Inspection on 08/10/08 for Ashdown

This inspection was carried out on 8th October 2008.

CSCI found this care home to be providing an Good service.

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

Ashdown 17/10/06

Ashdown 03/03/06

Ashdown 12/07/05

Ashdown 10/11/04

Ashdown 06/05/04

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

Extracts from inspection reports are licensed from CQC, this page was updated on 18/06/2009.

Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ashdown 17 Woodway Road Teignmouth Devon TQ14 8QB two star good service The quality rating for this care home is: 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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Judy Hill Date: 0 8 1 0 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Internet address www.csci.org.uk Information about the care home Name of care home: Address: Ashdown 17 Woodway Road Teignmouth Devon TQ14 8QB 01626772995 01626779629 x8.dsr@btopenworld.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Mrs Saw Choo Rogers,Mr David Rogers Name of registered manager (if applicable) Mr David Rogers Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 12 12 care home 12 learning disability Additional conditions: Aged 25 Date of last inspection 1 7 1 0 2 0 0 6 A bit about the care home The people who own the home are David and Saw Choo Rogers. Dave Rogers is also the manager. The current fees range from 328.78 pounds to 478.95 a week. 12 people live at Ashdown. Men and women who are under 65 years of age can ask to move in when there is a vacancy. Some of the people who live at the home are over 65 and the home is still meeting their needs. All of the people who live at Ashdown need help because they have learning disabilities. Ashdown is in Teignmouth in Devon. The town centre and beach are about a mile from the house. There is a train station and bus stops in the town. Most people have their own bedroom although some people share a bedroom with one other person. There are bedrooms, bathrooms and toilets downstairs so the home can look after people who use wheelchairs. There are always staff on duty to help people. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home How we did our inspection: This is what the inspector did when they were at the care home The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This unannounced inspection was undertaken during October 2008, a pre inspection questionnaire was completed by the registered provider and information was also obtained from surveys that were completed and returned to the Commission by seven of the people who use the service and nine members of staff. A site visit was carried out on 8th October 2008 and during this visit we spoke with the Mr Rogers, who is one of the registered service providers and who is responsible for the day to day management of the service. We also spoke with some of the people who live at Ashdown and with the staff on duty. Additional information was gained from the homes Statement of Purpose and Service Users Guide, a tour of the premises and records, including residents needs assessments and care plans and staff recruitment and training records. Throughout the site visit we observed the interaction between the manager, the staff and the residents. What the care home does well The residents told us that they liked living at Ashdown and that the service that they received was meeting their needs. Good-natured banter was observed between the manager, staff and the residents in the home and a relaxed atmosphere was evident throughout the inspection. The staff told us that they enjoyed working at Ashdown and that they got on well with the residents. They also told us that the manager was supportive and approachable. Good individual care planning means that the people who live at Ashdown are helped to find activities both in and outside their home environment that suit their wishes and needs. A choice of meals is always offered and we were told that the food is good. Safe staff recruitment practices are used to ensure that unsuitable staff are not employed to work with the residents. The house and gardens are well presented, spacious and clean. What has got better from the last inspection What the care home could do better The Statement of Purpose needs to be revised and updated to include all of the information required in Schedule 1 of the Care Homes Regulations. Improvements should be made in the recording of any money held by the home for safekeeping or used on behalf of the residents. Individual risk assessments should be carried out to assess if any of the residents could manage their own medication. Arrangements should be made for all of the staff to complete a training course in Safe Guarding or the Protection of Vulnerable Adults If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Judy Hill Unit D1, Linhay Business Park Ashburton TQ13 7UP 013 6465 1800 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 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line - 0870 240 7535 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People considering using the service and their representatives will be given the information they need to make an informed decisions about whether or not the home and service provided will be right for them. Evidence: The Statement of Purpose is clearly written and provides good information about the home and the service provided. It was, however, noted that some amendments are needed to meet the National Minimum Standards and the Care Homes Regulations. The information on admissions needs to be expanded to include the criteria for admission and the homes policies and procedures for emergency admissions, fire precautions and associated emergency procedures in the care home need to be added. Also the section on complaints needs to be amended to inform the reader that if they are not satisfied with the way the home has handled their complaint, they should take the matter up with an advocate, their social worker or CPN or the contracting authority. The Service Users Guide in written in Widget, which combines words and symbols to make it easier for people who may have difficulties reading to follow and understand. A Service Users Guide is given to each of the residents along with a personal contract, which they keep in their bedrooms. Further information about the home and the service provided is available on a website. The needs of people considering using the service will be assessed before they are offered a place at the home to ensure that the service will be able to provide the right Evidence: level of care. An inspection of the records of two of the residents showed us that the resident’s needs assessments are regularly reviewed and that the information gained from the initial assessments and reviews is being used in the care planning processes. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . People are involved in making decisions about their lives and play an active role in planning the care and support they receive. Evidence: Detailed care planning records were seen which had taken into account the individual residents physical, personal hygiene social and recreational wishes and needs. The care plans are reviewed regularly to ensure that the changing needs and wishes of the residents are taken into account. The quality of the daily records that are completed by the staff were particularly good and provided clear evidence that routines are not rigid but flexible to ensure that the people who use the service retain control of their lives. The residents are encouraged to make decisions in their daily lives and examples of this include a choice of meals and a choice of when to get up and when to go to bed. The privacy of the residents is respected and they are able to use their bedrooms when they like and keep them as tidy or untidy as they want to. The staff hold personal spending money for safekeeping for some of the residents. An inspection of these records showed that more care needs to be taken to ensure that these records are clear and that any money spent by the staff on behalf of the residents is accounted for by receipts and that any money given to residents for their personal use is signed for by the resident and a member of staff arranging the transaction. