Inspection on 31/05/06 for Ashlea Hostel

This inspection was carried out on 31st May 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 5 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashlea Hostel 23/05/07

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 31st May 2006 01:30 Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 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 Derby City Council Mrs Dawn Julie Repton Care Home 22 Category(ies) of Learning disability (22) registration, with number of places Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 6th January 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. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was an unannounced key inspection, which inspected the home against all the key national minimum standards. The inspection took place over a 3 ½ hour period. On the day of inspection 12 service users were in residence at Ashlea, 2 of these service users were accessing 2 of the homes 4 emergency beds, and the other 10 residents were taking planned respite. 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. 2 staff and 3 service users were spoken with at length. The registered manager was not on duty on the day of inspection, however the 2 deputy managers that were on duty were very helpful throughout the inspection in providing the required documentation and information. What the service does well: What has improved since the last inspection? Improvements were seen in the support plans that are being developed from the original care plans that were in place. The support plans are being Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 6 developed with service user involvement and from the viewpoint of the service user. The heating and water systems at the home have been upgraded The majority of staff at the home have undertaken training in the Protection of Vulnerable Adults, and the remainder of staff are awaiting dates for this training. A list of staff who work at the home and the dates they received satisfactory enhanced criminal records bureau checks is now available. 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 Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 The admission procedures of the home allowed service users and their carers to have the information they needed to make an informed choice regarding Ashlea, and an assessment of service users needs prior to admission ensured the service users needs could be met. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. EVIDENCE: Each referral for respite was undertaken through an assessment of need that was undertaken through the local authority’s care management team. On receipt of the care plans that have been developed through the needs assessment, a key worker from Ashlea then visited the service user and their family/carer at their home to provide information about the service offered at Ashlea. The key worker also visited the Service at their day opportunity placements, which enabled the key worker to gather additional information regarding the abilities, needs and preferences of the service user. The service user then visited Ashlea to look around, and then tea visits were organised, which then (at the pace and choice of the service user) lead to overnight stays and planned respite. This demonstrates that the service is needs led and that the service user and their family/carers needs are taken into account during the phased introductory period. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 9 Of the two files examined both had evidence in place, which demonstrated that the above procedure had taken place and both had care plans in place that had been developed by the care manager from the initial needs assessment. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,9 Staff had the information they needed within the care planning systems to ensure that service users needs could be met and their independence maintained when possible. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The two service user files seen were organised well and allowed staff to access information easily. Support plans were being developed with service user involvement and were written from the service users viewpoint regarding the support they required. These support plans were dated but had not been signed by the resident, this was discussed and agreed that as a matter of good practice and to evidence service user involvement signatures should be obtained from all service users that are able to do. The majority of service users also access other services, such as day services and reviews are held regularly regarding these services, including the care and service provided at Ashlea.However as these reviews may not coincide with the service users stay at Ashlea it is recommended that to ensure any changing Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 11 needs are identified and met that service users careplans, support plans and risk assessments are reviewed at each admission, or on a monthly basis for service users who access the service on more than one occasion a month. Service users were encouraged to take reasonable risks and evidence of this was seen within the risk assessments looked at. Independent advocates ‘chair’ service user group meetings at Ashlea on a monthly basis. The minutes of these meetings are then fed back to the staff and any improvements or changes requested are identified and actioned accordingly. 2 of the residents have their own designated independent advocates that support them in specific areas of their lives. This demonstrates that residents are supported to make decisions regarding their own lives and the care provided to them at the home. Service users are supported to manage their own monies when possible. Lockable facilities are available within each bedroom if required for safe keeping of any monies. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 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 at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12,13,15,17 Residents are actively supported to find and maintain appropriate employment and participate within local community activities that are appropriate to their interests and hobbies. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The majority of service users attend day services or the local college as part of their day opportunities placement. Some of the service users were employed at local charity and coffee shops. One gentleman who previously accessed Ashlea for respite care has successfully gained employed at Ashlea to undertake general domestic duties. To ensure that his status as a member of the staff team at Ashlea is maintained, this gentleman now accesses another service for his respite care. This gentleman has been supported by the staff at Ashlea in maintaining his employment and this was evidenced within the records and documents seen. 3 service users that were spoken with confirmed that they were able to make use of the local community facilities and services with staff support as Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 13 required, this included trips out to the local pub and shops. 