Inspection on 08/12/05 for Ashdown Lodge

This inspection was carried out on 8th December 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 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 Unannounced Inspection 10:00 8 December 2005 th 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.V258916.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 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.V258916.R01.S.doc Version 5.0 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 Miss Elizabeth Anne Turner Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 28th June 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. Country 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 service is privately owned by Mrs Janet Tucker, whilst the registered manager, who is responsible for the day to day running of the care home, is Ms Anne Turner. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10am. It took place over three and a half hours. The inspector spoke to four of the thirteen residents who a currently living at the care home. The inspector also spoke to three of the staff that were on duty. The registered manager showed the inspector around the premises. Some records were also examined. What the service does well: What has improved since the last inspection? What they could do better: The registered provider must ensure criminal records checks are obtained on all staff before they start work in the care home. This is in order to protect residents from being abused. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 6 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.V258916.R01.S.doc Version 5.0 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.V258916.R01.S.doc Version 5.0 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): Standards in this section were not assessed on this occasion. This care home does not provide intermediate care. Other key standards were fully met at the last inspection. EVIDENCE: Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 9 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): Standards in this section were not assessed on this occasion. EVIDENCE: Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 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 the following standard(s): 13 and 14 Arrangements have been made for residents to maintain contact with family and friends as they wish. Residents have been helped to maintain control over their lives and to exercise choice. Other key standards were fully met at the last inspection. EVIDENCE: During the course of his visit, the inspector observed that one resident had a visitor, who went to the resident’s room. Another resident told the inspector that visitors are welcome to come any time. She also told the inspector that she was looking forward to visits from family members over the coming weekend. As her family live some distance away she likes to keep in contact by telephone and also by writing letters. The inspector saw that the resident has her own private telephone in her room. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 11 The inspector also looked at the record of visitors to the care home that visitors had signed as required. This ensures there is a record of who is in the care home should it be necessary to evacuate the premises in the event of fire. The manager told the inspector that the care home has an open policy on visiting; residents can have visitors at any reasonable time. Visitors may stay to lunch if they wish to. Residents spoken to said they are very satisfied with the care provided. One resident explained that she is able to choose when she wishes to get up and when she wishes to retire at night. As the resident prefers her own company she has chosen to spend most of her time in her own room. She enjoys reading, writing and watching television. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 12 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): 18 Arrangements have been made to ensure residents are protected from abuse. Other key standards were fully met at the last inspection. EVIDENCE: The inspector spoke to the assistant manager who is responsible for ensuring staff have been appropriately trained. She told the inspector that all staff have received training in understanding and identifying abuse. The training also included what staff should do if they discover an incident where a resident has been abused. Records of training were also examined and confirmed that staff have received training in the following areas: what is abuse; recognising the signs of abuse; the types of abuse; reporting abuse. The assistant manager has also attended the course on Adult Protection procedures that is run by West Sussex Social and Caring Services. Records seen showed that staff have also signed a record to confirm that they have received appropriate training. This means that staff should be able to take appropriate action to ensure residents are protected from abuse. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 13 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 The registered provider has taken appropriate action to ensure the care home is safe and well maintained. EVIDENCE: During the course of the inspection the majority of the bedrooms, the lounge and dining room were visited. The environment was attractively presented and was homely, safe and comfortable for people who live there. Many residents had brought personal possessions into the home, including small items of furniture, ornaments and photographs. Residents have been able to use these items to make their own rooms comfortable and reflect their own personality. Communal areas of the care home had been decorated with seasonal trimmings in preparation for the Christmas period. Residents said that they appreciated the staff for taking the time to make the home look so attractive. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 14 One resident told the inspector that it was the homely atmosphere, which encouraged them to choose to live at Ashdown Lodge. The resident told the inspector “I couldn’t ask for a better place to live.” Ashdown Lodge employs a person who is responsible for the day-to-day maintenance of the care home. A maintenance book is used to inform this person of any jobs that need to be done to ensure the home is safe for residents and staff. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 15 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 Staff have been provided, whose numbers and skills mix are appropriate to the current needs of residents accommodated. This also means that residents are in safe hands. The home’s recruitment policy and practices needs improvement to ensure the protection of residents. Staff have been provided with training to ensure they are competent to provide for residents’ needs. EVIDENCE: The inspector looked at the rota that showed that there are two members of care staff on duty throughout the day. There are also two members of staff during the night, one of which is awake. In addition there is a member of the domestic staff to keep the care home clean. The manager told the inspector that she is able to provide an extra shift five days a week. This would enable residents to go on outings or to a hospital appointment with a member of staff. The residents told the inspector that they felt well cared for. One resident said, “Staff are friendly and kind to us.” Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 16 The inspector was told that two new members of staff have been employed to work in the care home since the last inspection. He was also informed that the registered provider had applied for criminal record checks for each member of staff. One person had started to work at the care home even though the check had not been returned. The inspector was advised that it was the registered manager’s understanding that checks obtained by their previous employer was still valid. The registered manager was advised that criminal record checks are not transferable. The Commission expects that the registered person obtain such checks for all new staff before they commence work in the care home. In the meantime the registered provider should obtain a self-declaration from the member of staff confirming they do not have a criminal record. The member of staff concerned should not be allowed to work unless they are supervised by an experienced member of staff who has a current criminal records check. In addition, they should not be allowed to escort a resident outside of the care home unless an experienced member of staff accompanies them. This should ensure vulnerable elderly residents are protected from possible abuse. Records seen showed that each member of staff had been provided with a range of training, including induction training. Following discussion, the inspector advised the manager to contact the Skills for Care organisation who would be able to provide material to ensure the content and structure of the induction training is in line this standard. The inspector also recommended that the assistant manager contact the Care Training Consortium who provides training to care homes, much of which is free of charge. This will mean that staff training is up to date and staff will have the appropriate knowledge and skills to provide care to residents. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 17 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): 33, 35, and 38 The registered provider has taken appropriate steps to ensure the care home is being run in the best interests of the residents. Appropriate steps have been taken to ensure residents’ financial interests have been safeguarded. The health, safety and welfare of residents and staff have been promoted and protected. EVIDENCE: One resident told the inspector that she is satisfied with the way the care home is run. “I have no complaints. The home is well run.” Another resident Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 18 said, “I could not ask for a better place to live.” Residents spoken to were clearly very comfortable and satisfied with the care and services provided. The registered manager informed the inspector that it is not the policy of the care home to handle the financial affairs of residents accommodated. It is expected that either the resident of their relatives take responsibility for this. One resident told the inspector that she looks after her own affairs and pays her own bills. Each resident has been provided with a lockable facility in which they can keep money and valuables. Records seen indicated that staff have received training in health and safety issues, including moving and handing and food hygiene. The inspector viewed the majority of bedrooms and the communal areas. Accommodation seen was well maintained and decorated in a homely fashion. Residents spoken to said they were satisfied with the accommodation and that they felt safe and well cared for. Ashdown Lodge DS0000014371.V258916.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 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 x x x N/A HEALTH AND PERSONAL CARE Standard No Score 7 x 8 x 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 3 15 x COMPLAINTS AND PROTECTION Standard No Score 16 x 17 x 18 3 3 x x x x x x x STAFFING Standard No Score 27 x 28 x 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score x x 3 x 3 x x 3 Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 20 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 OP29 Regulation 19(1)(b) Requirement The registered person shall not employ a person to work at the care home unless subject to paragraph (6), (8) and (9), he has obtained in respect of that person the information and documents specified in paragraphs 1 to 9 of Schedule 2. This refers to the obtaining of a new criminal records check before the person concerned commences work at the care home. Timescale for action 09/01/06 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 OP30 Good Practice Recommendations It is recommended that the registered manager accesses external training resources as discussed during the inspection. Ashdown Lodge DS0000014371.V258916.R01.S.doc Version 5.0 Page 21 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. Extracts may not be used or reproduced without the express permission of CSCI Ashdown Lodge DS0000014371.V258916.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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