Inspection on 03/05/06 for Ashcroft Hostel

This inspection was carried out on 3rd May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 06/10/05

Ashcroft Hostel 19/07/05

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 Inspection 3rd May 2006 09:30 Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 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 Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 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. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashcroft Hostel Address 52 Huncote Road Narborough Leicester LE19 3GN 0116 286 6024 0116 284 8196 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) www.leicestershire.gov.uk Leicestershire County Council Social Services Mrs Maureen Muggleton Care Home 23 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (23) of places Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registrations. Date of last inspection 6th October 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 placement for up to 2 years, along with respite care. The home is located in Narborough where service users have access to shops, pubs and other amenities, with local public transport routes. 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. Accommodation is provided over two floors with access between the floors being a stairwell. Information is located on site detailing the range of services offered, which includes the Statement of Purpose, in addition to this Ashcroft Hostel has copies of the Commission of Social Care Inspections, Inspection Reports, which are located in the main office and are available upon request. The weekly fee is £651.00, which was provided within documentation submitted to the Commission for Social Care Inspection in April 2006. There are additional costs for individual expenditure such as Chiropody, Optician and hairdressing services and social excursions and the fee will depend on services accessed. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Inspection Report reflects a visit to the service, which included discussions with service users and staff and the reading of documents relevant to service user care and welfare, along with staffing records. In addition documents providing information supplied direct to the Commission for Social Care Inspection by the care home, which includes reports of incidents involving individual service users and the Pre Inspection Questionnaire submitted prior to the visit have been incorporated. What the service does well: What has improved since the last inspection? Environmental improvements have taken place; all bedrooms have been decorated, and have had new soft furnishings including carpets. New furniture has also been ordered and delivered. Kitchen areas have also been refurbished to include new ovens and hobs. A designated member of staff is now responsible for the organisation of monthly service user meetings and the production of the monthly newsletter. Staff have received training in drug awareness with regards to illegal substances and the effect this has on the individual who takes them, this has provided staff with information, which enables them to support service users where necessary. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 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 DS0000035190.V288752.R01.S.doc Version 5.1 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 Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 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, 2, 4 and 5. Quality is this outcome area is good. This judgement has been made using available evidence including a visit to this service. The assessment process is well managed with assessments of need being carried out to ensure service users needs are met. EVIDENCE: Information regarding the service and facilities, which Ashcroft provides is kept on site, this details the initial assessment and referral process and includes environmental information along with the aims and objectives. Incorporated is information as to how complaints, comments and compliments can be raised which is accompanied by information on advice and advocacy services. The information provided by Ashcroft Hostel does not include views or comments of service users who already reside within the home. Service users spoken with confirmed that they were given information about Ashcroft Hostel, upon either introductory visits or upon admission. Ashcroft Hostel facilitates a flexible approach with regards to introductory visits, with individuals being encouraged to visit the home, and staff meeting with prospective individuals in their current place of residence, this in forms part of the assessment process. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 9 The records of three service users were viewed; all were found to contain an initial assessment of need undertaken by an appropriate person, all were detailed and provided historical and current information, which enables care staff to deliver the appropriate guidance and support. Service users spoken with said they signed a contract outlining terms and conditions of occupancy upon admission to Ashcroft. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8, 9 and 10. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans of care are in place ensuring that service users are supported to make decisions concerning their rehabilitation. EVIDENCE: Ashcroft continues to be pro-active in its approach and supports individuals in developing skills and making decisions in order that they can lead an independent life within the community. Comprehensive assessments undertaken by a Social Worker are used to form the basis of care plans, in addition to this Ashcroft care staff undertake an assessment which focuses on daily living skills including household management, community skills, personal care, physical and mental health. Information contained within assessments is then developed to formulate care plans. The Inspector viewed the care plans of three service users; all were detailed and regularly reviewed, and signed by both service user and their key worker. Care plans incorporated service user views, aspirations and goals and documented changes in circumstances. