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Inspection on 09/08/08 for Ashleigh House Nursing Home

Also see our care home review for Ashleigh House Nursing Home for more information

This inspection was carried out on 9th August 2008.

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. These are things the inspector asked to be changed, but found they had not done. The inspector also made 13 statutory requirements (actions the home must comply with) as a result of this inspection.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

Not applicable.

What has improved since the last inspection?

Not applicable.

What the care home could do better:

Not applicable.

CARE HOME ADULTS 18-65 Ashleigh House Nursing Home 107 Gorge Road Coseley Wolverhampton West Midlands WV14 9RH Lead Inspector Cathy Moore Unannounced Inspection 9th August 2008 17:45 Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashleigh House Nursing Home Address 107 Gorge Road Coseley Wolverhampton West Midlands WV14 9RH 01902 880886 01902 887738 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) Ashleigh Healthcare Limited Manager post vacant Care Home 19 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (19) of places Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. Recovering mentally ill aged 19 years to 60 years The home can accommodate one named service user over the 60 years age limit. 25th September 2007 Date of last inspection Brief Description of the Service: Ashleigh House is a care home providing nursing care and accommodation to 19 adults with enduring mental ill health. It is owned by Ashleigh Healthcare Ltd and is part of a group of care homes providing a variety of care services. The home is located in the Coseley area of Wolverhampton and is on a main bus route into the city. Local shops, pubs and local amenities are close by. The home consists of a two-storey building, which has been converted to provide accommodation of 17 single occupancy bedrooms and one twin room. There is a dining room, two lounges and a designated smoking lounge. This service at the present time is not operating. Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The Quality rating for this service is 0 star. This means that the people who use this service experience poor. This is the rating applied following our last full key inspection .We visited the service on the ninth August 2008 and found it to be none operational. There was no one in the building or grounds. We therefore carry over the last rating, which is poor 0 star. What the service does well: What has improved since the last inspection? What they could do better: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 6 Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not assess any standards. Quality in this outcome area is poor. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 9 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not reassess any standards. Quality in this outcome area is adequate. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess, this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 10 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not reassess any standards. Quality in this outcome area is poor. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 11 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not assess any standards. Quality in this outcome area is adequate. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 12 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not assess any standards. Quality in this outcome area is adequate. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 13 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not assess any standards. Quality in this outcome area is poor. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 14 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not assess any standards. Quality in this outcome area is adequate. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 15 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): We did not assess any standards. Quality in this outcome area is poor. We made this judgement following our last key inspection. The service is not operating at the present time so we could not reassess this judgement therefore stands. EVIDENCE: Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 16 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 x 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 x 23 x ENVIRONMENT Standard No Score 24 x 25 x 26 x 27 x 28 x 29 x 30 x STAFFING Standard No Score 31 x 32 x 33 x 34 x 35 x 36 x CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score x x x x x LIFESTYLES Standard No Score 11 x 12 x 13 x 14 x 15 x 16 x 17 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score x x x x x x x x x x x Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 17 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 YA1 Regulation 4,5, Schedule 1 Requirement Timescale for action 09/08/08 2. YA6 15(1) The Responsible Individual leads development of a Statement of Purpose and Service Users’ Guide, in a suitable format, and available for all interested parties. Timescale of 21/06/05 not met. Outstanding from previous inspections. The Responsible Individual 09/08/08 must ensure each Resident’s Care Plan details any current, and anticipated care needs, and how these needs will be met. Time scale of 21/06/05 not met. Outstanding from previous inspections. 09/08/08 3. YA14 16(2)(m)(n) The Responsible Individual must ensure that Residents have, as part of the basic contract price, the option of a minimum seven-day holiday outside of the home, which they help to choose and plan. Time scale of 31/08/05 not met. Outstanding from previous inspections. DS0000017177.V370023.R01.S.doc Ashleigh House Nursing Home Version 5.2 Page 18 4. YA26 12(2) The Responsible Individual must ensure that Residents are fully consulted in decisions relating the redecoration of their own bedrooms. Outstanding from previous inspections. The Responsible Individual must ensure the bedroom furniture provided is in good order and fit for the purpose. Outstanding from previous inspections. 09/08/08 5. YA26 16(2)(c) 09/08/08 6. YA37 8(1) The Responsible Individual 09/08/08 must recruit a suitable manager and ensure that the application for a Registered Manager is forwarded to Commission for Social Care Inspection. Outstanding from previous inspections. The Responsible Individual must ensure, that for quality assurance and monitoring purposes the views of family, friends, and health care professionals need to be sought on how the Home is achieving the goals for service users. Time scale of 21/06/05 not met. Outstanding from previous inspections. 09/08/08 7. YA39 24(1) 12(1) 8. YA6 15(1)(2) The Responsible Individual 09/08/08 must ensure that the Residents and/or representatives are fully involved with the care planning process, including agreement to any changes. Time scale of 21/06/05 not DS0000017177.V370023.R01.S.doc Version 5.2 Page 19 Ashleigh House Nursing Home met. Outstanding from previous inspections. 9. YA14 16(2)(m) (n) The Responsible Individual must ensure Residents have access to and choice from a range of appropriate leisure and therapeutic activities. Time scale of 21/06/05 not met. Outstanding from previous inspections. The Responsible Individual must ensure that subject to a full assessment of risk, Residnts are offered a key to the front door. Time scale of 21/06/05 not met. Outstanding from previous inspections. The Responsible Individual must ensure that suitable and appropriate door closures are fitted where there is a need for doors to remain open, they must be linked to the fire alarm system to close effectively when the fire alarm is activated. Outstanding from previous inspections. 09/08/08 10. YA16 13(4)(b)(c) 09/08/08 11. YA24 23(4) 09/08/08 12. YA32 18(1) (a) The Responsible Individual must, having regard to the size of the care home, the Statement of Purpose, and the number and needs of Residents: (a) Ensure that at all times suitably qualified, competent, and experienced persons, are 09/08/08 Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 20 working at the care home in such numbers, as are appropriate, for the health and welfare of service users; (b) Ensure that the employment of any persons on a temporary basis at the care home will not prevent service users from receiving such continuity of care as is reasonable to meet their needs. Outstanding from previous inspections. 13. YA35 18(1)(c ) (i)(ii) The Responsible Individual must ensure that training in all core and specialist topics, and updates, are arranged for all staff. Time scale of 21/06/05 not fully met. Outstanding from previous inspections. 09/08/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 21 Commission for Social Care Inspection West Midlands West Midlands Regional Contact Team 3rd Floor 77 Paradise Circus Queensway Birmingham, B1 2DT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashleigh House Nursing Home DS0000017177.V370023.R01.S.doc Version 5.2 Page 22 - 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!