Please wait

Please note that the information on this website is now out of date. It is planned that we will update and relaunch, but for now is of historical interest only and we suggest you visit cqc.org.uk

Inspection on 13/10/05 for Ashgrove Residential Care Home

Also see our care home review for Ashgrove Residential Care Home for more information

This inspection was carried out on 13th October 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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

The home has a good system in place for the administration of medication. Regular maintenance checks are completed by the home ensuring the health and safety of residents is protected.

What has improved since the last inspection?

All care plans and risk assessments are reviewed monthly and the dietary intake of all residents is monitored to ensure their nutritional intake is adequate. The daily case recording format has been changed which now reflects the care that care staff are providing on a daily basis. The home completes routine environmental risk assessments both internally and externally. A supervision and training programme has been devised by the home to ensure all staff training needs are updated and staff are supervised at least 6 times a year. Supervision is beginning to take place.

What the care home could do better:

All hazardous cleaning substances must be locked away.

CARE HOMES FOR OLDER PEOPLE Ashgrove Residential Care Home 64-66 Billet Lane Hornchurch Essex RM11 1XA Lead Inspector Harbinder Ghir Unannounced Inspection 13 October 2005 10:00 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 Ashgrove Residential Care Home DS0000042148.V257599.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. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ashgrove Residential Care Home Address 64-66 Billet Lane Hornchurch Essex RM11 1XA 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) 01708 458834 01708 472294 care@ashgrovecarehomes.co.uk Mr Pathmanathan Elango Mrs Rajakala Elango Ms Lesley Burkett Care Home 26 Category(ies) of Old age, not falling within any other category registration, with number (26) of places Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. To include one named person over 65 with dementia. Date of last inspection 28th July 2005 Brief Description of the Service: Ashgrove Residential Home offers 24-hour residential care to 26 people over the age of 65 years. The premises comprimise a linked pair of Edwardian houses which have been suitably modernised over the years. All rooms are spacious, airy and bright. They all have hand basins, TV points and a call system. The home has a passenger lift. There is a lounge and dining room overlooking the garden, which is with disabled access to the grounds. There are car parking facilities to the front of the property. The home is located on a busy road in Hornchurch, and is close to local services and facilities which are easily accessible by car or by public transport as is the M25, A12 and A127. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Commission was represented by Harbinder Ghir, Regulatory Inspector who was at Ashgrove Residential Home from 10.00 a.m. until 1.00 pm. This inspection was the second unannounced inspection carried out as part of the annual inspection plan. During that time some staff and residents agreed to speak with the Inspector. The home and some records were inspected. Fifteen Requirements were set at the previous inspection and all of these have been met by the home. Four Recommendations were set at the previous inspection and all have been met. This was the second statutory inspection for 2005/6, and across the two visits all core standards have been assessed. What the service does well: What has improved since the last inspection? All care plans and risk assessments are reviewed monthly and the dietary intake of all residents is monitored to ensure their nutritional intake is adequate. The daily case recording format has been changed which now reflects the care that care staff are providing on a daily basis. The home completes routine environmental risk assessments both internally and externally. A supervision and training programme has been devised by the home to ensure all staff training needs are updated and staff are supervised at least 6 times a year. Supervision is beginning to take place. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 6 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. Ashgrove Residential Care Home DS0000042148.V257599.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 Ashgrove Residential Care Home DS0000042148.V257599.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 2, 4, 5 were assessed as fully met at the last inspection, so were not covered on this visit. The two requirements made at the last inspection in relation to standards 1 and 3 have now been met by the home. EVIDENCE: On this inspection the outstanding requirements for the registered provider to review and update the Statement of Purpose and Service User Guide has been actioned. The home now completes adequate pre-admission assessments, from which a care plan is devised and delivered from. Ashgrove Residential Care Home DS0000042148.V257599.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): 9 The systems for medication administration are good with clear and comprehensive arrangements being in place to ensure residents’ medication needs are met. Six requirements made at the last inspection in relation to standard 7, 8, 10, 11 have been met at this inspection by the home. EVIDENCE: Medication is managed well by the home. The home has an appropriate medication policy and procedure in place. All medication is appropriately stored and all staff who administer medication have undergone medication training. All residents have their medication administered by staff as they are not able to self-administer. However, there are policies and systems in place for residents who can be responsible for their own medication. On this inspection the registered provider has introduced a new care plan format, which is comprehensive and meets all the outstanding requirements. Ashgrove Residential Care Home DS0000042148.V257599.