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 11 Care plans are supported by risk assessments, which detail how risks are to be managed, and detail crisis intervention, including access to external agencies, including where applicable restrictions placed upon service users by the Mental Health Act or where service users have been identified to self-harm. The Inspector observed service users approaching staff to discuss issues of concern, staff ensured that conversations were conducted in private, and that the outcome of conversations were recorded within service user records. Service user records detailed where service users did not want specific information to be shared with families/friends. Discussions with service users along with records viewed evidenced that service users have control over their finances, supported where necessary. Service users are encouraged to attend service user meetings; the Inspector spoke with two service users who confirmed they attended. The Inspector viewed the minutes of the meetings and comments made by service users were acted upon. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 12 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, 12, 13, 14, 15, 16 and 17. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Individual plans of care are in place ensuring that service users are supported with regards to their decisions concerning 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. The records of three service users identified voluntary work; one service user participated in voluntary work, which included the restoration of wooden furniture. One service user stated he had undertook gardening in a voluntary capacity but this had recently concluded, but was hopeful of finding similar voluntary work. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 13 One service user spoke of his interests in computers and game technology, and was hoping to attend a College course to support this. A service user accessing respite services said that she very much enjoyed her stays at Ashcroft, and spoke positively of the encouragement staff offered, the lady advised she visits friends whilst staying at Ashcroft, and also enjoys attending the local Church in Narborough. The recent newsletter recorded that service users had recently participated in a Pool Tournament held at Centre 88, in addition an eight-week course in English Literature had just concluded, with service users now accessing an eight-week course in Food and Cooking. Courses are facilitated by local College staff, and happen external to the home. Service user meetings and newsletters conducted and produced in March and April 2006 recorded that service users are been asked as to activities that they wish to participate in and are also been asked to think of fund raising ideas. The newsletter reminded service users that Ashcroft welcomes visits from friends and families, however appreciates if visitors can depart by midnight. One service user has agreed to head a committee to discuss matters which effect service users, which are then presented to the Management team for consideration. The routine within Ashcroft is flexible, service users have autonomy regarding when they wish to get up and go to bed, service users are asked to advise staff when they leave and return to Ashcroft in case of fire. Service user records reflect decisions made by service users, and identify where staff support is appropriate. Everyone is encouraged to take part in housekeeping tasks, for some service users this forms part of their rehabilitation. The Inspector sat with a small number of service users at lunchtime, for which their was home made onion soup and crusty bread. The records of one service user indicated that they did not eat pork or drink alcohol consistent with the Muslim faith. Meals also reflect the needs of service users who are diabetic. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 14 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): 18, 19 and 20. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. Service users are looked after well in relation to both physical and mental health needs. EVIDENCE: Service users currently residing at Ashcroft do not require personal support in relation to personal hygiene and care, however staff are actively encourage service users to maintain a respectable level of personal hygiene, the emphasis being on service users being independent and taking control of their lives. Care plans viewed identified where a service user required encouragement, and were written with service user involvement. Health care services are dependent upon the need of individual service users. Records indicated that some service users access specialist services, which include Psychologists, Psychiatrists, Forensic and Approved Social Workers and Community Psychiatric Nurses. In additional general health care through Dentists, General Practitioners and District Nurses is provided. One service user spoken with confirmed a recent appointment with a Psychologist and was clear as to the reasoning behind the appointment. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 15 Service users are encouraged to administer their own medication as part of gaining independence and taking control of their own lives. Service users are risk assessed as to their ability, and regular reviews monitor the process of self-administration. Staff administer medication to service users who are not ready to take responsibility. Service users were observed approaching staff for additional prescribed medication in order that they could manage their anxiety and current mental health. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 16 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 and 23. Quality in this outcome area is good. This judgement has been made using available evidence including a site visit to this service. The service has robust arrangements in place to ensure concerns are responded to in an efficient and effective manner to protect people who use the service. EVIDENCE: Service users when asked were confident that should they have any concerns, they were clear as to whom they should speak with, in addition there is a written complaints procedure, and information as to how to contact advocacy services. Ashcroft has received one complaint since the last Inspection, this was investigated, and records detail the outcome of the complaint. The Commission for Social Care Inspection has not received any expressions of concern with regards to Ashcroft. The minutes of recent service user meetings and information contained within the Ashcroft Newsletter highlighted that service users have been reminded of the formal Complaints Procedure in addition that there is a suggestion box in the foyer. The Inspector observed service users approaching staff to discuss personal issues, affecting their care including concerns. