Inspection on 28/02/06 for Ashfield House Nursing Home

This inspection was carried out on 28th February 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashfield House Nursing Home 23/10/08

Ashfield House Nursing Home 07/11/06

Ashfield House Nursing Home 18/10/05

Ashfield House Nursing Home 05/10/04

Ashfield House Nursing Home 23/06/04

Similar services:

Larch Avenue

Alderson Road 12

Cranworth Close Registered Care Home

The Cornerstone

John Street Nursing Home

Pennine Camphill

Muston Road (70)

Grayling

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

CARE HOME ADULTS 18-65 Ashfield House Nursing Home Thornton Road Thornton Bradford West Yorkshire BD13 3LN Lead Inspector Linda Trenouth Unannounced Inspection 28th February 2006 10:15 Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 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 Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 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 Adults 18-65. 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. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashfield House Nursing Home Address Thornton Road Thornton Bradford West Yorkshire BD13 3LN 01274 833133 01274 833856 louise.baines@brunelhousing.orguk 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) Brunel & Family Housing Association Limited Miss Louise Baines Care Home 19 Category(ies) of Learning disability (19) registration, with number of places Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 18th October 2005 Brief Description of the Service: Ashfield House is a large converted home located in a rural position on the outskirts of Thornton village, a few miles west of Bradford. The home has extensive grounds and is set in a picturesque location. Local transport facilities are situated near by and the local shops and facilities of Thornton are close to hand. Accommodation is provided in single and one shared room on the lower ground, ground and first floors with wheelchair access throughout the home. There are lifts to all levels. The home has two lounge areas and a dining room. The home also has a (multi sensory) Snoozelan room. The home is a joint venture between Brunel Support Works Ltd and Bradford Health Trust, providing long term nursing care for adults with learning disabilities. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission for Social Care Inspection has to carry out at least two inspections of care homes every year. The inspection year runs from April to March and this was the second inspection visit for 2005/2006. Copies of previous inspection reports are available at the home or on the Internet at www.csci.org.uk. The last inspection of the home was on the 18th October 2005 and there have been no additional visits made to the home. This was an unannounced inspection carried out by two inspectors over a period of three hours. The main purpose of this inspection was to make sure that the home continues to provide a good standard of care for the residents. The methods used at this inspection included looking at care records; observing working practices, reviewing the environment and talking to the staff and residents. Comment cards were sent to the home to provide residents and visitors with the opportunity to comment on the service. Feedback of the requirements and recommendations were given to the senior nurse on duty and the manager was contacted after her annual leave. Requirements made can be found at the end of the report. What the service does well: The staff at the home are welcoming and care is provided in a clean, comfortable and well-maintained building. The standard of cleanliness continues to be of a high standard in what is by design a physically difficult home. The residents bedrooms are decorated to a good quality and further enhanced by the support of staff to individualise their rooms. All rooms seen reflected individual interests and personalities and this is a credit to the hard work of the staff team. Care staff seen throughout the inspection were sensitive and attentive to the care and needs of the residents. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 6 Residents now have more opportunities for personal development and choice of social activities both in the home and within the community. 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. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not reviewed. EVIDENCE: Not reviewed. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 and 9. Care planning has improved and new systems were in place to ensure that needs were met. Staff treat residents with respect, helping them to enjoy a fulfilling life in a safe environment. EVIDENCE: Discussion with the staff and review of records confirmed that assessments and care planning has improved since the last inspection. The system introduced for the new care plans is more concise and easier for staff to access all the relevant information promptly. Some nutritional assessments needed completing but overall risk assessments had been completed and a commendable effort made. Staff were observed encouraging and supporting residents in their life in the home. Activities have been developed throughout the year and the use of the snoozelan for relaxation has been increased. Other activities were organised individually for the residents. One resident was enjoying her wooden puzzles and other residents were relaxing with staff. The space within the communal Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 10 areas and corridors allow enough area for residents to move freely and safely around the home. Residents are encouraged to help within the home where they are able and are supported to help in the dining room and generally around the home. Two of the residents receive a payment for doing this. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 17. Residents are offered a healthy and interesting diet and appear to enjoy their meals and mealtimes. EVIDENCE: The cook plans a 6 weekly rotational menu with help from the staff and the residents. There is a choice provided for each mealtime and the main meal is at teatime to accommodate all the residents who may be out during the day. Specialised liquidised diets are catered for and the food liquidised separately. The menu allows for flexibility for meal change and a treats such as birthday celebrations and other special events. The cook talks to the residents who are able to discuss their likes and dislikes, where this is not possible observations and reactions are used to try out new foods and alternatives served where individuals are not happy. The staff also guide the cook where food is enjoyed or not by the residents. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 12 Mealtimes are held in the dining room and staff sit with the residents to encourage and help where necessary. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 13 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 20. Medication procedures and staff training should ensure that residents are protected when taking medicines, but the gaps in the administration records compromised their safety. EVIDENCE: The administration of medication records for January and February had many gaps where staff had not accounted for tablets. All medication prescribed must be accounted for and yet no codes appeared to be used. This left doubt at times whether medication had or had not been administered. This must be reviewed with all nursing staff that administer medication at the home. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 14 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not reviewed. EVIDENCE: Not reviewed. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 15 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 27, 28, 29 and 30. The residents live in a comfortable and clean environment. The bedrooms suit the residents needs and lifestyles. EVIDENCE: The car park and drive has been resurfaced and the gardens continue to be well maintained. The home overall is well maintained with the windows of the house and conservatory having been replaced, and extensive redecoration throughout. Communal space presently meets the agreed standard with the provision of three communal rooms on the ground floor. The decoration and furniture is homely with comfortable furniture, which is domestic in style. Several specialist wheelchairs and domestic Parker Knoll style chairs were available including one that was a massaging armchair. All of the residents bedrooms were seen and they were homely and comfortable. Each room clearly reflected the personality of the individual and were unique. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 16 From the bedrooms seen it was evident that residents are encouraged to buy furniture and items to individualise their rooms. One resident was keen to show me their bedroom and their collection of photographs, pictures and rugs. They also had their own television, music and DVD system with a comfortable sofa to relax on. This was clearly someone who enjoyed and was proud of their room and the support the individual had received to make it look so good was commendable. The bedrooms are spacious and provide good facilities including sofas and tables where requested. Wheelchair users have good space to move their chairs without hindrance. There are specialist disability facilities throughout the home for the safety and comfort of the residents. The home throughout was clean and met a good standard of hygiene. The house is a Victorian detached residence with extensions but the cleaning staff manage to maintain cleanliness. There are suitable infection control facilities within each bedroom and clinical waste management is good. The laundry area appeared well organised with adequate washers and dryers and clothing separated into individual baskets. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 17 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not reviewed. EVIDENCE: Not reviewed. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 18 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 39 and 42. Regular checks and staff training safeguard the Health and Safety of the residents. The home has a good quality assurance system, which is appropriate to the size and needs of the home. EVIDENCE: The residents are involved within their reviews and house meetings in the decision making within the home and their views and opinions taken into account. Regular staff meetings and service user forums take place. In addition to this, social events are organised and the residents relatives are invited. A qualitative survey is undertaken by the home, which surveys relatives and advocates annually and produces an annual report. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 19 The annual small appliance testing had been undertaken and the fire safety equipment had recently been checked with a fire drill undertaken in June 05. The water temperatures are monitored by the staff and were not found to be excessive during the inspection. Risks assessments are undertaken for the environment and for individual residents. The service works towards compliance with the requirements made by the fire and environmental health authorities and has always been responsive to the previous requirements regarding health and safety at the home. Quality assurance audits are undertaken in key areas in the home. This presently is divided between the two organisations Bradford Health Care Trust and Brunel. Monthly visits and reports by the registered provider are undertaken. Copies are sent to the CSCI at Rodley. Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 20 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 x 2 x 3 x 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 x 23 x ENVIRONMENT Standard No Score 24 3 25 4 26 4 27 2 28 3 29 3 30 4 STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 x x 3 x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x 2 x x x 3 x x 3 x Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 21 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 YA20 Regulation 13 Requirement Timescale for action 30/04/06 2 YA26 23 The medication records must account for all medication, where medication is not given the appropriate codes must be used. The bathroom door on the first 30/04/06 floor must be adjusted. Previous timescale 30/01/06 not met. 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 Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 22 Commission for Social Care Inspection Aire House Town Street Rodley Leeds LS13 1HP 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 Ashfield House Nursing Home DS0000019913.V283459.R01.S.doc Version 5.1 Page 23 - 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. 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