Inspection on 24/05/05 for Ashdown Nursing Home

This inspection was carried out on 24th May 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector 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 Nursing Home 22/04/10

Ashdown Nursing Home 22/02/10

Ashdown Nursing Home 02/07/09

Ashdown Nursing Home 09/07/08

Ashdown Nursing Home 15/08/07

Ashdown Nursing Home 20/11/06

Ashdown Nursing Home 13/04/06

Ashdown Nursing Home 13/09/05

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE Ashdown Nursing Home 2 Shakespeare Road Worthing West Sussex BN11 4AR` Lead Inspector Ann Peace Announced Tuesday, 24 May 2005, 09:00 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 Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashdown Nursing Home Address 2 Shakespeare Road, Worthing West Sussex, BN11 4AR 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 211846 Newcare Homes Ltd Post vacant Care Home with Nursing 40 Category(ies) of DE Dementia - 40, MD Mental Disorder - 40 registration, with number of places Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. A maximum of forty service users may be accommodated. 2. Service Users in the category mental disorder may only be admitted if they have an associated dementia illness and are over 65 years of age. Date of last inspection N/A Brief Description of the Service: Ashdown Nursing Home is situated in a residential area of Worthing in West Sussex. The service is privately owned, the registered providers are Newcare Homes Ltd. They purchased the home in 2004. The Registered Managers post is vacant at present. The Commission has been informed that the providers have appointed a new manager who will be applying to be registered in the near future. Ashdown is registered for 40 residents over the age of 65 years who have dementia. The Statement of Purpose states that the home has 3 en-suite bedrooms, 16 single rooms and 12 shared rooms. Residents accommodation is on ground and first floors. 3 lounges, 1 on the first floor, 2 on the ground floor and a separate dining room are available. A passenger lift is available for rooms on the upper floor. There is a small garden to the rear of the property. Not all of the single rooms meet The National Minimum Standards, however the Inspector was informed that this would be addressed with the future planned improvements for the home. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. Mrs Ann Peace Regulatory Inspector and Mrs Jeanette Datoo Pharmacy Inspector, who undertook a pharmacy inspection, carried out this announced inspection on 24th May 2005. This is the first inspection for Ashdown under the new ownership. The time taken for the inspection was 7 hours. Prior to the inspection all records held on file since the new owners took over the home were reviewed. The providers had submitted a completed preinspection questionnaire and other related documents in time for the inspection. During the inspection the building was toured and the majority of the bedrooms visited. Records relating to the care of residents and the administration of the home including staff records were examined. A case tracking exercise for 6 residents was undertaken to enable evidence to be gained about the continuity of care for the residents Only 3 residents were able to express an opinion of what it was like to live in the home, and their comments were positive. Relatives and representatives will be contacted in writing by CSCI to ask their opinion. Staff were asked their opinion of the home during the course of the inspection, and all said that they enjoyed working at the home. The Inspector was shown the plans for future improvements in the home. What the service does well: The home has been internally cleaned and decorated; new carpets have been laid in the majority of areas. A number of double rooms are now used a single. There was a homely atmosphere and staff were treating residents as individuals. Staff and managers work hard and seem dedicated to providing a good service for the residents. The nursing office and care records were well organised and pertinent files available for staff. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 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 Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 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 Standards Statutory Requirements Identified During the Inspection Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 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 standard(s) 2,3,4,5. The home has a good assessment process and relatives and their representatives are invited to visit to ensure the home is able to meet their needs. Residents are given a written contract with the terms and conditions of the home. EVIDENCE: Records examined had been appropriately compiled, updated and in the majority of case were clear about identified needs and how staff were to meet those needs. There were gaps found when tracking between assessments to nutritional care plans and relevant recordings. The Statement of Purpose and Service Users Guide is available throughout the home. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 9 Prospective residents and their representatives are encouraged to visit the home to make sure it will meet their needs. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 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 standard(s) 7,8,9,10. Residents are cared for at Ashdown to a good standard and are respected and treated kindly by the staff. Policies and procedures are being reviewed; the home could demonstrate good practices in medication handling. EVIDENCE: In the main, care plans and risk assessments contained information to enable the staff to care for the residents. Nutritional risk assessments and nutritional care plans are not clear and do not show adequate monitoring. Staff were seen to care for and treat the residents in a friendly manner and with respect. Staff are aware that policies and procedures are being reviewed. No residents are responsible for their medicines. One of the lockable trolleys is not able to carry the blister packs, in which most medicines are supplied. Receipt, administration and disposal of medicines are recorded. The care plans include details of referrals to GP’s and medication changes. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 11 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) 12,13,14,15. The home promotes respect, dignity and within their capabilities residents are encouraged to make choices about their lifestyles. There are some areas that residents are not able to exercise choice and control over where they spend their time. Good home cooked food is available. EVIDENCE: Due to the mental frailty of the residents, activities tend to be provided on an individual basis and daily records are kept and were seen. None of the residents presently accommodated are able to go out alone. There are two television lounges one on the ground floor and one on the first floor and these were both on during the inspection, a small number of residents were able to respond to the inspector about the programmes showing. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 12 Residents are able to use a dining room on the ground floor although this would not seat all of the residents. There are plans to extend the dining room. Staff were noted to help residents to eat in an appropriate manner to maintain their dignity, but more attention should be given to the compilation nutritional assessments and care plans for individual residents. The rear garden is not available to residents as some maintenance is required. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 13 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) 16,17,18. A clear complaint procedure enables relatives and representatives of residents to be sure that their complaint would be taken seriously and acted on within an appropriate timescale. EVIDENCE: There is a clear complaint procedure on display in the home and a copy is also contained in the Statement of Purpose/ Service Users Guide for the home. Policies and procedures are in place to protect resident’s legal rights. Staff training is carried out to ensure residents are protected from abuse and staff are aware of the procedure to follow. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 14 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) 19,20,21,22,23,24,25,26. Residents live in a safe well-maintained, clean and comfortable environment. Facilities and equipment is available to meet identified specialist needs. The rear garden at present would not be safe or pleasant for residents. EVIDENCE: Since the new owners have taken over the home they have invested substantially in the home to improve the conditions for the residents. The home was clean and fresh with no unpleasant odours detected. The home has been decorated throughout and new carpets have been laid. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 15 Bedrooms are comfortable and meet the needs of the residents. Residents and their relatives have been encouraged to personalise their rooms to make them more homely. An alarm system is in operation and residents have had individual risk assessed carried out to ensure they are able to use the system safely. In a number of cases the cords of the bells have been removed. The rear garden would not be suitable for the residents to use in its present state and does need some maintenance. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 16 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) 27,28,29,30. Staffing levels are sufficient to meet the needs of the residents and staff training related to the resident’s needs, health and safety is provided. Information in staff records would not protect residents and does not confirm that residents are in safe hands at all times. EVIDENCE: Staff training has been undertaken and evidence showed that staff were offered training relevant to their work. Duty rotas showed sufficient staff with an appropriate skill mix was employed over the 24 hours period. A number of staff employed by the previous proprietor did not have appropriate records compiled to comply with legislation or to protect residents. The manager was reminded that Criminal Record Bureau (CRB) disclosures are not transferable and new staff employed at the home must have a new CRB. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 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 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) 31,32,33,36,37,38. Ashdown Nursing home provides a greatly improved environment, which promotes the health, safety and welfare of residents and staff. Policies and procedures are in place to ensure staff follow safe working practices. The record keeping in relation to staff records does not fully safeguard the resident’s best interests. The majority of the environmental health and safety risks to the residents are protected by the practices of the home. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 18 EVIDENCE: The home does not have a registered manager at present although the inspector was told that an application would be forwarded in the near future to CSCI. Mrs Beeharee is presently managing the home and the residents and staff appear to benefit from her leadership style. Staff records showed that supervision and training in health and safety does take place. Records of accidents are kept and action taken recorded appropriately, the managers was advised to ensure accidents are audited and signature of staff completing forms are legible. Fire and environmental health safe practices are being followed. Records showed that fire safety checks are being carried at the specified intervals, however the fire risk assessment is still to be completed. A small number of minor environmental issues that do need attention were discussed with the manager at the end of the inspection. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 2 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 2 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION 3 2 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 3 3 2 3 3 x x 3 3 2 Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 20 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard 29 Regulation 19 Requirement All staff records must comply with legislation. CSCI to be informed that all staff records are complete by Timescale for action 30/6/05 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 9.4 8 Good Practice Recommendations Medicine trolleys should have sufficient capacity for all medicines to be locked away, in an emergency during a medicines round. Nutritional assessments should be updated and monitored regularly. Ashdown Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 Page 21 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 Nursing Home H60-H11 S62422 Ashdown Nursing Home V220393 170504 Stage 4.doc Version 1.30 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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