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 17 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 and 30. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The décor of the home in communal areas is of a basic standard and does not provide a homely and comfortable environment for service users. EVIDENCE: The Inspector viewed the main communal area, this room is multi-functional providing lounge, dining and games room facilities, although recently decorated the furniture has not bee replaced and its multi purpose use does not provide a ‘homely living’ environment, but projects a communal and institutional feel. The Inspector spoke with the Service Manager and Registered Manager who confirmed that all bedrooms have now been decorated, and new carpets fitted, soft furnishings also include new bedding and curtains. New furniture has arrived but it awaiting assembly, the Registered Manager said she will be encouraging service users to take part in its assembly. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 18 The Pre Inspection Questionnaire submitted by the Registered Manager prior to the Inspectors visit, detailed additional environmental improvements which include new ovens, work tops and hobs in kitchen areas and an additional shower has been provided in the ‘ladies’ area. Ashcroft also provides small lounge areas on both the ground and first floor, bedrooms have now been designated no smoking areas, and therefore lounges for service users wishing to smoke are now open through out the day and night. One service user accessing respite said that her bedroom was much nicer following its decoration. Ashcroft has a laundry which service users are encouraged to access as part of gaining skills with a view to independent living. Specialist sluicing facilities are not provided. Ashcroft has a large rear garden area which is accessible to service users, and provides a patio area with seating, the rest of the area is laid to lawn. Service users therefore only access the immediate patio and seating area. Service users would benefit from the landscaping of the garden to include plant and flowerbeds, additional walkways and seating areas. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 19 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, 34 and 35. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Trained and qualified staff are employed following robust recruitment checks and are employed in sufficient numbers to meet the care needs of service users. EVIDENCE: The previous Inspection identified areas of training which care staff would benefit from, to enable them to offer appropriate support to service users, this included training in mental health, alcohol and drug dependency, and the effect of prescribed and non-prescribed drugs on individuals. Care staff have now received training in this area, including training in the protection of vulnerable adults from abuse. In addition recent training has included First Aid, Infection Control, Food Hygiene, Welfare Rights and Obsessive Compulsive Disorder. The Pre Inspection Questionnaire submitted by the Registered Manager identifies that there are twelve members of staff employed, of which five have attained a level 3 National Vocational Qualification, which represents 41 of the care staff team. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 20 The Inspector viewed the records of a member of staff who had been recruited since the last Inspection, a majority of records are held at County Hall, however their was evidence that a Criminal Record Bureau had been obtained. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 21 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, 39 and 42. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The Registered Manager offers a clear sense of leadership service users participation in the running of the home directly affects their care and rehabilitation. EVIDENCE: The Registered Manager is currently working towards the Registered Managers Award and a level 4 National Vocational Qualification. Since the last Inspection she has attended training in Obsessive Compulsive Disorder, Drug Awareness in relation to illegal drugs. Ashcroft through service user meetings and the production of the monthly newsletters ensures service users are kept informed as to developments and have an opportunity to contribute to the day to day running of Ashcroft. The agreement of one service user to head a committee to discuss matters which effect service users will also provide an additional resource for service users to contribute. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 22 The Registered Manager advised that she is currently in the process of devising a questionnaire, which will enable service users to comment on the care and services offered by Ashcroft. Quality assurance processes will be followed up at the next inspection, when it is expected that additional processes will have been implemented to enable service users and their representatives to comment as the services offered by Ashcroft. Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 23 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 Standard No Score 1 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 3 LIFESTYLES Standard No Score 11 3 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 24 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 Ashcroft Hostel DS0000035190.V288752.R01.S.doc Version 5.1 Page 25 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester 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 DS0000035190.V288752.R01.S.doc Version 5.1 Page 26 - 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!