Inspection on 05/07/06 for Ashdown Lodge

This inspection was carried out on 5th July 2006.

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 08/12/05

Ashdown Lodge 28/06/05

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 Mr D Bannier Key Unannounced Inspection 5th July 2006 10:00 X10015.doc Version 1.40 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 Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 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 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 DS0000014371.V302767.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashdown Lodge Address 2 Wendy Ridge North Lane Rustington Littlehampton West Sussex BN16 3PJ 01903 785251 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) Mrs Janet Tucker Post Vacant Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 8th December 2005 Brief Description of the Service: Ashdown Lodge is a care home, which is registered to accommodate up to thirteen residents in the category (OP) old age, not falling within any other category. It provides personal care only. Ashdown Lodge is a semi detached two-storey property, which provides accommodation in thirteen single bedrooms located on the ground and first floors. A vertical passenger lift provides access to all floors. A dining room, a lounge, and a small library are located on the ground floor. There is well maintained garden, located to the rear of the property, which can be used by residents. The property is located in a residential area of Rustington close to local shops. The current fee levels range from £317 to £489 per week. Mrs Janet Tucker privately owns the service. Following the resignation of the previous manager, Mrs Tucker has appointed a new manager to be responsible for the day to day running of the care home. The Commission has received an application to register this person; the application is currently being processed. Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection report has been written using new methods introduced on 1st April 2006. Some evidence used to assess standards has been gathered before this visit took place, during the visit and afterwards. For example, information has been used from the previous inspection report; comments made by residents at the time of the visit have been noted; the registered provider has also supplied further information on request that has been considered after the visit took place. This visit was unannounced and started at 10am. It took place over five hours. The inspector spoke to five of the eleven residents who are currently being accommodated at this care home. This enabled to inspector to form an opinion about how it was to live there. The inspector also spoke to two relatives who were visiting. They gave the inspector their opinion of the service provided. The inspector also spoke to two staff that were on duty. They told the inspector about their jobs within the care home and the training they had received in order carry out their duties. Some records were also examined. The inspector looked at those standards that are about how new residents are admitted to the care home; how residents are cared for; the daily life and social activities provided for residents; how the care home deals with complaints and how they protect residents from abuse; the environment in which residents live; how staff are recruited and trained; and how the care home is managed. Mrs Tucker was present throughout the inspection and kindly assisted the inspector with his enquiries. What the service does well: This is a care home where older people continue to be well looked after. It has a competent staff team who understand the needs of the elderly people living there. The residents who were spoken to said they liked living in the care home. Staff are very caring and considerate and the atmosphere was very homely. Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 6 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 DS0000014371.V302767.R01.S.doc Version 5.2 Page 7 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 Outcomes Statutory Requirements Identified During the Inspection Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 8 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 the following standard(s): 3 and 6 Prospective residents have their needs assessed before moving into Ashdown Lodge. Ashdown Lodge does not provide intermediate care. Quality in this outcome area is good. EVIDENCE: The inspector examined assessment records of two residents who had been admitted since the last inspection. Assessment forms included personal information and information about the care needs of each resident. The registered provider also informed the inspector how the admission procedure is implemented. This includes providing the prospective residents with an opportunity to visit Ashdown Lodge and to discuss how the home proposes to meet the resident’s assessed needs. The inspector spoke to one resident who has been admitted. This person told the inspector, “My daughter chose this home for me. She went to look at several different places. It’s great here! I haven’t got a bad word for them!” The inspector was unable to speak to the Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 9 second resident as they were admitted on a short stay basis. This person had been discharged the week before the inspector made his visit to the care home. Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 7, 8, 9 and 10 Residents’ needs have been assessed prior to admission. Staff have appropriate information to ensure they are able to meet residents’ needs. Residents’ health care needs have been fully met. Residents are responsible for their own medication, where appropriate. Residents are protected by the home’ policies and procedures for dealing with medicines. Residents feel they are treated with respect and their right to privacy has been upheld. Quality in this outcome area is good. EVIDENCE: According to records seen a care plan has been drawn up for each resident. The information included within the care plan has been taken from the Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 11 assessment form and provides staff with clear information about how residents’ needs should be met. Residents spoken to informed the inspector that they were well cared for. One resident said, “We could not be better cared for.” Another relative of another resident said, “ Everyone handles my mother with care.” Staff on duty were able to demonstrate they understood the individual needs of residents and knew what to do to ensure they have been met. Care records also included visits made by GPs, District Nurses and Chiropodists to residents to provide treatment when required. Residents were able to confirm their health care needs have been met. One resident told the inspector that, “My local doctor