Inspection on 26/07/05 for Ashlea Care Home

This inspection was carried out on 26th July 2005.

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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ashlea Care Home 14/08/07

Ashlea Care Home 21/06/06

Ashlea Care Home 24/11/05

Ashlea Care Home 21/03/05

Ashlea Care Home 14/03/05

Similar services:

Hillside

Applegarth

122 Scorer Street

Jubilee Villa Care Home

Thornham Grove

Beech Lodge

8 Thorndale Road (Homefield College)

Hunter`s Lodge

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

CARE HOME ADULTS 18-65 Ashlea Care Home 1 Kings Road Newark Nottingham NG24 1EW Lead Inspector Meryl Bailey Unannounced 26 July 2005 09:00 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashlea Care Home Address 1 Kings Road Newark Nottingham NG24 1EW 01636 705206 01636 705334 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) Royal Mencap Society Jayne Ramsey Care home 8 Category(ies) of LD Learning disability, x 8 registration, with number of places Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Learning disability (LD) (8) The maximum number of service users to be accommodated is 8 Date of last inspection 21 May 2005 Brief Description of the Service: Personal care and accommodation is provided for up to 8 adults with learning disabilities. Ash Lea is a large house located in the centre of Newark and close to shops and all community amenities. There is a large lounge and separate dining room. Service Users are accommodated in single bedrooms on ground and first floors. The ground floor is accessible to wheelchair users. Paved external areas provide space for outdoor activities and seating. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and conducted by one inspector during one morning. Two of the current seven service users were at home and one staff member was seen in addition to the manager. One service user was in hospital. The service users and staff gave some views about the care provided and information has been taken from records aswell as a recent questionnaire. The communal areas of the home were inspected, but bedrooms were not viewed on this occasion. What the service does well: 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. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 6 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 Standards Statutory Requirements Identified During the Inspection Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 7 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 standard(s) 2 Needs are appropriately assessed. EVIDENCE: Pre-admission assessments of service users’ needs have been recorded and were found on their files. Some specialist assessments are also filed. Further information has been gathered and there is an indication that service users have been involved in planning their care and have signed agreements. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 8 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 standard(s) 6 and 9 Care planning is developing with appropriate information available, but not all written clearly. Service Users are encouraged to take responsible risks and are supported in maintaining their independence. EVIDENCE: The process of transferring information to a new care plan format was started in March 2005 and is not complete. However, basic information is available on old plans. One plan was completed in the new format and is presented as a detailed Support Plan. Individual action plans have been completed for every area of need. This should now be done for the other remaining service users. There were risk assessments on files, which had been completed for various risks associated with individual activities. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 9 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 standard(s) 12 and 15 Service users are assisted to take part in appropriate activities and support is given to maintain contact with family and friends. EVIDENCE: Five service users were attending day centres on the morning of this inspection and a further one was preparing to go to a daycentre club for the afternoon. Staff are assisting one service user in finding voluntary work. Other activities were seen available in the home and one service user was playing dominoes with staff. Another was preparing to go shopping in the afternoon with a staff member. Contact with families and friends is addressed in care planning and the plan written in the new format includes “Staff dial the number for me.” All service users were planning to go on holiday during the week following this inspection, choosing from two alternatives. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 10 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 standard(s) 18 and 20 Personal support is given in response to individual need. Medication is well organised, though the practise of rewriting the pharmacist’s instructions on new record sheets presents an additional risk of error. EVIDENCE: Help required and preferred was written in the old plans and the new plan format gives opportunity to state this more clearly. Service users were observed making their requests known and staff responded promptly. At the last inspection the inspector advised that the pre-printed medication administration record supplied by the pharmacist should be used to record medication administered to reduce the risk of error rather than transferring the information to another record. However, the manager has continued to rewrite the information on her own sheets that give more information about stock on the reverse side. Another reason for this was that the pharmacist is using sheets with very limited space for staff to initial. Risk of error is decreased by a second member of staff checking the rewritten sheet, but there is still a risk and it is still recommended that original record sheets are used and that further discussion is held with the pharmacist if the sheets are not an appropriate size. Otherwise medication was found to be well organised and appropriately stored. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 11 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 standard(s) 22 The complaints procedure is clear for the organisation, but not specific to this home and needs amendment. EVIDENCE: There is a written complaints procedure for Mencap on the wall of the dining room and also contained within the procedural guidance file. There is also an accessible format available, which uses Makaton symbols. A further procedure is available regarding the landlord, Nottingham Community Housing Association (NCHA). Both of these show contacts in higher management within those organisations. However, there is no clear procedure for service users to immediately follow within the home. Such procedure must be made accessible and supplied or explained to all service users. The outcomes of previous complaints have been written and filed appropriately. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 12 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 standard(s) 24 The home provides a pleasant environment for service users. EVIDENCE: The communal areas have all been decorated to a good standard and new carpets have been fitted since the last inspection. The lounge had comfortable seating and staff reported discussions with service users about arrangement of furniture. The dining room provided space for all service users and all areas were clean and well maintained. The outdoor area has been paved since the last inspection providing pleasant areas for activities and outdoor seating. A large “Connect 4” game and darts board were available. The central position of the home in Newark provides good access to all local amenities. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 13 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 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) Not fully assessed on this inspection. EVIDENCE: Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 14 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 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 39 Service users views have been sought. EVIDENCE: Completed quality assurance questionnaires are on some service users’ files. These were completed with facilitation provided by a manager from another Mencap service. The manager explained that this was optional and comments have been acted on. Service users’ views have also been expressed through meetings and some service users have taken part in staff recruitment. Ashlea Care Home C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 Page 15 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score x x 3 x x Standard No 22 23 ENVIRONMENT Score 2 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 2 x x 3 x Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 x x x x x x Standard No 11 12 13 14 15 16 17 x 4 x x 3 x x Standard No 31 32 33 34 35 36 Score x x x x x x CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashlea Care Home Score 3 x 2 x Standard No 37 38 39 40 41 42 43 Score x x 4 x x x x C53 C03 S8621 Ashlea V240894 260705 Stage 4.doc Version 1.40 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 YA 22 Regulation 22 Timescale for action Provide an appropriate procedure 30th to service users which is specific September to making complaints within this 2005 home. Requirement 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 YA 6 Good Practice Recommendations Complete careplanning using the new format for each service user so that staff have consistent and clear guidance in the actions required to meet specific care needs of service users. Medication administration records supplied by the pharmacist should not be rewritten. 2. 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