Inspection on 19/07/05 for Ashcroft Hostel

This inspection was carried out on 19th 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

Ashcroft Hostel 09/10/07

Ashcroft Hostel 03/05/06

Ashcroft Hostel 06/10/05

Ashcroft Hostel 28/02/05

Ashcroft Hostel 21/07/04

Ashcroft Hostel 17/02/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOME ADULTS 18-65 Ashcroft Hostel 52 Huncote Road Narborough Leicester LE19 3GN Lead Inspector Linda Clarke Unannounced 19 July 2005, 10:30am 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 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. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashcroft Hostel Address 52 Huncote Road Narborough Leicester LE19 3GN 0116 2866024 0116 2848196 None Leicestershire County Council Social Services 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) Mrs Maureen Muggleton Care Home 23 Category(ies) of Mental disorder (23) registration, with number of places Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: No additional conditions of registrations. Date of last inspection 28th February 2005 Brief Description of the Service: Ashcroft Hostel is a care home providing care and accommodation for up to twenty-three adults (under 65 years of age) who have needs relating to their mental health. The home provides a residential and rehabilitation service for upto 2 years, along with short term and respite. The twenty-three single bedrooms are without en-suite facilities. The home has a large rear garden containing seating for service users with mature trees and shrubs. The premise is owned by Leicestershire County Council Social Services Department and is situated in Narborough, where service users have access to shops, pubs and other amenities. The home is accessible by private or public transport. Accommodation is provided on two floors, with access to the first floor via stairs. Bedrooms and communal areas are located on both floors. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.30am and 4.15pm. The opportunity was taken to look around the home, spend time with residents, view records and policies which, included viewing the care plans of three service users residing at the home. Information recorded on the pre-inspection questionnaire has been incorporated into the Inspection Report, along with relative and resident comment cards. The Registered Manager facilitated the Inspection. What the service does well: What has improved since the last inspection? Service users now have access to a wider range of agencies including assertive outreach and crisis resolution. Additional power sockets and television aerial points have now been installed for the benefit of service users. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 6 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. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 Standards Statutory Requirements Identified During the Inspection Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 standard(s) 1, 2, 3, 4 and 5. The assessment process is well managed with assessments of need being carried out to ensure service users needs are met. EVIDENCE: Ashcroft Hostel has a Statement of Purpose containing information for the benefit of potential service users; this document details the roles of staff within the home in supporting residents in attaining their own optimum level of independence and outlines the role and responsibilities of service users in their care packages. The Statement of Purpose provides contact details of support agencies and details resident rights linked with the Complaints Procedure. All service users are assessed by a Social Worker prior to admission, with referrals from hospitals and within the community. Individuals are encouraged to visit the hostel, meeting existing service users and staff the period of time for this being flexible, this enables individuals to decide as to whether moving to Ashcroft Hostel for rehabilitation is appropriate to them. Service users sign a contract outlining the terms and conditions of occupancy. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 standard(s) 6, 7, 8, 9 and 10. Individual plans of care are in place ensuring that residents are supported with regards to their decisions concerning their rehabilitation. EVIDENCE: There is a pro-active approach in supporting service users in developing skills and making decisions in order that they can lead an independent life within the Community. The Inspector viewed the care plans and records of three service users. Care plans and records highlight the areas in which individuals and staff have assessed the need to increase skills and abilities. The views of service users are recorded, and service users sign their care plan to evidence that information detailed is consistent with their views, goals and aspirations. The Inspector spoke with a service user who had a clear understanding with regards to confidentiality, and how knowledge about him could be shared. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 10 The Inspector received three completed questionnaires from service users, one indicated that they did not like living at the home, one indicated that sometimes they liked living at Ashcroft Hostel, while one gentleman stated he liked living there. Two questionnaires indicated that they felt well cared for whilst one stated no. A service user comment card received by the Inspector contains an additional comment: “Its pretty pleasant as long as you use the additional support packages because sitting on your laurels gets you nowhere, the staff or majority are find most of the time, and once you can understand where the residents are coming from there not to bad.” One relative comment card was received by the Inspector and contained an additional comment: “My relative is very happy at Ashcroft and all the staff are very nice too.” Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 and 17. Service users are supported to access community resources, as part of their rehabilitation. EVIDENCE: Service users consistent with their care plans access a variety of community resources, as part of their rehabilitation. Individuals participate in paid employment, voluntary work and community centres and projects. Support is offered through various organisations, specialised in supporting individuals with mental health needs. Recreationally service users access local resources including public houses, swimming, holidays and shopping. Relatives and friends have contact with service users if they so choose, one service user seeing his parent on a weekly basis. Service users are actively encouraged and supported in all aspects of their daily lives, with individual rights and responsibilities being emphasised. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 12 The Inspector spoke to three service users, one of which was at Ashcroft for respite. One service user stated that in his opinion the meals offered by the home were very good, whilst two service users stated they didn’t much like the food. Service users are encouraged to purchase food and cook meals for themselves as part of their rehabilitation. The three questionnaires received by the Inspector from service users reflected that two sometimes liked the food whilst the third did not. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 and 20. Residents are looked after well in respect of their health and personal care needs. EVIDENCE: Service users receive health care support from a variety of health care resources in both physical and mental health. Health care professionals visit Ashcroft Hostel, liaising with service users and staff. The Care Plan Approach level is determined by health care professionals within the care team, as part of the assessment process. The ordering and administration of medication for some service users is managed by staff, there is an active approach to service users gaining skills to be responsible for their own medication consistent with independent living. Risk assessments are carried out, and regularly reviewed to ensure that the health and welfare of service users is maintained. Medication records viewed by the Inspector were in good order. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 and 23. Complaints are handled objectively and residents are confident that their concerns would be listened to, taken seriously and acted upon. Procedures ensure a proper response to any suspicion or allegation of abuse. EVIDENCE: The pre-inspection questionnaire completed by the Assistant Manager evidences that two complaints have been received in the last twelve months, the record of one was found, indicating that the complaint had been substantiated. The Commission for Social Care Inspection has not received any complaints since the last inspection. Ashcroft Hostel has copies of the Department of Health’s guidance and protocols on the protection of adults from abuse, however staff have not received any formal training, the absence of training has been highlighted in previous inspections. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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, 28 and 30. The décor of the home is of a basic standard and does not provide a homely and comfortable environment for service users. EVIDENCE: The Inspector viewed all communal areas, all of which were very basic in their décor, fixtures and fittings. Furnishings were old giving Ashcroft Hostel a ‘tired’ an institutional feel. The ethos of Ashcroft Hostel is that of rehabilitation to independent living, which is reflected in all aspects of care, the hostel itself however does not present an image of ‘homely living’. A service user on respite at the home stated, he liked staying at Ashcroft Hostel, but he wouldn’t like to live there permanently as it looked very institutional. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 16 The Inspector viewed one bedroom, and found the carpet to be heavily stained, paintwork dirty and peeling in places. The furniture in the room was uncoordinated, and the curtains were in part coming aware from the curtain track. The Registered Manager stated that several of the bedrooms were to be decorated, with some bedrooms having carpets replaced. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 and 35. Staff at the home are employed in sufficient numbers to meet the needs of service users. Service users could benefit from staff receiving training in mental health and its effects on individuals. EVIDENCE: The Registered Manager is supported by two Assistant Managers and by Residential Support Officers, night care assistants and ancillary staff. Residential Support Officers work closely with individual service users, supporting them in the development of skills, and the reviewing of goals. The Registered Manager when allocating staff to work with individual service users takes into account the wishes of service users, and other factors such as the needs of the service user, gender, age, cultural background and expertise and knowledge of staff. Three members of staff have attained level 3 National Vocational Qualification in Promoting Independence. Staff have undertaken training in first aid, fire awareness and induction training. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 18 The Registered Manager is a qualified National Vocational Assessor, however states that it would be of benefit if additional assessors were employed. The Registered Manager confirmed that staff are given information relevant to individual service users and their needs, however this is not formalised within a training format. Ashcroft Hostel is registered for service users with a mental disorder; staff however have not received training related to mental health or associated conditions such as alcoholism, drug addition or eating disorders. The Registered Manager confirmed that training within these specialist areas would benefit the service users and staff, and highlighted training in the affects of drugs on service users and types of mental health would also be of benefit. The questionnaires completed by service users evidence that two service users felt they were well treated by staff, and the third stated no. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 and 42. The Registered Manager offers a clear sense of leadership, which reflects on the day-to-day delivery of care practices of service users and running of the home. EVIDENCE: The Registered Manager has eleven years of experience within mental health services, and has a City and Guilds teaching certificate, an Open University certificate in Mental Health Practice, and is a qualified National Vocational Qualification Assessor, and is currently working towards level 4 National Vocational Qualification and Registered Managers Award. The Registered Manager ensures that the ethos of the home encompasses the views of service users and staff, and all practices reflect this. Service users were seen approaching staff to discuss concerns affecting themselves. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 20 The three comment cards received by the Inspector from service users reflected that one service user would like to be more involved in the decision making in the home, whilst two said they’d sometimes like to be more involved. The pre-inspection questionnaire completed by the Assistant Manager details the maintenance checks carried out to ensure the health, safety and welfare of service users and staff. Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 1 3 x x 3 x 3 Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x x 2 x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashcroft Hostel Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 3 3 x x 3 x C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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. 2. Standard 24 35 Regulation 23 18 Requirement The Registered Person to develop a plan for the refurbishment of Ashcroft Hostel The Registered Person to review the training offered to staff, in the field of mental health with consideration being given to the following areas:1. Forms of mental health. 2. Alchol and drug dependency. 3. Effects of drugs on individuals. Consideration should also be given in training with regards to the protection of adults from abuse. Timescale for action 30th September 2005 30th September 2005 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 32 Good Practice Recommendations Service users would benefit if additional staff completed National Vocational Qualification training, additional assessors and verifiers would support the gaining of qualifications. C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 Page 23 Ashcroft Hostel Commission for Social Care Inspection 5 Smith Way Grove Park Enderby Leicestershire LE19 1SX 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 Ashcroft Hostel C51 C01 S35190 Ashcroft Hostel V237756 190705 Stage 4.doc Version 1.40 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. 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