was evidence of reorganisation. The new upstairs bathroom is now clean and ready for use. A bath hoist will be purchased for use in this bathroom. Menus are now displayed so people know what is available for lunch. The gardens were well kept and attractive. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 11 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 3 14 The registered person must ensure that the needs of people are assessed by a suitably qualified or trained person. A comprehensive assessment ensures that the persons needs can be met and that the home has appropriate equipment and can provide staff with appropriate skills. 16/03/2009 2 7 13(4)(c) The registered person must 15/04/2008 devise appropriate assessments for service users relating to moving & handling, risk of falls and reducing the risk of pressure sores. Previous timescale 26/10/07 not met. Timescale of 15/04/08 not met. 3 7 15 Comprehensive care plans 01/04/2009 must be in place at all times that set out in detail the action to be taken by staff to ensure all aspects of the health, personal and social care needs of people are met. Care Homes for Older People Page 6 of 11 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action A care plan form the basis of professional care and gives clear guidance to staff. 4 7 15 Care plans must be reviewed 01/04/2009 and kept up to date by care staff. Peoples needs change and the care must be up-dated if it is to give accurate information to staff. 5 18 13 The registered person must make arrangements to ensure that staff are up to date with Safeguarding of adults training. Training musty be repeated to ensure all new staff reciev this and that established staff receive up-dates. 6 29 19 The registered person must ensure that a thorough recruitment procedure is operated ensuring the protection of the service user. Recruitment procedures that are not thorough may enable people to work at the home who are not suitable and may place people at risk. 7 31 18 There must be clear lines of accountability within the home that enable the home to function during the absence of the manager. All required records must be kept clearly to ensure 01/04/2009 20/03/2009 01/04/2009 Care Homes for Older People Page 7 of 11 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action information is passed on and reviewed. People in the home and staff must feel confident that systems in the home will be maintained in the absence of the manager. 8 31 9 The manager must ensure that she is physically fit enough to manage the care home. The manager must be able to work safely and effectively in the home. When counted as a member of staff she must be able to assist with hoisting and manual handling. 9 33 24 The registered person must establish and maintain an effective quality assurance system which will seek the views of service users, their representatives and any other interested stakeholders. Previous timescale 28/12/07 not met 10 38 13(4) Staff must receive 15/03/2008 appropriate training in moving and handling with at least annual updates. - All staff involved in the preparation or serving of food must receive appropriate training in food hygiene. - Suitable
Page 8 of 11 01/03/2009 15/04/2008 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action arrangements must be made for the training of staff in first aid. - All staff must receive regular training in fire safety. Previous timescale of 10/10/07 not met. 11 38 13(4) & 23(4)(a) After consultation with the fire authority, the registered person must devise a satisfactory fire risk assessment which meets with current requirements. Previous timescale 01/10/06 and 22/10/07 not met 15/04/2008 Care Homes for Older People Page 9 of 11 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 10 of 11 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 11 of 11 - 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!
