Random inspection report
Care homes for older people
Name: Address: Asheborough House Asheborough House St Stephens Saltash Cornwall PL12 4AP one star adequate service 25/08/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Gail Richardson Date: 0 4 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Asheborough House Asheborough House St Stephens Saltash Cornwall PL12 4AP 0 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Sheval Limited care home 31 Number of places (if applicable): Under 65 Over 65 0 0 31 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 31 31 0 The maximum number of service users who can be accommodated is 31. The registered person may provide the following category of service only: Care home with Nursing - Code N to service users of either gender whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category (Code OP) Dementia (Code DE) Mental disorder, excluding learning disability or dementia (Code MD) Date of last inspection Brief description of the care home Asheborough House (previously called Beech House) is a detached property set in its own grounds with a lawned area to the side and rear. Car parking is available in the
Care Homes for Older People Page 2 of 10 2 5 0 8 2 0 0 9 Brief description of the care home grounds of the home. Saltash is approximately five minutes away by car and has all the usual facilities of a small town. Accommodation and care to include nursing is offered at the home in the category of dementia or mental disorder. The home is entered via secured garden gates into an entrance with communal areas off to include a lounge and a dining room. A shaft lift is available to all the bedrooms in the home on the first and second floor. The laundry and kitchen are on the lower ground floor area of the home. Fees range from £550.00 to £700.00 per week (Fees correct as to the time of this report ). An additional charge is made for dry cleaning, visits from a hairdresser and chiropody. The Statement of Purpose and Service User Guide (available in an easy read format) are available on request. Care Homes for Older People Page 3 of 10 What we found:
This was a random unannounced inspection, which took place over five hours on the 4th December 2009 by Regulation Inspector Gail Richardson. The purpose of the inspection was to ensure that peoples needs are properly met, in accordance with good care practices and the laws regulating care homes. The focus was on ensuring that the requirements made at the key inspection had been met within the timescale stated. We spoke to two people using the service, and five members of staff, the Registered Manager was available for feedback at the conclusion of the inspection . Two Directors of the service were available throughout most of the inspection. We looked at care records for three people and further documentation relating to the management of activities. We were not able to review recruitment files at this inspection and this area will be reviewed at the next key inspection. We found that three requirements had been met and further requirements are under review. What the care home does well:
At the previous key inspection we required that care plans be updated to accurately reflect the changes in peoples health and well being. At this time there are no people at the service whos care needs have recently changed. However, we looked at three care plans, we saw that peoples assessed needs had been identified and a plan of care put into place to inform staff of how to meet those needs. Risks had been assessed and a plan put in place to address those risks safely. We saw that two people recently admitted to the home had a plan in place within an agreed timescale. At this time there were no people being nursed in bed and so we could not assess how the monitoring of care was being managed. We will review this practice a the next key inspection. The directors of the service advised us that current planning permission has been applied for to address the requirement made about access to a ground floor toilet. The home is a grade 2 listed building and so consent must be agreed prior to any changes being made. These planned changes will allow free access to toilts on the ground floor for those people using the lounges and dining room. We reviewed the storage of documentation relating to peoples health and well being. We observed that files were stored securely in a locked filing cabinet. This is good practice as it will ensure the confidentiality and dignity of people using the service. We spent time observing the mealtime experience for people using the service. We observed that breakfast and lunch were organised in such a way to ensure that the room was calm and that sufficient staff were available to meet the nutritional and social needs of the people. The staff supported peoples as needed in both the dining room and lounges to ensure that sufficient food and drink was taken. The room was calm and sociable, staff were seen to ensure that people had the drinks, condiments and cutlery needed. Peoples meals were re heated as necessary to ensure that everybody had an appetizing meal. The manager has ensured that all staff are aware of the whistle blowing policy by posting
Care Homes for Older People Page 4 of 10 a copy in the staff room and staff are required to read a copy and sign to say they understand it. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 10 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 8 12 The registered person must 24/09/2009 ensure that monitoring and a record of this monitoring is undertaken for people who are nursed in bed and do not have access to summon assistance. This will ensure that people have access to staff when needed. 2 8 12 The registered person must ensure that appropriate action is undertaken to ensure that people can access a ground floor toilet easily and safely. This will promote the independance and dignity of people using the service. 22/10/2009 3 12 16 (2)(m) People must be able 31/01/2009 to engage in local, social and community activities, within their capabilities, and as they wish. Arrangements for this should be part of care planning. So people can live a fulfilled life and are not socially isolated. 4 12 16 The registered person is required to develop a 30/09/2009 Care Homes for Older People Page 6 of 10 Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action programme of meaningful activity for each person. This actvity should be recorded to further develop activity to support people choices and preferences. 5 18 12 The registered person must ensure that all staff have received training in abuse awareness. This is required to ensure the protection of people using the service. 6 29 19 The registered person must 30/10/2009 ensure that all staff have recruitment checks in place which include two references, this is to include one from the most recent employer or the reason why this is not possible. This is required to ensure the protection of people using the service 7 30 18 (1)(c) Staff must be trained and competent in all conditions which affect people at the home, especially dementia. So that people receive appropriate and effective care. 31/03/2009 30/10/2009 Care Homes for Older People Page 7 of 10 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 4 The registered person is recommended to ensure that all staff have recieved specialist dementia care training prior to working unsupervised in the home. The registered person is recommended to develop the recording of spiritual needs to include how people can be supported to achieve their preferences. The registered person is recommended to ensure that suitable screening is available within shared bedrooms to ensure the privacy and dignity of people using the service. The registered person is recommended to ensure that 50 of staff have achieved a National Vocational Qualification in care. The registered person is recommended to ensure that an employment history is received for each prospective staff member. Any gaps in this history should be investigated and the reasons documented to ensure that there is no risk to people using the service. The manager must ensure that staff training is updated to ensure that staff can meet the needs of people using the
Page 8 of 10 2 12 3 20 4 28 5 29 6 30 Care Homes for Older People Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations service. 7 37 The manager designate is recommended to make staff aware of the risks of leaving cleaning chemicals and work tools unsupervised Care Homes for Older People Page 9 of 10 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 10 of 10 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