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. Service users spoken with also confirmed that barbeques were also provided at Ashlea during the warmer weather. One to one support was provided for service users that required this, and this gave these service users the opportunity to access community facilities and activities both within and outside of Ashlea. Ashlea does not have its own vehicle, but at evenings and weekends the day service vehicle is used for service users if needed. The majority of service users attend Ashlea on a respite only basis; therefore they are 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 is open at Ashlea for any service users who do wish to receive visitors and the staff at Ashlea openly encourage visitors. Service users are not able to prepare meals within the main kitchen at Ashlea, and a cook is employed to prepare meals during the week, staff prepare meals at the weekend. Service users spoken with stated that they were not allowed to use the kitchen to prepare drinks, snacks or meals and stated that they would like to do this, however they did confirm that they were able to request drinks whenever they wanted to and these would be prepared for them. It was noted that a water cooler machine was accessible to residents within the main reception area for any residents who chose to use this. It was stated by one of the deputy managers that a service user upon request had recently baked a cake with staff support, using the kitchen within the rehabilitation unit and that another resident who lives in the assessment flat prepares their own meals with staff support as required. Menus ran over an 8-week period across the 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. 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. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 14 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18,19,20 Service users independence is promoted and encouraged, care needs are supported by staff as required, and the method of this support is discussed and agreed with the service user whenever possible. Quality in this outcome area is good. This judgement has been made using the available evidence including a visit to the service. EVIDENCE: Evidence was in place in support plans that demonstrated 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 spoken with confirmed that times for going to bed and getting up were flexible, but stated that in the week they chose to retire to bed a little earlier to enable them to get up for their day placement opportunities. Service users had access to health care services as required such as General Practioners, dentists, opticians and other NHS health facilities. As the majority of service users lived at home appointments with health care professionals were generally arranged by the service users family/carers, however it was Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 15 confirmed by one of the deputy managers that staff at Ashlea were able to escort service users to any heath care appointments if required. The medication practices at Ashlea were inspected and continue to be well managed. Staff received medication training from the local pharmacist and discussions with both deputy managers demonstrated a good understanding and awareness of medication practices with regard to the receipt, storage and administration of medicines within a risk management framework. A thermometer to monitor the temperature of the clinical fridge used to house medication that required cold storage was in place, and although there was no medication requiring cold storage on the day of inspection fridge temperatures were not being recorded, however before the end of the inspection fridge temperature-monitoring sheets had been put in place by one of the deputy managers. This further demonstrates the homes efficiency in ensuring that all areas of service users welfare are met. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22,23 Ashlea’s complaints procedure is provided in an appropriate format for service users, and independent support is available to ensure service users are able express their views and opinions, but all formats of the complaints procedure must provide information that states complaints will be dealt with within the required timescale. Systems to ensure service users were safeguarded from abuse were in place, and when all of the staff team have received training in this area this will ensure these systems are influential. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The complaints procedure at Ashlea was available in different formats to ensure that it was accessible to all the service users, family, visitors and friends. However some formats of the complaints procedure did not state the required timescale - that all complaints will be responded to within 28 days. Advocacy services were used for service users as required and could be used to assist service users in any areas of concern they had. 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. The complaints log was seen and the home had received 4 complaints this year and evidence within the complaints log demonstrated that these complaints had been listened to and dealt with appropriately. The Commission had received no complaints regarding Ashlea since the last inspection. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 17 Service Users spoken with stated that if they had any concerns or complaints they would speak to the staff. The majority of the staff team had undertaken training in the Protection of Vulnerable Adults, and those staff that had not undertaken this training, which included domestic staff, were awaiting dates to do so. Systems were in place for the safe keeping of residents finances and some financial transaction records kept for residents monies were seen and found to be thorough in detail with two signatures recorded for each transaction, this demonstrated that the home ensures that robust practices are in place to protect residents from financial abuse. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 18 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24,30 Service users were provided with a comfortable, clean environment, although further work is required to ensure the safety of service users is maintained. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: In general Ashlea provided a bright, cheerful and clean environment for the service users. Service users spoken with stated they enjoyed coming to Ashlea and said the bedrooms were o.k. and confirmed they had enough space for their belongings within the bedroom. Due to the major pipe work that had been undertaken some of the bedrooms required redecoration, and two toilet areas had exposed pipe work that was hot to the touch. Staff confirmed that service users had access to these toilets. The enclosure of all hot water pipes should be undertaken as priority to ensure that service users are protected from the risk of heat burns. A sensory room was available for service users at Ashlea, which provided a therapeutic relaxing atmosphere for service users who wished to used this facility, however due to the width of the door frame this room was not accessible to some service users who used wheelchairs. One of the deputy Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 19 managers discussed plans to adapt two of the bedrooms (that are used for service users with physical disabilities) to provide sensory equipment within them. Due to the size and length of some of the service users wheelchairs the wardrobe space had been reduced to allow access for staff to manoeuvre service users in their wheelchairs within these rooms. A chest of drawers was also available within these rooms for clothes storage. The main laundry area provided a washing machine with a sluicing facility to ensure that any soiled laundry could be washed thoroughly to control the risk of infection. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 20 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31,33,34,35,36, A competent, qualified staff team whose roles and responsibilities are clearly defined supports Service users within their daily lives. Further evidence is required to demonstrate the recruitment procedures that are in place. Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to the service. EVIDENCE: All staff were provided with job descriptions and a copy of the General Social Care code of conduct, new staff attended induction training that was provided by the local authority. 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. A list of staff’s names who had a satisfactory criminal records bureau (CRB) check had been obtained from the personnel department and once the CRB reference numbers are supplied with these names and dates, this will provide satisfactory evidence that CRB checks have been undertaken. Full employment histories within application forms were not available to inspect as application forms are returned to the personnel department once interviews have taken place. A photocopy of application forms kept at Ashlea Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 21 prior to returning them to personnel will provide satisfactory evidence for inspection. Staff received training relevant to the needs of the service users; this training along with mandatory training was identified within staff supervision. Ashlea has achieved and exceeded the national target of 50 of care staff achieving a National Vocational Qualification (NVQ) at level 2 in care and the majority of residential social workers had an NVQ at level 3 in care. Formal recorded supervision was undertaken on a regular basis, although both the deputy managers and staff spoken with stated that supervision had not been undertaken on a monthly basis recently due to the updating of records for service user care and support plans. However the home exceeds the recommendations regarding supervision and staff spoken with stated that the management of Ashlea were very supportive and approachable and made themselves available to staff whenever required. Staffing levels vary on a shift-to-shift basis throughout the day and night and are determined by the needs of the service users. One to one support is 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. Service users spoken with said they felt there was sufficient staff available to support their needs. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39,42 Service users benefit from a well run home that provides opportunities for feedback to be sought from service users about the services provided at Ashlea. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to the service. EVIDENCE: The registered manager has a management qualification and has been registered with the Commission for Social Care Inspection. The two deputy managers supported the manager and both were responsible for various aspects of the management of the home. Two deputy managers post still remain vacant at the home. Staff spoken with were very complimentary regarding the management performance and stated that both the manager and the 2 deputy managers were supportive and provided a clear sense of direction and leadership. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 23 Systems were in place to ensure service users views were sought and fed back to the management of the home, were any action required would be taken or fed back to the service manager as required. (See standards 6-10) 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, discussions took place regarding the development of a regular newsletter that could provide this evidence. Several records were seen regarding the servicing of equipment and maintenance of the home along with health and safety records, this included; gas safety, hoist, bath and bed maintenance, bath temperatures, portable electrical equipment testing, fire alarm and emergency lighting testing and service certificates. All records seen were up to date and satisfactory. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 24 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 2 23 2 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 2 35 3 36 3 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 X 12 3 13 3 14 3 15 3 16 X 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.V294747.R01.S.doc Version 5.1 Page 25 Yes 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 YA22 Regulation 22 (4) Requirement All formats of the homes complaints procedure must state that complaints will be responded to within 28 days Hot water pipes that are accessible to service users must be enclosed to reduce the risk of heat burns. All staff employed at Ashlea must undertake Adult Protection Training. Evidence of a full employment history, including months and years, must be obtained for all new staff that are appointed. Satisfactory evidence of Criminal Record Bureau (CRB) checks must be been obtained for all staff working at the home, including day service workers. Timescale for action 01/08/06 1. YA24 13 (4) (c) 01/07/06 2. 3. YA23 YA34 13 (6) 17(2) Sch 2 01/09/06 01/08/06 4 YA34 19 01/08/06 Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 26 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 YA6 Good Practice Recommendations Support plans should be reviewed at the time of each admission, to ensure that they were still appropriate to the needs of that individual person. Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 27 Commission for Social Care Inspection Derbyshire Area Office Cardinal Square Nottingham Road Derby DE1 3QT 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 Ashlea Hostel DS0000036149.V294747.R01.S.doc Version 5.1 Page 28 - 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!