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people who use the service are able to make choices about their lifestyle, and supported to develop their life skills. Social, educational, cultural and recreational activities meet individuals expectations. Evidence: Although the criteria for admission is that new residents must be under sixty-five years of age, the service continues to provide a home and care for people for as long as they can continue to meet their needs and the ages of the current residents range from forty-three to eighty. By treating each resident as an individual, the service is able to meet the needs of the younger and older residents. The level of involvement in community activities depends on the wishes and abilities of the individual residents. One of the residents is very involved in the community and is active on several local committees and three have part-time voluntary work in care homes for older people. Another person told us that he had recently retired from work and was now a pensioner. Some of the residents are able to go out alone and come and go as they choose. Other people need to be taken out because their mobility is not good and are taken out by the manager and staff to the beach, for drives in the country or shopping trips. In house activities include reading, playing pool, playing cards, playing dominos, Evidence: watching television or listening to music. Several residents have television sets and/or music centres in their rooms. No restrictions are made on the use of bedrooms during the day so the residents can choose to spend time alone in their rooms whenever they want to do so. Meals are served in the dining room and the residents are offered a choice at every mealtime. The cook is able to cater for special medical diets, likes and dislikes. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The health and personal care that people receive is based on their individual needs. The principles of respect, dignity and privacy are put into practice. Evidence: Good care planning and review practices enable the staff to provide as much or as little assistance as is necessary to enable the residents to maintain their personal hygiene. A private hairdresser visits the home regularly and the residents can choose to have their hair done at the home or to go to a hairdressing salon in the town. The manager said that most of the residents prefer to use the visiting hairdresser because they regard her as a friend. The staff monitor the health of the residents and timely referrals are made to the primary health care services as and when necessary. The resident’s medication is kept in a locked cupboard and the staff have been trained to administer it safely. A pharmacy controlled system is used to order, administer and dispose of medicines and an inspection of the medication record sheets and cassettes showed that the system was being used safely. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The people who use the service are protected from abuse. Evidence: The complaints procedure is available to the people who use the service and their representatives. The residents who completed and returned surveys to the Commission indicated that they would know how to raise a complaint if they needed to do so. Policies and procedures on Safeguarding and Adult Protection are kept at the home and the staff are encouraged to read them. The video ‘No Secrets’ is kept at the home and has been seen by the staff and residents. Some of the staff have attended training courses on the Protection of Vulnerable Adults and the home the Red Crier correspondence training courses which all of the care staff plan to complete. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The physical design and layout of the home enables the residents to live in a safe, well-maintained and comfortable environment. Evidence: Ashdown is an attractive detached house that is situated in a quiet residential area of Teignmouth. It is approximately one mile from the town centre, beach and railway station. Part of the house and garden is separated off to provide private accommodation for the registered providers and the second floor of the house is used to provide private accommodation for a member of staff. The residents have use of a large lounge and a separate dining room. Both of these rooms have a very comfortable and homely feel. The resident’s bedrooms are on the first and second floor and the bedrooms that were seen clearly reflected the individual tastes and interests of the people who use them. All of the bedrooms are lockable and the residents have lockable boxes in which to store their money or other valuables. There are an adequate number of toilets and bathrooms to meet the needs of the residents. The kitchen, laundry, staff office and managers office are on the ground floor and are kept open and accessible to the residents. The gardens are well maintained and over the years the floral displays at the front of the house have won the home prizes in the Teignmouth in Bloom Competition. There is off road parking to the front of the house for three cars. Evidence: A good standard of cleanliness is maintained throughout the home. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The staff are committed to providing a high standard of care for the residents. Evidence: We looked at staff recruitment records and these showed us that safe practices are being used to recruit new staff. The home has invested in the ‘Red Crier’ correspondence courses to provide relevant training and qualifications for the staff. In addition to the staff are actively encouraged to complete a National Vocational Qualifications in Care. One of the staff spoken with had completed her NVQ at levels 2 and 3 and had started a level 4 course, which is the level recommended for managers. Records showed us that one member of staff had completed an NVQ at Level 2 and started an NVQ at Level 3 and three were about to start their NVQ at Level 2. Nine of the staff completed and returned surveys for the Commission. Very positive feedback was received from the staff about the care provided to the residents and the relaxed and friendly environment at the home. Three of the care staff were spoken with in private and all three said that they enjoyed working at the home, that the relationship between the staff was very good and that the manager was approachable and supportive. Judgement Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service . The manager is very experienced and residents benefit from living in a well run home. Evidence: The registered service providers are Mr David Rogers and his wife Mrs Saw Choo Rogers. Mr Rogers has managed the home for nineteen years and previously worked with people with learning disabilities in a hospital setting. Mr Rogers has completed a National Vocational Qualification in Care at Level 4 and has updated and expanded his knowledge by attending relevant training courses. The home has a comprehensive quality assurance system in place. This takes account of the views of residents, families, visitors and healthcare professionals. In addition to these processes there are checks made by the management to ensure that the policies and procedures of the home are being implemented appropriately. All of the recommended policies and procedures are in place and up to date. These are kept accessible to the staff and they are encouraged to read them. Gas, electrical and fire fighting equipment are serviced regularly. Are there any outstanding requirements from the last inspection? Yes  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 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 Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 1 4 The Statement of Purpose must be reviewed and amended. 09/12/2008 To ensure that people have the information they need and that the information provided is accurate. 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 1 7 Improvements should be made in the recording of any money held by the home for safekeeping or used on behalf of the residents. Individual risk assessments should be carried out to assess if any of the residents could manage their own medication. Arrangements should be made for all of the staff to complete a training course in Safeguarding Adults or the Protection of Vulnerable Adults. 2 3 20 23 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone : 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web:www.csci.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 © (2008) Commission for Social Care Inspection (CSCI). 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. 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