Inspection on 06/07/06 for Ashlea Lodge Residential Home

This inspection was carried out on 6th July 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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ashlea Lodge Residential Home 02/11/09

Ashlea Lodge Residential Home 29/07/09

Ashlea Lodge Residential Home 12/05/09

Ashlea Lodge Residential Home 06/03/09

Ashlea Lodge Residential Home 15/05/07

Ashlea Lodge Residential Home 29/11/05

Ashlea Lodge Residential Home 03/06/05

Ashlea Lodge Residential Home 13/12/04

Ashlea Lodge Residential Home 22/07/04

Ashlea Lodge Residential Home 12/03/04

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

CARE HOMES FOR OLDER PEOPLE Ashlea Lodge Residential Home Hylton Road Millfield Sunderland SR4 7AB Lead Inspector Sam Doku Key Unannounced Inspection 10:00 6 , 11 , 12 and 18th July 2006 th th th X10015.doc Version 1.40 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 Lodge Residential Home DS0000034296.V292994.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 Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashlea Lodge Residential Home Address Hylton Road Millfield Sunderland SR4 7AB 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) 0191 510 9405 0191 510 9406 Winnie Care Ltd Maureen Curry Care Home 40 Category(ies) of Dementia (4), Dementia - over 65 years of age registration, with number (11), Old age, not falling within any other of places category (40), Physical disability over 65 years of age (8), Sensory Impairment over 65 years of age (5) Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 29th November 2005 Brief Description of the Service: Ashlea Lodge is a two-storey building, which has been specifically designed to provide personal care for older people who may have a variety of needs. The layout of the building allows for the home to be divided into three separate units and each contains a lounge, dining room, kitchen, bathroom, toilets and en suite bedrooms. A garden, which is accessible to people who use a wheelchair is at the rear of the building and there is a car park at the front. The home is located close to St Marks Church and a GPs surgery, both of which are easily accessed. The metro line has a station within walking distance from the home. In addition, there is a regular bus service, which stops opposite the home. Ashlea Lodge is situated relatively close to a shopping area, which has a post office, grocers and public houses. The home is registered to admit 40 people who may have physical disabilities or who may have dementia type illness. The home is owned by Winney Care Limited. The scale of charges for the home is £346.00 to £361.00 per week. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was conducted over three days and involved one inspector. The main inspection activities took place on the 11th and 12th July and a final feedback to the management on 18th July 2006. Prior to the inspection date, questionnaires were sent to the service users and relatives for completion. Five responses were received from relatives and two from service users. All the responses were positive about the quality of the service. The home is well equipped with aids and adaptations suited to the client group’s age and lifestyle preferences. The home has plenty of space in all areas. It is popular with service users and their families, and there is a great deal of involvement by the local community. This inspection process involved talking to service users, visitors, sitting in the lounge and observing staff interaction with the service users, discussions with the Manager and care staff, tour of the house, examination of health and safety records and service users’ personal file including care plans. The atmosphere in the home was calm and peaceful and service users and relatives were able to express their views freely to the inspector. What the service does well: All parts of the home were clean and are maintained to good standards. The home has benefited from a recent refurbishment programme with new chairs and curtains for some areas of the home. The dining areas are pleasantly furnished and provide beautiful and relaxing setting for the service users. The home positively encourages service users to use local facilities, thus maintaining their links with the local community. The home provides good training for the staff. Thirteen of the staff have acquired NVQ Level 2 and five are currently undertaking the NVQ training in care. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4, 5. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The manager receives appropriate assessments from the social worker or one is carried out by the home before admissions are arranged. This enables the home to determine the care needs of the person and formulate care plans to meet those needs, thus meeting the needs of the service users. The home actively encourages prospective service users to visit the home, meet with staff and other service users before deciding on whether or not to choose to live at Ashlea Lodge. This provides the opportunity for prospective service users to make informed choice about their choice of home. EVIDENCE: It is the home’s policy to receive social work assessment or carry out their own before admission is arranged. The files of those recently admitted indicate that the home adheres to its policy. This ensures that the care needs are properly assessed and the home establishes whether or not it has the resources and the skills to provide the service for the individual. Service users and relatives Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 9 confirmed that before they chose Ashlea Lodge they were confident that the home could meet their needs or those of their loved ones. All prospective service users are invited to visit the home to meet with other service users and staff. This arrangement is included in the Service User Guide, copies of which are available to all service users. Service users described their experience of visiting the home with the families before deciding on making the final decision to come and live at Ashlea Lodge. A number of service users and relatives described this as a very useful opportunity to view the home, meet other service users, the staff and have the opportunity to ask questions about the service. A number of examples were given by relatives, service users and staff about the usefulness of this practice which has helped those involved in making their decisions about the home. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9, 10, 11. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. Service users care plans provide detailed action plan on meeting the needs of the service users. This ensures that staff carry out care tasks in a consistent manner for the benefit of the service users. However, the care plans need to be reviewed regularly to reflect the changing care needs of the individuals. Medication systems are safe and appropriate and service users receive appropriate medication thus promoting their health and welfare. The home has good care planning procedures in place to care for those who are approaching death, which promotes their welfare and comfort. However, staffing level should be increased at such times when needed to ensure that sufficient time is allocated to the person without adverse effect on the other service users. EVIDENCE: The care needs of the service users are fully met. The files contain details of visits to GPs, hospital consultants, chiropody treatment, opticians, dentists and Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 11 other healthcare professionals. Service users confirmed that there are suitable arrangements in place for meeting their healthcare needs. They stated that staff would always make appointments for them to see their GPs and other professionals. Families also confirmed that the healthcare needs of their relatives are fully met thus promoting their health and welfare. A sample of service users care plans was examined. They gave good assessment information and identified service users health, personal and social care needs. However, in two of the four cases reviewed, it was evident that the care plans did not reflect their current care needs. The two people’s care needs had deteriorated dramatically but their care plans have not been reviewed to reflect their current care needs. Appropriate health and other risk assessments were in place for such areas as falls and maintaining a safe environment for self and others through proper handling. In conversations with staff they demonstrated awareness of service users needs and of how they meet them. Relatives spoken with said they felt their relatives’ needs were being met satisfactorily. The home has good care practices in the care for people who are approaching death. At the time of the inspection one service user required intensive care routines due to failing health and the approach of death. The care practices were of good standard and staff were able to support the service user, the husband and the family during this time. Relatives were very complimentary of the support and care provided by the home, which they felt made the loss of their loved one more bearable for them. Inspection of the arrangements for the storage, ordering, receipt, administration and disposal of medicines was carried out and were satisfactory. The medicine administration records (MAR) were generally well kept with clear records made. Suitable arrangements are in place for the appropriate disposal of medicines including controlled drugs. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. On the whole, the practices in the home enable service users to exercise choice and to maintain lifestyle that is not too dissimilar to what they would want. This promotes healthy lifestyle for them. However, staff commented that sometimes service users are not offered the choice regarding whether or not they wish to engage in social and recreational activities. EVIDENCE: A number of service users confirmed that the staff support them to continue to engage with the local community. One service user described the support he receives from the staff to enable him to continue to visit the local pub for a drink and to meet with friends. The service users regularly use community facilities such as the local shops, visits to the hairdresser, GP appointments and local church. Staff commented that the local Salvation Army visits the home regularly to talk to the service users. The local vicar visits the home on regular basis to offer church service and communion to those who wish to have it. This ensures that the spiritual and religious needs of the individuals are met. A number of service users commented again on this inspection that there is nothing to do and that they would like meaningful activities such as bus trip to Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 13 places of interest and bus rides along the coast. However, there is evidence that in recent months the have been organised trips to the theatre, a drive to the coast, visits the local pub and Bingo hall. During the inspections visit it was evident that the staff were engaging the service users in activities that were stimulating and service users appeared to be enjoying the experience. However, in discussions with staff, some expressed doubt about whether or not service users have a choice in what activities they would like. Some staff felt that some service users, particularly those with dementia were not given the opportunity to make decisions as to whether or not they would want to engage in such recreational and social activities. In the words of one staff member, “residents are forced to take part in social and recreational activities”. Such practices are infringements on individual’s rights and dignity and must cease. However, the manager and some staff denied that service users are forced to engage in social and recreational activities. Service users and staff confirmed that service users have regular contacts with families and friends. During the inspection visits a number of people were visiting the home to see their relatives. Relatives confirmed that staff regularly contact them if there are changes in the conditions of their relatives. The relatives were happy with the flexible visiting times, which enable them to visit at times convenient to them. This ensures that service users are in regular contact with the community and their relatives. Past menus show that the home provides homely and nutritious meals for the service users. Service users were very complimentary of the food and the choice of meals provided in the home. This ensures that the service users dietary needs are met. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 16, 17, 18. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home has a clear and easy to understand complaints policy, which is accessible to the service users and relatives. This provides the opportunity for individuals or relatives to raise concerns and in so doing exercising their rights. Suitable arrangements are in place, which ensure that service users are protected from all forms of abuse and to protect their rights. EVIDENCE: The home continues to display the complaints in the home for the benefit of the service users and visitors. It is also included in the service user guide thus making it accessible to both service users and visitors. Service users who were spoken with stated that they are aware of the complaints procedure. Suitable training on the protection of vulnerable adults (POVA) has been provided for the majority of the staff working in the home. The staff who were spoken with showed an understanding of the POVA procedures and an awareness of the need to protect service users from all forms of abuse. The current manager has reviewed the staff files following the recommendations from the last inspection report. All staff have had CRB checks and the files now contain application, references, ID checks or CRB check. The improved employment policy has the benefit of protecting service Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 15 users from abuse from people who would otherwise be considered not suitable to work with vulnerable people. Service users indicated that if they have any concerns they felt confident to raise it with whoever is in charge or any staff without fear of intimidation. Service users confirmed that their rights are respected by the staff. This was also confirmed by the relatives who were visiting the home. Service users spoke about their past involvements in postal voting during local and national elections. Staff confirmed that all service users have been registered to receive postal votes. This ensures that the service civic rights are protected. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25, 26. Quality in this outcome area is good. This judgement has been made from evidence gathered both during and before the visit to this service. The home provides accommodation of a good standard. It is a safe, clean and comfortable environment, and promotes the service users’ privacy, independence and self-esteem. EVIDENCE: Ashlea Lodge is a home designed to accommodate older people, some of whom may have mobility problems. Access into and within the home is good and meets the needs of those service users who have mobility difficulties or have use of walking aids such zimmer frames or wheelchairs. There is specialist bathing facilities to promote independent use by those who are capable of doing so. All the bedrooms and toilets have suitable lock on the doors. This provides the opportunity for service users to remain independent and to enjoy good levels of privacy. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 17 The home has benefited from recent re-decoration programme. New furniture and curtains have been purchased providing a warm, pleasant and comfortable environment for the service users. The dinning rooms are beautifully furnished and set which enhances the self-esteem of the service users. The home is close to local shops, other amenities, and to local transport routes. Staff support service users to visit the local shops and access local amenities. Those service users who have had such support expressed their gratitude for the opportunity to continue to visit the local facilities. Window restrictors have been fixed to all windows and all radiators have suitable coverings which ensures security and safety for the service users. Checks of hot water at randomly selected bathrooms confirmed that hot water did not exceed 43°c. thus protecting the service from accidental injuries. The home has written policies and procedures relating to safe handling of hazardous materials for staff to follow. The manager indicated that staff have had training in health and safety, infection control and food hygiene. The home was noted to be clean and free from offensive odour. This enhances the self-esteem of the service users. The laundry machines have facilities for sluicing and washing foul linen at very high temperature to avoid the spread of infection. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. The home provides sufficient staffing complement, which meet the needs of the service users. However, the staffing levels had not been reviewed in line with demands for extra care at a time when this was needed. Suitable arrangements for staff training and supervision are in place, which ensures that staff are reasonably equipped to provide good quality service that benefits the service users. EVIDENCE: Past staff rotas showed staffing levels being consistently maintained. Staff confirmed that the home has maintained the appropriate staffing levels which ensure that care needs of the service users are met. Service users and relatives also indicated that there are always sufficient staff on duty to meet the needs of service users. However, during the time of the inspection, there were clearly periods when extra staff should been provided to meet the intensive care needs of two service users who were poorly. Staff were particularly concerned about the increased number of staff scheduled to be on duty for the arrival of the inspector when similar staff levels were not available when the needs of two service users required it. This concern was also raised by two service uses who described two previous days as “terrible, the girls on Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 19 the evening shift never had time to sit for a cup of tea. They were so busy looking after the two poorly people as well as the rest of the residents”. The manager must ensure that staffing levels are increased in accordance with the care needs of the service users to ensure that their needs are adequately met. The home continues to place emphasis on training the care staff to NVQ Level 2 or above. The manager confirmed that 13 have NVQ level II and 8 are currently undertaking such training. Staff who have had NVQ training spoke of how the training had boosted their confidence in their care practices for the benefit of the service users. Discussions were held with the manager and her line manager about staff relationships and dynamics. The current situation has the potential to undermine the whistle blowing policy and practice, given the familial relationships that exist between staff. The company needs to be assured and confident that the whistle blowing policy will be adhered to by all staff. The training log shows that staff have had training in moving and handling, first aid, fire safety training, food hygiene, dementia awareness and protection of vulnerable adults awareness training. Such training protects the welfare and safety of the service users. The records of the most recently appointed staff were examined. These contained evidence of good recruitment procedures being followed. This ensures that the service users are protected from possible abuse from people who would be deemed as not suitable to work with vulnerable people. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 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, 36, 38. Quality in this outcome area is adequate. This judgement has been made from evidence gathered both during and before the visit to this service. On the whole manager runs the home for the benefit of the service users. This has created a sense of empowerment with the service users and has enhanced their self-esteem. However, the manager needs to address the issues of discontent amongst some staff members, which if not addressed could have a detrimental effect on the day to day management of the home. It is acknowledged that the manager is new in post and the inspector was assured by the line manager that this issue would be addressed as a matter of urgency. The system for managing the service users monies is good and protects them from financial abuse. The detailed organisational policies and procedures on health safety and welfare are adhered to by the staff, which protects the welfare of the service users. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 21 EVIDENCE: The manager has long experience of working in a care home and has had good management experience in care settings. She has acquired the registered managers award. This training has further enhanced her skills for the benefit of the service and the service users. Some staff described the manager as efficient and indicated that she runs the service for the benefit of the service users and has positive relations with the staff. Similar comments were also made by some of the service users. Service users described how the staff regularly consult with them about issues relating to their care. They confirmed that this gave them a sense of empowerment and respect for the rights to be consulted in matters relating to them. However, some service users and staff members felt that the new manager could be a bit more approachable and less officious. Some staff seem to be unhappy with the recent changes in the management of the home and the new routines that had been introduced by the manager. This seem to be creating discontent amongst some staff which must be addressed in order to ensure smooth running of the home for the benefit of the service users. These concerns were communicated to the manager and her line manager for consideration. There are arrangements in place for staff to receive regular supervision from the manager. Staff confirmed that individual supervision arrangements are taking place but this is not at the frequency to meet the national minimum standard. The manager confirmed that there are plans to catch up with the required frequencies as senior staff have been appointed and training in this respect would be given to enable them to conduct supervision with the care staff. Staff who have had supervision confirmed that this has enhanced their skills and confidence and enable them to provide good quality care for the service users in their care. The home has detailed Health and Safety policies. These cover policy areas such as fire prevention and Care of Substances Hazardous to Health (COSHH). The manager stated that staff have had training in food hygiene, fire precaution and first aid. Such training ensures the health and safety of the service users and the staff. All portable appliances have been tested. A record is maintained of monthly water temperature tests in the home. There is evidence of regular servicing of fire equipment, gas and electrical appliances being carried out by the Company. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 22 All the servicing records that were examined were up to date. These included fire fighting equipments, servicing of hoists, lift servicing, water treatment, electrical installation and gas servicing. Up to date servicing and maintenance of these services and equipments ensure a safe environment for the service users and the staff who work there. A record is maintained for those service users for whom the home handles their personal allowances. The details indicate that the service users monies are safe and managed well, thus preventing any possible financial abuse. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 23 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 2 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 X X X X X 3 3 STAFFING Standard No Score 27 2 28 2 29 2 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 2 2 3 X 3 X 3 Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 24 Are there any outstanding requirements from the last inspection? Yes 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 OP12 Regulation 16(2)(m) Requirement Service users must be consulted with the view to providing recreational and social activities which, should take account of individual interests and preferences. Social activities must be organised in a way that give residents the choice of whether or not to participate. Staffing levels must remain under review and increased where necessary to take account of the increasing care needs of the service users. Suitable references for staff must be obtained for staff which reflect employment history of the applicant. The home must be managed in a way that would ensure that there are no potential situations that would undermine the company’s policy on whistle blowing. Timescale for action 01/10/06 2 OP14 16(2)(m) 01/10/06 3 OP27 18(1)(a) 30/08/06 4 OP29 19(4)(c) 18/07/06 5 OP32 12(5)(a)( b) 01/10/06 Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 25 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 OP29 Good Practice Recommendations The induction programme for care staff should be implemented according to the guideline for inducting staff into the workplace. Ashlea Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 26 Commission for Social Care Inspection South of Tyne Area Office Baltic House Port of Tyne Tyne Dock South Shields NE34 9PT 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 Lodge Residential Home DS0000034296.V292994.R01.S.doc Version 5.2 Page 27 - 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. 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