Inspection on 06/10/05 for Ashcroft Hostel

This inspection was carried out on 6th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashcroft Hostel 09/10/07

Ashcroft Hostel 03/05/06

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 6th October 2005 10:30 Ashcroft Hostel DS0000035190.V252633.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 Ashcroft Hostel DS0000035190.V252633.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. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 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) 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.V252633.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registrations. Date of last inspection 19th July 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 DS0000035190.V252633.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This Inspection took place between 10.30am and 3.00pm. Opportunity was taken to look around parts of the home, spend time with service users and staff and view records, which included viewing the care plans of three individuals residing at the home, consistent with case tracking methodology. What the service does well: What has improved since the last inspection? What they could do better: Ashcroft Hostel could still benefit from refurbishment; the home is not homely giving an institutionalised appearance with regards to the décor, furnishings and fixtures. Although future training for some staff has been organised, no immediate training has been planned, therefore it remains that service users and staff would benefit from specialised training in the field of mental health, taking into consideration the forms of mental health, the effect of therapeutic medicines on service users, and training on associated conditions such as eating disorders, alcohol and drug abuse. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 Page 6 Residents could contribute to a greater degree as a group to the development of Ashcroft Hostel, by being provided with opportunities to comment on all aspects of the home, including care delivery, staff and the environment. This could be achieved through regular resident meetings, chaired by an independent person and through the development and distribution of questionnaires. The results of questionnaires could then be collated with any response or action required implemented. 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.V252633.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 Ashcroft Hostel DS0000035190.V252633.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): 2 and 5. The assessment process is well managed with assessments of need being carried out to ensure service users needs are met. EVIDENCE: The Inspector, read the records of three individuals residing at Ashcroft Hostel, one of which having recently moved into the home. The individual’s records contained a detailed assessment of need from a health care resource. Individuals upon moving into Ashcroft Hostel, sign a contract of occupancy, which outlines the conditions of residence. Ashcroft Hostel DS0000035190.V252633.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, 7 and 9. Individual plans of care are in place ensuring that service users are supported with regards to their decisions concerning their rehabilitation. EVIDENCE: There is a pro-active approach in supporting individuals in developing skills and making decisions in order that they can lead an independent life within the community. Comprehensive assessments form the basis of care plans, which are then developed by the service users in conjunction with their key worker, incorporating service users aspirations and goals. Both the service user and key worker sign care plans. Care plans are then regularly reviewed. The Inspector viewed the care plans and records of three service users, all were detailed reflecting the individual’s views, access to leisure, recreational and educational events, including therapeutic programmes. Care plans also incorporate information as to a service users mental and physical health. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 Page 10 Restrictions on choice and freedom for individual service users when forming part of the Mental Health Act is detailed, including the Section with which the individual is to comply. Records identify areas of risk, which are identified within the initial health care assessment, and incorporate detail as to crisis intervention, the methodology to be used including the agencies, which need to be advised and contact details. Service user records detail absences consistent with any Section under the Mental Health Act when applicable and identified areas of risk within the care plan. Appropriate authorities are notified as and when necessary. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 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 the following standard(s): 11, 12, 13, 15 and 16. Service users access community resources, as part of their leisure, recreation and therapeutic therapies. 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. On the day of the Inspection a Care Co-ordinator for one service user whose records were viewed, came to the home to escort and support a service user to ‘Soft Touch’, where music compilation and film making takes place. The records of three service users detailed their attendance at various mental health day care facilities, visiting local shops and facilities, contact with relatives and friend’s one service users record detailed that he visited his parents which included overnight stays. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 Page 12 One service user said he enjoyed playing Scrabble, however he felt that due to staff being busy, they had little time to engage in a game. This was brought to the attention of the Registered Manager, who confirmed that she herself has played Scrabble, with the service user. Service users are encouraged to take part in daily living tasks, such as cleaning, cooking and washing and ironing. One service user said he had been shopping and had returned and cooked his own lunchtime meal. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 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 the following standard(s): 19. Service users are looked after well in respect of their health. 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. Records detail contact with health care professionals, including any decisions made. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: Standards within this section were not inspected on this occasion. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 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 the following standard(s): 24 and 26. 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 some communal areas, all of which remain basic in their décor, fixtures and fittings. Furnishings and furniture in some cases as identified at the previous Inspection are old giving Ashcroft Hostel a ‘tired’ an institutional feel. The environment does not reflect the progressive ethos of Ashcroft Hostel, nor does it provide a ‘homely living’ environment for service users to relax during their rehabilitation. The Inspector spoke with the Service Manager, Registered Manager and staff, all of which confirmed that some bedrooms had been decorated which in some cases included new carpets, however other soft furnishings such as curtains, quilts and bed linen had not been replaced, nor has bedroom furniture. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 Page 16 If Ashcroft is to reflect a ‘homely living’ environment that reflects current fashion modes and ideas, communal areas and bedrooms within the home will require modernisation, which will include decoration, carpeting, soft furnishings and the replacement of furniture. At the time of the Inspection, the exterior of the home was being decorated, with some bedrooms identified for decoration. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 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 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): 35 Current training does not in all circumstances reflect that which is needed to support 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. In addition it was required that staff receive training in the protection of vulnerable adults from abuse. The Service Manager advised that three staff would commence a City and Guilds Certificate in Mental Health, facilitated by Leicester College, hopefully in January 2006. In house training in relation to the protection vulnerable adults from abuse and the effects of prescribed drugs on an individual has been organised. As yet a training schedule pertaining to alcohol and drug dependency has yet to be organised. Nor has training in Mental Health for the remaining staff been considered. If staff are to support service users to which it offers a service then all staff need to receive the appropriate training. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 Page 18 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): 39 and 42. Service user views and participation in the running and management of the home could be improved. EVIDENCE: The Inspector viewed service user meeting minutes, the last meeting having taken place on the 30th October 2004; it is recommended that service user meetings be held with greater frequency, with an independent person acting at the Chair Person. It is further recommended that Quality Assurance questionnaires be developed, with questions designed to ask service user views on the management of the home, staffing, meals, recreation etc. These should then be collated, and reviewed, which would include any necessary action and response. The Service Manager advised the Inspector that all areas within the home had been risk assessed and measures where practicable taken, consistent with service user rights and individual choice, with particular reference to service users who may wish themselves harm. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 Page 19 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 X X 3 X 3 Standard No 22 23 Score X X ENVIRONMENT INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score 3 3 X 3 X Standard No 24 25 26 27 28 29 30 STAFFING Score 1 X 1 X X X X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 Standard No 31 32 33 34 35 36 Score X X X X 2 X CONDUCT AND MANAGEMENT OF THE HOME X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashcroft Hostel Score X 3 X X Standard No 37 38 39 40 41 42 43 Score X X 2 X X 3 X DS0000035190.V252633.R01.S.doc Version 5.0 Page 20 Yes 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 YA35 Regulation 18 Requirement The Registered Person to ensure that all staff receive training appropriate to the service user group to which they support, which shall include: 1. Mental Health 2. Alcohol and Drug dependency Timescale for action 31/03/06 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 YA39 Good Practice Recommendations It is recommended that a Quality Assurance questionnaire be designed which would provide an opportunity for service users to comment on aspects of their care. The results of questionnaires to be collated any action or response required acted upon. Ashcroft Hostel DS0000035190.V252633.R01.S.doc Version 5.0 Page 21 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.V252633.R01.S.doc Version 5.0 Page 22 - 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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