Inspection on 23/05/07 for Ashlea Hostel

This inspection was carried out on 23rd May 2007.

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 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

Ashlea Hostel 31/05/06

Ashlea Hostel 06/01/06

Ashlea Hostel 16/08/05

Ashlea Hostel 08/11/04

Ashlea Hostel 13/04/04

Ashlea Hostel 05/06/03

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 Hostel Ashlea Hostel 53 Coronation Avenue Alvaston Derby Derbyshire D24 0LR Lead Inspector Angela Kennedy Key Unannounced Inspection 23rd May 2007 11:00 Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 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 Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 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. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashlea Hostel Address 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) Ashlea Hostel 53 Coronation Avenue Alvaston Derby Derbyshire D24 0LR 01332 718105 01332 718108 dawn.repton@derby.gov.uk Derby.gov.uk Derby City Council Mrs Dawn Julie Repton Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 31st May 2006 Brief Description of the Service: Ashlea is a 22-bedded care home for adults aged between 18 and 65 years old with learning difficulties. The home provides short term and respite care, and accepts emergency placements for up to eight weeks. Ashlea has gardens to the front and rear of the building and is located in a residential suburb of Derby. Accommodation for residents is located over two floors. Lounge and dining facilities are located on the ground floor only. Access to the first floor is via stairs. Ashlea is located close to main bus routes in the city centre. Ashlea has well established links with the community in which it is situated and residents regularly use the local amenities. There are also good links with day services, which are used throughout the week by residents. Transport to and for the day centres is either arranged through community transport or by taxi. Admission to the home is done through a referral process undertaken by Derby City Council; information regarding the home and the fees can be obtained by contacting the registered manager at Ashlea. The weekly subsidised fee at the time of this inspection was £63.95. Items that were not covered by this fee included all personal items, which were included in the information provided within the Service User Guide. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection was unannounced and took place over approximately four and a half hours. Key inspections take into account a wide range of information and commence before the site visit by examining previous reports and information such as any reported incidents. The site visit is used to see how the service is performing in practice and to meet with residents and their representatives. The inspection was focused on assessing compliance with defined key National Minimum Standards. On the day of inspection 12 service users were in residence at Ashlea, 2 of these service users were accessing 2 of Ashlea’s 4 emergency beds, 6 service users were living at Ashlea on a temporary basis, (although one was away with family at the time of inspection) following the closure of their residential home and whilst waiting to move into new residential accommodation. The remainder of service users were accessing Ashlea on a respite basis. . During the inspection several documents were examined including; 2 residents files and 2 staff files. Other documents regarding the management and health and safety practices of the home were examined. One member of staff and several service users were spoken with. What the service does well: Ashlea continues to provide respite and emergency placement for adults with a learning disability that is needs led. Respite was allocated on a needs led basis ensuring that respite was of benefit to both the service user and their family/carer. The care and support provided was needs led according to each individual’s strengths, needs and preferences, and this support was provided in a manner preferred by each individual. Staffing levels were based on the assessed needs of the service users, and one to one support was provided for residents who required it. Staff and service users were observed together and an open, friendly and respectful relationship was noted that provided a positive and homely environment. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 6 Service users were supported to continue with their usual daily routines and activities whilst staying at Ashlea. 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. The summary of this inspection report can be made available in other formats on request. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 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 Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission procedures at Ashlea Hostel allowed service users and their carers to have the information they needed to make an informed choice about the services provided, and an assessment of service users needs prior to admission ensured the service users needs could be met. EVIDENCE: On the day of inspection 12 service users were resident at Ashlea Hostel. Six of these service users had moved to Ashlea following the closure of their residential home and were living at Ashlea on a temporary basis whilst awaiting the opening of their new residential accommodation. Six service users were accessing Ashlea on a respite basis. Two service users files were looked at to ensure assessments had been undertaken before they were admitted to Ashlea in order to establish that the service provided would meet their needs. One service user had complex care needs and the detail provided within his needs assessment was very detailed and covered all areas of health, personal and social care needs. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 9 The information was focused around this individuals needs and ensured that all of the required information was in place to inform staff of exactly how the person was to be supported. This demonstrates that a person centred approach to individuals care is provided. The other service user, whose needs assessment was looked at, was staying at Ashlea on emergency basis. This service user had not stayed at Ashlea before and therefore the service was new to them. However as this service user attended one of the local day services some of the services users at Ashlea were known to them as they attended the same day service. An assessment was in place for this service user, and owing to the fact that this persons respite wasn’t planned this assessment was one that had been undertaken by the day service. However this assessment was reviewed upon admission to ensure any changing needs could be identified and the appropriate action taken to meet any changing needs. When possible a phased introduction to respite care was provided to ensure each individual was introduced to the service at a pace appropriate to them and their family. This phased introduction involved, a key worker from Ashlea visiting the individual and their family/carer at their home to provide information about the service offered at Ashlea. The key worker would then visit this person at their day opportunity placements, which enabled the key worker to gather additional information regarding the abilities, needs and preferences of the individual. The individual would then visited Ashlea to look around, and then tea visits would be organised, which then (at the pace and choice of the individual person) would lead to overnight stays and planned respite. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 10 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff had the information they needed within support plans and risk assessments to ensure that service users needs could be met and their independence maintained whenever possible. EVIDENCE: The two service user files seen were organised well and allowed staff to access information easily. Support plans had been developed with service user involvement and were written from the service users viewpoint regarding the support they required. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 11 The support plans in place provided good detail, which was specific to the needs of each individual, this ensured their needs and strengths could be supported appropriately by the staff team. Support plans were updated as required, however staff didn’t record when these were done but developed a new support plan as and when needs changed. It was suggested to the manager that if records were maintained when support plans were reviewed this would clearly evidence that service users needs were reviewed regularly, and would provide an audit trail with which service users and staff would be able to see how each service users needs and abilities have changed over a period of time and would demonstrate skills that have developed. The risk assessments seen were detailed and provided staff with the relevant information to allow service users to take reasonable risks. This enabled each individual to live as independently as possible, and reduced limiting each persons chosen activity or choice within their daily lives. Daily records were also maintained to ensure good communication between staff was provided. This allowed each member of staff to be aware of each service users daily events; thereby ensuring relevant information relating to each individual was available to all staff. Independent advocates ‘chaired’ service user group meetings at Ashlea on a monthly basis. The minutes of these meetings were then fed back to the staff and any improvements or changes requested were identified and actioned accordingly. One of the service users whose support plans were seen had their own designated independent advocate that support them in specific areas of their lives. This demonstrates that service users are supported to make decisions regarding their own lives and the care provided to them at Ashlea. Service users were supported to manage their own monies when possible. Lockable facilities were available within each bedroom for safe keeping of any monies. Some service users were spoken with regarding the care and support they received from the staff team, and of the satisfaction surveys sent to service users by the commission eight were completed. The overall comments from service users spoken with and within the surveys returned demonstrated that service users were happy with the support they received and felt that they were able to make decisions regarding their daily lives. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 12 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. JUDGEMENT – we looked at outcomes for the following standard(s): 11,12,13,15,16,17 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users were supported to maintain appropriate day opportunities and participate within local community activities that were appropriate to their interests and hobbies. EVIDENCE: Church services were held at Ashlea every other Sunday and any service users wishing to participate were able to. Some service users went out to their local church independently or with the support of family, friends or staff as required. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 13 The majority of service users attend day services or the local college as part of their day opportunities placement. On the day of this inspection one of the day services was closed for staff training. Service users at Ashlea were seen occupied with a variety of activities, and at lunchtime some of the service users went out for lunch with staff support. One of the service users whose support plans were looked at required one to one support. Staff were seen actively participating in activities with this person and in the afternoon at the request of this service user a member of staff went to town with them to do some shopping. This ensured that this service user had the opportunity to access community facilities and activities both within and outside of Ashlea. Information regarding the activities available both within Ashlea and the local community were available and displayed in a format that was suitable to the service users. Information from service users spoken with and within satisfaction surveys received indicated that in general services users were happy with the activities and choices available to them when at Ashlea, although comments within one survey returned regarding activities at the weekends said “ it would be nice to have a wider choice”. From the information seen within the two service users files seen it was evident that routines were centred around each individual’s needs, choices and preferences and therefore were flexible to ensure individuals needs could be met. Ashlea did not have its own vehicle, public transport was used to access community services. The manager confirmed that Ashlea was able to use the day service vehicle at evenings and weekends, however this was dependent on a driver being available. Many service users attend Ashlea on a respite only basis; therefore they were less likely to receive visits from their family during their stay, as respite also provides an opportunity for the service users family/carers to have a break. However visiting was open at Ashlea for any service users who wished to receive visitors. Menus ran over an 8-week period across the local authority service, thereby ensuring that whatever lunchtime meal provided at the local day centre was not repeated at Ashlea’s evening meal. This avoided duplication and ensured that service users were provided with a varied diet. Alternative meals were available to ensure that choices were available if required. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 14 Dietary requirements are met and any special diets needed are available such as, gluten free and diabetic meals and meals of a specified consistency for any service users with swallowing difficulties. Discussions took place with the manager regarding service users being able to access the kitchen to prepare their own meals. It was agreed by the manager that this did present some difficulties as a cook was employed during the weekdays and kitchen assistants were employed at weekends to prepare and cook meals. However the manager stated that there had been occasions when service users had prepared meals with staff support as part of an individual’s daily routine or to develop their daily living skills. Service users spoken with said the meals provided were nice and confirmed they were able to request alternative meals to that of the main menu if they wished. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 15 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users care needs are supported by staff as required, and the method of this support is discussed and agreed with the service user whenever possible. The medication practices in place ensure service users safety is maintained. EVIDENCE: Evidence was in place within the support plans seen that demonstrated that service users had been involved in the implementation of their support plans. This indicated that service users were involved and contributed to the chosen method of support with regard to their personal care. Information in the support plans included all aspects of daily living skills where residents required support. Service users had access to health care services as required such as doctors, dentists, opticians and other health facilities. As most service users accessed Ashlea for respite, the service users family or carers generally arranged appointments with health care professionals. However staff at Ashlea were able to support service users with appointments if required. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 16 Within the service user’s files seen records were maintained of visits and appointments with health care professionals. Routines were flexible and this was demonstrated within the support plans seen. Individual’s needs were centred around the support they required and their preferences. An example of this was provided in discussions with the manager who confirmed that only certain staff were able to support a particular service user, due to this service user’s complex needs, which determined how they related to individual staff. The manager confirmed that routines, such as times of going to bed and getting up were flexible but were also dependent on the commitments of service users during the day, such as attending their day services. It was also stated by the manager that takeaway meals were sometimes ordered in the evening, this allowed a further social event for service users with night staff. The Medication practices at Ashlea were looked at and continue to be well managed. Daily audits were undertaken to ensure any errors could be addressed promptly and rectified. Some of the medication administration records were looked at and no errors or gaps in administration were found. A photograph of each service user was in place on their medication storage boxes, which enabled staff to identify each individual prior to administering medication. Individual medication seen was in the correct containers, which had been dispensed by the pharmacy. These containers displayed the required information, which ensured staff were able to administration each persons medication as prescribed. A fridge thermometer was in place to monitor the temperature of the clinical fridge used to house medication that required cold storage and fridge temperatures were recorded daily, to ensure medication was stored at the correct temperature. On the day of the inspection visit none of the service users at Ashlea were self administering their medication. The manager did confirm that one service user who was not at the present time accessing Ashlea was able to self administer their medication and it was confirmed that a risk assessment was in place to demonstrate that this person had the capacity to do so. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 17 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. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users felt their views were listened to and acted upon and the systems in place protected service users from abuse, neglect and self-harm. EVIDENCE: Four complaints/concerns had been received since the last inspection and records had been kept which clearly demonstrated the actions taken to address these issues and outcome of each complaint. The complaints policy was available in pictorial format for service users, to ensure they were aware of the complaints procedure and their rights to make a complaint. No all formats of the complaints procedure stated the required 28-day timescale, by which all complaints must be responded to. The manager therefore amended all policies to include the 28-day timescale during the inspection visit; therefore this requirement has now been met. Advocacy services were used for service users as required and could be used to assist service users in any areas of concern they had. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 18 Meeting were held monthly and chaired by an independent advocate who asked service users for their comments regarding the care that was provided to them at Ashlea. Service user surveys indicated that out of the eight surveys returned all service users were confident that they knew who to speak with if they were not happy. Six out of eight surveys completed by service users stated that they knew how to make a complaint and all eight service users were confident that staff would listen and act upon any concerns they had. No Safeguarding Adults referrals or investigations had been undertaken since the last inspection. Eight staff had attended a one-day course in Safeguarding Adults, two staff had attended three-day course and two staff were waiting for a training date. Five staff had no record of safeguarding Adults training being undertaken. Discussions confirmed that this was due to a new database in place, which made some previous training records difficult to ascertain. It was confirmed that this would be looked into and if not already undertaken these five staff would be booked onto Safeguarding Adults training. The system for handling service users personal monies was examined and there was confirmation that there are suitable accounting procedures in place. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 19 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Despite building work in progress a safe environment is maintained for service users, once this work has been completed all residential areas of the building will be accessible to the people who use the service. Good standards of hygiene continue to be maintained. EVIDENCE: At the time of this inspection major building work was being undertaken to install a passenger lift at Ashlea. This work clearly had an effect on the accessibility of some areas of the home. However it was noted that despite this work the service continued to be well managed and staff made every effort to ensure the service users daily routines remained stable. The sensory room and rehabilitation flat had temporarily been converted into bedrooms whilst work was undertaken regarding the lift. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 20 It was confirmed that the Health and Safety officer has been involved and confirmed that these rooms were safe to be used as bedrooms. The areas where the lift was being installed had been made safe, it was stated that this had been done with agreement from the department of Health and Safety. This area has been closed off and was only accessible to restricted personnel, such as the builders, and this area was kept locked at all times. Some of the bedrooms were seen and owing to fact many bedrooms were used for respite it was very difficult for these rooms to be personalised. The manager confirmed that several pictures had been acquired from another residential home on its closure but to date staff had not had time to look at theses with service users, due to building work being undertaken. The assessment kitchen at the time of inspection was being used as a storage facility, however this was not affecting the personal space of any service user and it was confirmed that this will be resolved once the lift has been installed, it was stated that this was due for completion by the end of August 07. The laundry area was seen and all of the required equipment was in place to ensure service users clothes could be laundered appropriately and disinfection standards met. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 21 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34,35 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. A qualified and competent staff team are available to ensure services users needs can be met, however service users safety will be further enhanced once all staff have undertaken the required training. Lack of available records regarding the recruitment practices in place meant that this standard could not be fully assessed. EVIDENCE: The recruitment of staff was organised through the personnel department, although the management team were involved in the selection and interview process. All recruitment records were therefore kept within the personnel department, which meant that it was difficult to assess the recruitment practices, as most records were not available to inspect. This included full employment histories within application forms, which were not available to inspect as application forms were returned to the personnel department once interviews have taken place. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 22 The last inspection report had therefore requested a photocopy of application forms be kept at Ashlea prior to returning them to the personnel department, as this would have provided satisfactory evidence for inspection. However this had not been done. It was therefore agreed that for future inspections 48 hours notice would be given by the commission prior to inspection, to ensure the recruitment records of a selection of staff could be made available from the personnel department. A list of all staff names was available along with dates when a satisfactory criminal records bureau (CRB) check had been obtained from the personnel department this included the CRB reference numbers. This therefore provides satisfactory evidence that CRB checks have been undertaken. Ashlea has achieved and exceeded the national target of 50 of care staff achieving a National Vocational Qualification (NVQ) at level 2 in care. 83 of the staff team had achieved an NVQ in care and this included the residential social workers that had an NVQ at level 3 in care. Staff received training relevant to the needs of the service users; this training along with mandatory training was identified within staff supervision and included, infection control, food hygiene and moving and handling. All staff received fire training in July of each year and additional training was provided on a six monthly basis for night staff as required. As stated in standards 22- 23 eight staff had attended a one-day course in Safeguarding Adults, two staff had attended three-day course and two staff were waiting for a training date. Five staff had no record of safeguarding Adults training being undertaken. Discussions confirmed that this was due to a new database in place, which made some previous training records difficult to ascertain. It was confirmed that this would be looked into and if not already undertaken these five staff would be booked onto Safeguarding Adults training. A training manual was provided for staff that covered all of the training available within Derbyshire County Council. Staff were able to request all courses relevant to the needs of the service user group. Discussion with a member of staff confirmed this and comments made included “ training is excellent, what you put in for you usually get”. Two staff training files were looked at and both had evidence in place to demonstrate that training was kept up to date. The manager confirmed that physical intervention was discussed every 3 weeks at staff meetings. The manager was trained in physical intervention techniques and therefore was able to provide this training to the staff team. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 23 Staffing levels varied and were determined by the needs of the service users, although a fixed rota in terms of contracted hours was in place, which ensured a minimum of four staff were on duty throughout the day. One to one support was provided to service users whose assessed needs identify this requirement. This demonstrates that the home is staffed on a needs led basis ensuring that service users needs can be met. Information from service users and staff indicated there was sufficient staff available to ensure service users needs could be met. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service Service users benefit from a well run home and opportunities for feedback are provided to service users regarding the services provided to them at Ashlea EVIDENCE: The registered manager has a management qualification and is registered with the commission. All four assistant managers posts have now been filled. One member of staff was asked about her opinion of the manager and stated that “Dawn’s very fair and approachable, will listen to staff”. The quality assurance systems at Ashlea were looked at. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 25 Senior managers within Derby County Council undertook provider visits and evidence was in place to demonstrate this. Minutes of residents meetings were in place and it was confirmed by the manager that key workers fed any actions that were taken back to the service users. It was noted that minutes of meetings recorded service user comments but didn’t state who would address any areas where action was required. This was discussed with the manager. To demonstrate to service users, their relatives/carers, friends and other interested parties that service users views and opinions influence the running of Ashlea consideration should be given as to how this could be evidenced, and as stated on the last inspection report the development of a regular newsletter could provide this evidence. Some of the service/maintenance documentation were looked at and indicated that service users are protected by robust procedures, with all evidence of moving and handling equipment, gas and electrical services having been suitably checked/maintained. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 26 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 3 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 3 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 27 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 YA34 Regulation 17(2) Sch 2 Requirement Evidence of a full employment history, including months and years, must be obtained for all new staff that are appointed. (Not seen at this inspection therefore timescale extended) All staff employed at Ashlea must undertake Adult Protection Training. Timescale for action 01/09/07 2. YA23 13 (6) 01/09/07 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 YA39 Good Practice Recommendations To demonstrate to service users, their relatives/carers, friends and other interested parties that service users views and opinions influence the running of Ashlea consideration should be given as to how this could be evidenced. Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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 Ashlea Hostel DS0000036149.V337482.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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