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): Standards 13, 14, 15 were assessed as fully met at the last inspection so were not covered on this visit. One recommendation was made at the last inspection in relation to standard 12, which has at this inspection been met by the home. EVIDENCE: On this inspection the outstanding recommendation for the registered provider to organise day trips for residents has been actioned. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 11 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 Policies, procedures and staff training were provided that protected residents from abuse. Standard 16 was assessed as fully met at the last inspection so was not covered on this visit. EVIDENCE: Policies and procedures regarding the abuse of vulnerable adults were provided. Records seen identified all staff received training on adult abuse and this was also incorporated into the induction programme. The manager had also obtained policies and procedures from placing Local Authorities. From conversations with staff it was evident that staff are aware of the homes adult abuse policies and procedures and understand the definitions of abuse and what to do in the event of abuse, ensuring that residents are protected from abuse. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 12 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): Standards 20, 21, 22, 23, 24 were assessed as fully met at the last inspection, so were not covered on this visit. Three requirements and two recommendations were made at the inspection in relation to standards 19, 25 and 26 and have at this inspection been met by the home. EVIDENCE: On this inspection the outstanding requirements for carrying out routine environmental checks and providing hand washing equipment in all communal bathrooms to prevent the risk of infection has been met. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 13 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): Standards 27, and were assessed as fully met at the last inspection, so were not covered on this visit. The one requirement and one recommendation made at the last inspection in relation to standard 28 and 30 have at this inspection been met by the home. EVIDENCE: The registered manager has devised a training matrix to keep track of all staff training needs, meeting the outstanding requirement and recommendation. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 14 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): 32, 35, 38 Residents’ benefit from an experienced manager who recognises their needs and manages the home well. The manager has a clear vision for the home, which she has effectively communicated to residents, relatives and staff. Systems are in place to protect residents’ financial interests. The welfare of staff and service users are promoted by the homes policies and procedures at all times. Residents were put at some risk due to hazardous liquids being available at the home. EVIDENCE: The manager has many years experience of working with this service user group and is in the process of completing the Registered Managers Award. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 15 Staff spoken to at the home stated the home was well run and they were well supported by the manager. A resident spoken to informed that the manager is very approachable and manages the home well. Residents were encouraged to manage their own financial affairs or to have assistance from their families / representatives. The home liaises with Age Concern’s advocacy service for those residents who need financial representation and appointeeship, as the home does not hold any cash on the premises or takes appointeesship. All invoices were maintained and kept up to date by the registered provider. During a tour of the building, cleaning liquids were found to be available in communal bathrooms. The registered provider must ensure that all hazardous substances are not left out in the home and are safely locked away. This is requirement 1. The home has a maintenance person who takes overall responsibility for ensuring relevant checks are carried out. It is clear from the records seen that all relevant legislation is complied with and reportable incidents are reported to the appropriate authorities. The home has a written policy regarding safe working practices. Fire signs and safety posters are evident throughout the home. All members of staff have health and safety training as part of the induction process. Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 16 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 3 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 x X X X X X X X x STAFFING Standard No Score 27 X 28 X 29 X 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X 3 X X 3 X X 2 Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 17 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 OP38 Regulation 13 4 (a) Requirement The registered person must ensure that all parts of the home to which service users have access are free from hazardous substances. Timescale for action 04/01/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 18 Commission for Social Care Inspection Ilford Area Office Ferguson House 113 Cranbrook Road Ilford IG1 4PU 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 Ashgrove Residential Care Home DS0000042148.V257599.R01.S.doc Version 5.0 Page 19 - 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!