This inspection was carried out on 20th June 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.
CARE HOMES FOR OLDER PEOPLE
ASHGROVE RESIDENTIAL HOME THE OLD VICARAGE, CHURCH LANE ST. MARTINS OSWESTRY SY11 3AP Lead Inspector
KAREN POWELL 20
TH Unannounced JUNE 2005 10.30 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. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION
Name of service ASHGROVE RESIDENTIAL HOME Address THE OLD VICARAGE CHURCH LANE ST. MARTINS OSWESTRY SY11 3AP 01691 774101 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) MR B.W. CASE MR B.M. CASE CARE HOME 10 Category(ies) of 10 OLD AGE registration, with number of places ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION
Conditions of registration: Date of last inspection 24TH FEBRUARY 2005 Brief Description of the Service: Ashgrove is a small privately owned residential home providing personal care for ten older people. The registered proprietors are Mr and Mrs B W Case who have been at the home since 1987 and live in the converted coach house on the same site. Ashgrove is partly an old vicarage and partly purpose built extension, located in the small village of St Martins, Nr Oswestry, accommodation is all on ground floor level for service users, and is within easy reach of local resources. It is set out in its own grounds with pleasant gardens and a terrace for residents to use.There is a large garden where home grown produce is cultivated. Visitors to the home are frequent. The home has good links with the local community. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 Page 5 SUMMARY
This is an overview of what the inspector found during the inspection. The inspection was unannounced and started at 10.30am and lasted 2 hours. All 10 places were occupied. The inspection included discussion with service users and staff. Observation of daily routines, examination of service user records and a home tour took place as part of the inspection. What the service does well: What has improved since the last inspection?
There were no requirements made following the last inspection. This is a home that operates well and remains committed to providing a high standard of care which is linked closely to the National Minimum Standards for older people. The homes management and staff are continuously monitoring and reviewing the service and strive hard to maintain a well run home. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 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 HOME E56 S20655 Ashgrove UAI V212735 200605 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 ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 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) 3 All new service users are assessed before moving into the home to ensure their needs can be appropriately met. EVIDENCE: A relatively new service user told the inspector they were seen by the proprietors before moving into the home. A comprehensive assessment for the individual was provided to the home by the service user’s social worker. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 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 standard(s) 7, 8 & 9 There is a clear care planning process in place. The staff are sensitive to the needs of each service user and meet these in a professional manner. Medication is dealt with in accordance with the homes policies and procedures. EVIDENCE: Evidence of individual care plans were seen at the inspection. These were seen to be reviewed regularly. Written evidence and discussions with service users informed the inspector that service users’ health care needs are fully met. All records relating to the receipt, administration and disposals of medication were satisfactory. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 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 standard(s) 14 & 15 Individuals are encouraged to exercise choice in relation to daily living. Service users are offered a varied well balanced diet, which takes into account individual’s likes and dislikes along with seasonal changes. EVIDENCE: Service users were happy to share with the inspector their experiences of daily living at the home. This indicated that individual choices are promoted and encouraged with service users. All service users were very complimentary about the standard and choice of food provided. It was apparent that the menu is changed to incorporate seasonal changes. A menu is recorded to support this. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 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 standard(s) 16 There is a clear complaints procedure in place. EVIDENCE: It was confirmed by the deputy manager that she was not aware of any complaints since the last inspection. Service users were complimentary about the staff group listening and dealing with any issues that they raise with them in a satisfactory manner. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 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 standard(s) 19, 20 & 24 The home is well maintained and comfortable both indoors and outdoors and offers accessible grounds and seating for service users. Individual accommodation is furnished and equipped to a high standard. EVIDENCE: Observations made during the home tour showed the home to be wellmaintained and comfortable with appropriate furnishings and lighting. Bedrooms seen on the home tour were personalised with individuals’ own possessions giving each room a unique identity of the individual occupying it. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 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 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 The home is staffed to a level that ensures service user needs are met at all times. EVIDENCE: Staff seen and discussion with the deputy manager confirmed staffing levels are appropriate to the number and needs of the service users living at the home. A duty rota is maintained in the homes diary, which confirmed observations and discussions. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 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 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) 35 Service users are encouraged to handle their own finances. When this is not possible support from family or a representative is sought. EVIDENCE: Discussion with the deputy manager confirmed that the home does not deal with any individuals’ finances. Discussion with two services users confirmed the home are not involved in dealing with their finances. ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 Page 15 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 x 3 x x x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 x 14 3 15 4
COMPLAINTS AND PROTECTION 3 3 x x x 3 x x STAFFING Standard No Score 27 3 28 x 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x x x x x 3 x x x ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 Page 16 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 Regulation Requirement Timescale for action 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. Refer to Standard Good Practice Recommendations ASHGROVE RESIDENTIAL HOME E56 S20655 Ashgrove UAI V212735 200605 Stage 4.doc Version 1.30 Page 17 Commission for Social Care Inspection 1st Floor, Chapter House South Abbey Lawn SHREWSBURY SY2 5DE National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk
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