Random inspection report
Care homes for older people
Name: Address: Ashfield House Ashfield House Bargates Leominster Herefordshire HR6 8QX one star adequate service 16/06/2009 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: Jean Littler Date: 0 3 1 1 2 0 0 9 Information about the care home
Name of care home: Address: Ashfield House Ashfield House Bargates Leominster Herefordshire HR6 8QX 01568614662 F/P01568614662 margaret@wenlock8457.fsnet.co.uk 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) : Mrs Margaret Mary Wenlock care home 14 Number of places (if applicable): Under 65 Over 65 0 14 dementia old age, not falling within any other category Conditions of registration: 14 0 1.The registered person may provide the following categories of service only: Care Home only PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old Age not falling within any other category OP 14 Dementia DE 14 Age: Dementia - Code DE age 55 and above. The maximum number of service users who can be accommodated is: 13 The maximum numbers of service users who can be accommodated is:14 The registered person may provide the following category of service only: Care Home Only (Code PC) To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Dementia (DE) 13 Old age, not falling within any other category (OP) 13
Care Homes for Older People Page 2 of 7 Date of last inspection Brief description of the care home 1 6 0 6 2 0 0 9 Ashfield House is a Victorian three-storey detached house, set in large, mature gardens and situated on a main road through Leominster. The service is registered to accommodate 14 older people, male or female, who may have needs arising from the normal ageing process or from dementia related conditions. The Statement of Purpose confirms that the home cannot accommodate residents who may have behaviours that significantly impact on other residents in a negative way. Care Homes for Older People Page 3 of 7 What we found:
The registration of the Home has been increased from 13 beds to 14 during 2009. There is currently an electronic error that means both bed numbers are being shown above. This will be rectified in the near future. This inspection was carried out to check if Mrs Wenlock, the owner and manager, had taken action to address the areas of concern found and requirements made at the Key Inspection that was carried out on 16th June 2009. To do this we spoke to Mrs Wenlock and looked at the medication, recruitment, incident and fire drill records. The records showed that a new worker had not started employment until two references and a POVA First check had been received; that staff are now signing the medication charts at the time the doses are administered; that incidents are now being reported to us under Regulation 37; and that all but a new member of staff have attended a fire drill in the last six months. What the care home does well: 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 4 of 7 Are there any outstanding requirements from the last inspection? Yes £ No R 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 Care Homes for Older People Page 5 of 7 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 2 9 29 Set up a system to help staff ensure there are no gaps in the medication records on each shift. Keep clear records to show that new staff have a named mentor, and those who start work before a CRB check is returned do not provide any unsupervised personal care until the check is received. Care Homes for Older People Page 6 of 7 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 7 of 7 - 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!
