Inspection on 28/06/05 for Ashdown Lodge

This inspection was carried out on 28th June 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

Ashdown Lodge 05/07/06

Ashdown Lodge 08/12/05

Ashdown Lodge 15/12/04

Ashdown Lodge 10/08/04

Ashdown Lodge 10/02/04

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ashdown Lodge 2 Wendy Ridge, North Lane Rustington Littlehampton, West Sussex BN16 3PJ Lead Inspector Mrs S Gawley Announced Tuesday, 28 June 2005 V226361 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 Older People. 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. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashdown Lodge Address 2 Wendy Ridge, North Lane, Rustington, Littlehampton, West Sussex, BN16 3PJ 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) 01903 785251 01903785491 Mrs Janet Tucker Miss Elizabeth Anne Turner Care home only (PC) 13 places Category(ies) of Old age, not falling within any other category registration, with number (OP) 13 places of places Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 15th December 2004 Brief Description of the Service: Ashdown Lodge is a care home registered to accommodate up to thirteen Service Users in the category of Older Persons. The Registered Provider is Mrs Janet Tucker and the Registered Manager is Ms Anne Turner. It is a wellmaintained property in Rustington, close to the town centre and all local amenities. In addition to the thirteen bedrooms there is a fitted modern kitchen, living room and separate dining area. A small library is also available for Service Users to access. There is a well-maintained garden to the back of the property, where the stores and laundry areas can be found. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection occurred on 28th June 2005 and the home was inspected against the national minimum standards. The manager and Proprietor were available throughout the inspection. Residents, staff and visitors were spoken to and many positive comments about the home were expressed. Documents were available for inspection showing policies in place to ensure the health and wellbeing of Residents. What the service does well: What has improved since the last inspection? 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. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1-5 Prospective residents have the information they need to make an informed choice about where to live and each resident has a written contract/statement of terms and conditions with the home. Residents moving into the home have full needs assessment. Residents and their representatives know that the home they enter will meet their needs. Prospective residents and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. EVIDENCE: The home has supplied to the commission an up to date Statement of Purpose and Service User Guide. Residents and relatives spoken to stated that they were happy with the information supplied to them on admission to the home. Pre assessment documents were available for inspection and were comprehensive. The manage stated that all residents are admitted on a months trial. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7-11 The resident’s health, personal and social care needs are set out in an individual plan of care. Residents make decisions about their lives with assistance as needed. Residents are protected by the home’s policies and procedures for dealing with medicines but greater clarity in medicine administration charts is needed Residents feel they are treated with respect and their right to privacy is upheld. Residents are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. EVIDENCE: Residents spoken to stated that they are treated with respect and that privacy is also respected: they also have freedom in their routines and movements. Care plans were inspected and were comprehensive and up to date ensuring that the resident’s needs are met. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 9 Medicine stores were inspected and were appropriate. Medicine administration charts were mostly up to date except one which stated that a drug be given once at night but is being given on a PRN (whenever necessary) by General Practitioner (GP) oral instructions. This was discussed with the manager who agreed to consult the GP and to have the prescription and chart altered to reflect the current and correct practice. The homes practices on the changing needs and approaching death were discussed with the manager who stated that as far as possible, where residents needs can be met they can remain in the home at the end of their lives. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12, 15 Residents find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. EVIDENCE: All but one of the Residents spoken to stated that there are suitable activities in the home. An activities programme was on display. Residents receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. Residents also stated that they were very happy with the food served, one Resident stated that although plenty of vegetables were served a greater variety of fresh vegetables would be appreciated. The kitchen was not inspected on this occasion. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 Residents and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Abuse procedures were not inspected on this occasion EVIDENCE: There is a complaints procedure in place and a record is made of all complaints and the outcomes. This was available for inspection. Residents and relatives spoken to stated that nay comments they make are listened to but that they have not have the need to complain about anything serious. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24,26 Residents live in safe, comfortable bedrooms with their own possessions around them. The home is clean, pleasant and hygienic but infection control practices could be improved to protect the health and safety of residents. EVIDENCE: Residents bedrooms inspected were neat clean and had residents own belongings where possible. The home was clean and free from any offensive odours. Laundry facilities are situated within premises in the garden area away from the house. Clothing was soaking in the laundry today and this was discussed with the registered manager who agreed to discontinue this practice. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 29 Residents are mostly supported and protected by the home’s recruitment policy and practices but there is a shortfall. EVIDENCE: Staff files inspected had up to date Criminal Records Bureau Clearance, terms and conditions/contracts but all files did not have a photograph or copy of passport. It is a requirement of this inspection that to ensure the protection of vulnerable adults that full and satisfactory information is available on all staff. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 14 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) These standard were not assessed. EVIDENCE: Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 15 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION x x x x x 3 x 2 STAFFING Standard No Score 27 x 28 x 29 2 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x x x x x Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 16 Are there any outstanding requirements from the last inspection? NO 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 29 Regulation 19(5)(d) Requirement The registered person to ensure that full and satisfactory information is availablein respect of the followingmatters, each of the matters specified in paragraphs 1-6 in Schedule 2 Timescale for action 31st August 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. 2. Refer to Standard 9 26 Good Practice Recommendations Medicines in the home to be handled in accordance with the requirements of the medicines Act 1968 and the of theRoyal Pharmaceutical society. Systems to be in place to control the spread of infection in accordance with relevant legislation and published professional guidance. Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 2nd Floor, Ridgeworth House Liverpool Gardens Worthing, West Sussex BN11 1RY 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 Ashdown Lodge H60 H11 S14371 Ashdown Lodge V226361 280605 Stage 4.doc Version 1.30 Page 18 - 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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