Inspection on 06/01/06 for Ashlea Hostel

This inspection was carried out on 6th January 2006.

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 3 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 31/05/06

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 Jo Wright Unannounced Inspection 6th January 2006 09:00 Ashlea Hostel DS0000036149.V277190.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.V277190.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.V277190.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.V277190.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th August 2005 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. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and the duration of the visit was approximately 7 hours. Time was spent speaking with staff and the small number of residents who were in the home at the time of this inspection. Records such as care plans (as part of the case tracking process, which is used to help determine how the home meets the needs of individual residents) were examined during this inspection. Other records such as medication records, personnel files and service certificates were examined. An assessment was made with respect to the requirements made at the last inspection of this service. The manager was present at the inspection, and the findings the inspection were discussed with her. What the service does well: What has improved since the last inspection? All of the requirements made in the last inspection report have been met. A handbook about the home was now available and had been provided to people who currently use the service. Clear information about what services people could expect and how much these would cost was provided in the terms and conditions/contract. Staff were better informed about the needs of people using the service, as information from care managers and social workers was provided before people were admitted to the home. This information and discussion with residents helped staff to develop support plans for each individual resident, so that people’s needs were appropriately met. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 6 The manager and the staff at Ashlea were aware of which young people currently using children’s services would be transferring to adult services in the near future. Staff were able to spend time with these young people building up a relationship, prior to them moving into adult services. 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.V277190.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.V277190.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): 1, 2, 4 and 5 The admission procedure ensured that a proper assessment and care plan was available prior to admission, and provided potential residents and relatives with assurances that the care needs could be met. EVIDENCE: Considerable efforts have been made to improve the admission procedure, and to ensure that information about peoples needs was obtained prior to them being introduced to the home. Care management assessments and care plans were in place for people currently using the services provided at Ashlea. Forward planning had identified a number of young adults who would be moving from children’s to adult services during the next 12 months. Phased introductions to the home were being planned, so that the young person and staff become familiar with each other and staff could assess the needs of the person. This included meeting the young person during school hours, and planned tea visits and overnight stays at Ashlea. A handbook containing ‘what you need to know’ information about the home was provided for people using the services at Ashlea. Although minor amendments were required, this booklet contained useful information for existing residents and well as people new to the service. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 9 Terms and conditions/contracts had been developed for residents using the services at Ashlea. These were in the process of being issued to all residents/carers who use the respite services provided at the home. Ashlea Hostel DS0000036149.V277190.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 and 9 There was a clear and consistent care planning system in place, which adequately provided staff with the information they need to satisfactorily meet people’s needs. EVIDENCE: Residents file were well organised, allowing staff to retrieve information easily and quickly. Residents had been assisted by key workers in the development of individual support plans, which outlined the support they required from staff to maintain their day to day routines. These plans provided sufficient detail for staff to provide consistent care to fully meet resident’s needs. People using the services at Ashlea often receive services outside the residential setting. Although the care and service they receive is reviewed regularly, this may not coincide with a stay at Ashlea. The manager was advised to review the support plans at the time of each admission, to ensure that they were still appropriate to the needs of that individual person. People using the services at Ashlea were encouraged to take reasonable risks, which were identified and planned for through risk assessments. These Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 11 assessments had been updated. Advocacy services continue to visit on a regular basis and support people using the service. Ashlea Hostel DS0000036149.V277190.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, 14 and 15 People using the service were supported to develop as individuals and to join in with appropriate activities. Friendships and family contacts were encouraged and maintained as appropriate. EVIDENCE: People using the services at Ashlea were encouraged and supported by staff to develop and maintain their skills, and this was reflected in the support plans. People were encouraged to participate in appropriate educational activities, and one person who uses the service had successfully gained employment with the local authority. As Ashlea provides respite and emergency stays, the majority of people using the service return to their own communities after each visit. The majority of people also attend day services or school, and these continue during their stays at Ashlea. Staff also support people with activities during the evenings and weekends, both inside and outside the home. Information about activities was clearly displayed around the home in a format suitable for the people using the service. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 13 Families and carers were encouraged to visit whenever they wished, and one family visited during the inspection. They commented that they were very happy with the services provided at the home, and that staff looked after their relative well when they visited for respite care. Ashlea Hostel DS0000036149.V277190.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 and 20 Residents personal and health care needs were met with support and assistance from staff. EVIDENCE: The personal support that people required from staff was clearly outlined in their support plans. These included information about all aspects of care, including bathing, dressing, and bedtime routines. Although routines within the home were kept to a minimum, during the week these were influenced by the routines of day services and pick up times by transport. Medication within the home continues to be well managed. Staff continue to receive training from the local pharmacist, and support from the management team within the home. The manager reported that she was making enquires about additional training through Boots the Chemist. The medication records supported that people were receiving their medication as prescribed. The systems in place for receipt of medication were being used consistently. A medication refrigerator had been provided, although there was no medication requiring cold storage at the time of this inspection. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 15 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 and 23 The home has a satisfactory complaints procedure with evidence that residents feel that their views were listened to and acted upon. Although systems were in place for protecting residents, not all staff had received training on these or were confident enough to use these, potentially placing residents at risk. EVIDENCE: The complaints procedure was available in the home in different formats, to assist peoples understanding. People had access to advocacy services, which would assist them to raise any concerns. People were asked routinely as part of the regular meetings chaired by advocacy, whether they were happy with the care and services provided at the home. Neither the manager nor the Commission has received any complaints about the care and services provided at Ashlea since the last inspection. The home follows the local authority Protection of Vulnerable Adults procedure. Discussion with staff indicated that not all staff had attending training on this procedure. The manager reported that a Whistle blowing policy had just been sent to the home, and would be shared with all staff. Discussion with the manager indicated that not all staff were confident to use the policies available to them and raise any concerns, although this was being addressed. There have been no referrals through the Protection of Vulnerable Adults procedures since the last inspection. Robust systems were in place at the time of the last inspection to safeguard residents monies. Access to residents monies was limited to two members of the management team. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 16 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 Residents were provided with a safe and comfortable environment. EVIDENCE: Ashlea continues to provide accommodation for people on short term care and emergency admissions for up to eight weeks. People requiring longer term care move on to alternative accommodation following their stay at the home. Efforts had been made to provide a homely environment, although this was difficult due to the layout of the building. The home was clean and tidy at the time of this inspection. The majority of the home had been closed for a period of time during November and December 2005, in order to upgrade the heating and water systems. This work was still ongoing at the time of the inspection, although the majority has been completed. This has improved the heating throughout the building. On completion of the work, boxing in of pipe work and redecoration in areas will be required. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 17 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, 32, 33, 34, 35 and 36 People living at the home were supported by staff competent and qualified in the role that they perform. EVIDENCE: Recruitment of staff was organised through the personnel department, although the management team were involved in the selection and interview process. All staff were provided with job descriptions, and a copy of the General Social Care Council code of conduct and practice. New staff were employed on a six month probationary period, and attend induction training provided by the local authority. Staff files had been made available for this inspection, and a number of files were examined in detail. It was noted that full employment histories, including months and years were not available in all files seen, and it was not clear whether Criminal Record Bureau checks had been obtained for all staff, especially day service workers who also work at Ashlea. Staff received training which assisted them to meet the needs of the residents, as well as the mandatory training. This including training on how to deal with challenging behaviour (SCIP training), care of people with epilepsy and makaton training. The manager commented that as new people were starting to use the service, additional training would be required to equip the staff with the necessary skills and knowledge to care for them. Additional training needs Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 18 were identified and reviewed through staff supervision sessions. The home has achieved the 50 target of care staff trained to NVQ Level 2. People using the services at Ashlea benefit from a stable staff team, with the majority of staff having a good knowledge of their needs. Staffing levels vary depending on the needs of individual residents and the number of people using the service at any given time. However, the home works to a minimum of four staff on each day time shift. Management and staff confirmed that staffing levels were sufficient to meet the needs of the people using the service. Systems were in place to ensure that individual staff practice was supervised. The supervision of staff was divided between the management team. Each member of the team was responsible for organising the dates for supervision with individual staff, and putting these in the diary to ensure that they took place. The manager was responsible for supervising the deputy managers. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 19 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 and 42 This home was well managed, with safe working practices and systems that promoted the health, safety and best interests of people using the service. EVIDENCE: The manager has been registered with the Commission for Social Care Inspection, and has completed a management qualification. A team of two deputy managers (2 posts vacant) supported the manager, with each person responsible for various aspects of management throughout the home. The manager commented that she was well supported and supervised by the service manager, who visits the home on a regular basis, to carry out the monthly visits. Copies of the reports relating to these visits were available in the home. Systems were in place to consult residents and their families/carers about the quality and services provided at Ashlea. This was organised by the local authority, and feedback was given to the manager at the regular management meetings. The service manager also spoke with people using the service as Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 20 part of the monthly visit. Residents were also able to raise any issues or comments through the regular meetings chaired by advocacy services. Staff were provided with mandatory training, including infection control training. Systems were in place for recording attendance at training and highlighting when refresher training was due. A sample of service/maintenance records was examined (including equipment, gas and fire systems) and there was confirmation that equipment and services were properly maintained. Systems were in place for monitoring and maintaining safe hot water temperatures. Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 21 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 3 2 3 3 X 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 2 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 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 X X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 X 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 3 X X 3 X Ashlea Hostel DS0000036149.V277190.R01.S.doc Version 5.1 Page 22 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 YA23 Regulation 13(6) Requirement All staff must be fully aware of the Protection of Vulnerable Adults procedures and Whistle blowing policy and receive appropriate training. Criminal Record Bureau (CRB) checks must have been obtained for all staff working at the home, including day service workers. A full employment history, including months and years, must be obtained for all new staff who are appointed. Timescale for action 31/03/06 2 YA34 19 31/03/06 3 YA34 17(2) Sch 2 31/03/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 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. DS0000036149.V277190.R01.S.doc Version 5.1 Page 23 Ashlea Hostel 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.V277190.R01.S.doc Version 5.1 Page 24 - 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. 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