visits when I need it. I also have visits from a chiropodist.” The relative of one resident said, “The manager will keep us informed of any changes to my mother’s condition, especially if she needs to see a doctor.” “I have been here when my mother has not been too good. The staff have been very good with her.” Another resident said, “If I am not well, the staff will call the doctor for me. A chiropodist visits me as well.” The registered provider told the inspector that, currently, no residents are taking responsibility for their own medication. The registered provider also confirmed that residents had chosen not to take this responsibility. Medication records include show the time when medication has been administered to residents and how has administered it to them. They also include a record of medicines received in the care home and how unused medication has been disposed. These records have been kept up to date and in good order. The registered provider informed the inspector that medication is kept securely in a locked cupboard. As the previous inspection found that administration practices are safe, the inspector did not observe them on this occasion. From direct observation of care practices the inspector was satisfied that staff treat residents with respect and ensure their privacy maintained. The induction package, which all new staff are expected to work through, includes guidance and procedures for staff to follow to ensure residents’ right to privacy and personal dignity is respected. Residents spoken to said they were well cared for. One resident told the inspector, “ The staff are wonderful. We could not be better cared for.” Another resident said, “It’s great here. I have not got a bad word to say for the staff.” Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 12, 13, 14 and 15 The registered provider has ensured the lifestyle residents experience in the care home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Residents are able to maintain contact with family and friends as they wish. Residents are helped to exercise choice and control over their lives. The registered provider has ensured residents receive a wholesome appealing and balanced diet. Quality in this outcome area is good. EVIDENCE: Residents spoken to told the inspector that they were satisfied with the lifestyle they experience at the care home. One resident told the inspector, “ I like to read. I am a bit of a bookworm. I have a church visitor when they can manage it.” The resident also told the inspector that they like nothing better than to go to another resident’s room, or to be visited by a resident, for a Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 13 chat. The resident also said, “We all get on well together! I would definitely recommend this home to others!” A second resident told the inspector that they are also very satisfied, “ I have the paper delivered and I have my TV.” Another resident told the inspector that they prefer to remain in their own room. They like to write letters to fiends, to read and also watch TV. The registered provider informed the inspector that relatives are able to visit at any convenient time. The inspector spoke to the relatives of one resident who was visiting at the same time. This person is able to visit every day to see his wife and also has lunch provided by the care home. Following discussion this person told the inspector they felt very welcome when he and other family members visit, “It is almost home from home for me!” Another resident said, “My daughter can visit from time to time.” Residents are clearly able to exercise choice and control over their lives within their physical capabilities. Some residents enjoy socialising with other residents in the care home, whilst others prefer their own company. Residents who are able to, can go out into the local community. Residents are also offered a choice of menu each day. Staff are expected to ensure residents can choose what they wear. The inspector observed residents being offered a choice of menu. This was to be either ham salad or ham or cheese omelettes with baked beans and creamed potatoes. The registered provider informed the inspector that, as the day was very hot, she had decided to change the menu to lighter choices to account for this. The inspector observed the meal being prepared and served. The meal was attractively presented and looked very appealing in terms of colour and aroma. The majority of residents were having their meal in the dining room. The room was attractively presented with tables covered with freshly laundered table clothes and laid with individual place settings. Some residents had chosen to have their meal served in their own room. Residents confirmed they were very satisfied with the food provided. One resident said, “The food is marvellous, I eat everything that is put in front of me!” A second resident said, “The food is very good.” One resident is unable to eat solid food due to their physical condition. Their relative said, “The staff are very good with her food. They mince everything up for her.” Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 16 and 18 Residents and their relatives know that their complaints will be listened to by the manager, taken seriously and, where necessary, acted upon. The manager has ensured that residents are protected from abuse. Quality in this outcome area is good. EVIDENCE: The registered provider confirmed that she has received no complaints since the last inspection. The inspector noted that a written complaint procedure was on display in the front hallway of the care home. There was evidence that residents and relatives are confident that they would be listened to and any concerns would be taken seriously. One resident said, “If I have any complaint I would go to the owner to tell her.” The relative of a resident told the inspector, “I would speak to the owner if I had any concerns.” According to records examined staff have been provided with training in identifying different types of abuse and to whom they should report and instances of abuse or any concerns they might have. Staff on duty confirmed that they have had appropriate training and they were clear about their responsibilities should it come to their attention that a resident has been abused or neglected. Residents and relatives spoken to confirmed that they have been well cared for and are confident that they are in safe hands at all times. Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 15 Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 19 and 26 Residents live in a safe, well-maintained environment. The home is clean, pleasant and hygienic. Quality in this outcome area is good. EVIDENCE: The inspector viewed most of residents’ private accommodation, the lounge and the dining room. All areas of the home that were seen have been well maintained and decorated to a good standard. The decoration and furnishings also ensured the home was presented in a warm and homely manner. Residents spoken to appeared to be comfortable and appropriately accommodated. Residents and relatives spoken also confirmed they were very satisfied with the accommodation provided. The inspector also viewed the kitchen, several bathrooms and toilets, and the laundry area. All areas of the home seen were very clean, pleasant and Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 17 hygienic. The relative of one resident told the inspector, “The place is very clean, inside and out.” Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 18 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30 The registered provider has ensured there are adequate staffing levels to ensure the numbers and skills mix of staff meets residents’ needs. The registered provider has ensured residents are in safe hands at all times. The registered provider has ensured residents are supported and protected by the home’s recruitment policy and practices. The provider is currently reviewing practices to ensure they are satisfactory. The registered provider has ensured staff are trained and competent to do their jobs. Quality in this outcome area is good. EVIDENCE: The inspector noted that there were two care staff on duty at the time of his visit, supported by a domestic. The manager was leave during for the whole week. Mrs Tucker was also present in the home. She returned from shopping for food soon after the inspector arrived. The rota showed that there were two care staff on duty from 8am to 8pm each day, supported by a domestic from 9am to 12 noon. The rota also showed that a third member of staff works from 10am to 4pm or 11am to 2pm on some days. Between 8pm and 8am there is one member of staff who is awake and one member of staff who is Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 19 asleep on the premises. Although this is not shown on the rota, the inspector was advised that either the manager, the deputy manage or the owner is on call to support the night staff should it be necessary. Care staff are also expected to undertake cooking and laundry duties. Residents spoken to confirmed that their needs had been well catered for. One resident said, “We could not be better cared for.” The relative of a resident confirmed that their mother’s needs have been taken care of. They said, “The `staff have been very good with her.” From direct observation, the inspector noted that the staffing levels provided have met residents’ care needs. Residents told the inspector that they felt well cared for and they felt they were in safe hands. From direct observation, the inspector was satisfied that there was sufficient to demonstrate this was the case. The inspector examined the records of two staff that had been appointed since the last inspection. Records seen demonstrated that a criminal record (CRB) check had been obtained for each member of staff. The inspector examined staff training records. This provided evidence that confirmed all staff have been provided with a comprehensive in house training package, including induction training for new staff. Mrs Tucker informed the inspector that currently, four staff hold the National Vocational Qualification (NVQ) in Care at Level 2 whilst two staff also hold the same award at Level 3. Residents spoken to said they have been well looked after. The relatives of a resident were also satisfied that staff are knowledgeable and skilful when providing care to residents. Staff spoken to were able to demonstrate they understood the needs of residents accommodated and knew how to meet them. Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 20 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 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38 The home is being managed by a person who is fit to be in charge and able to discharge their responsibilities fully. The home is being run in the best interests of the residents. An appropriate secure facility has been provided for residents to deposit money and valuables for safekeeping. The registered provider has taken appropriate action to ensure the health, safety and welfare of residents and of staff. Quality in this outcome area is good. EVIDENCE: Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 21 The registered manager has resigned since the last inspection. The registered provider has, therefore, appointed someone else to be responsible for the day to day running of the care home. The Commission has received an application to register this person which currently being processed. The new manager was on leave at the time of this visit and was, therefore, not available. Following discussion, the registered provider informed the inspector that she conducts monthly visits to the care home and makes reports of her findings to ensure the care home is being run in the best interests of residents. The inspector was also informed staff meetings are held monthly to ensure effective communication with the owner, the manager and the staff. Residents’ meetings are also held; they usually take place every three or six months. Residents are encouraged to express their views with regard to the way the home is being run. The inspector was advised that minutes have been kept for all meetings; they were not examined on this occasion. Comments made by residents and relatives, who are included throughout this report, demonstrate their satisfaction with the way the home is being run. There is clear evidence that demonstrates Mrs Tucker has taken appropriate steps to ensure residents’ financial affairs have been safeguarded. The premises and equipment have been well maintained to ensure the safety of residents and staff. Reports from recent visits by the Fire Service and the Environmental Health Department indicate the registered provider has taken appropriate action to ensure the premises and equipment meets regulatory requirements. The registered provider has drawn up a health and safety policy/procedure, which outlines the responsibility of the owner, and the staff to ensure their well-being and that of the residents has been protected. Appropriate accident records have been kept and, where necessary, incidents have been notified to the appropriate agency. Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 22 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 x x 3 x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 x 18 3 3 x x x x x x 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 23 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. 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 Ashdown Lodge DS0000014371.V302767.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Worthing LO 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. 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