Random inspection report
Care homes for older people
Name: Address: Ashleigh Manor 1 & 3 Vicarage Road Plympton Plymouth Devon PL7 4JU one star adequate service 08/04/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Kim Fowler Date: 0 5 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Ashleigh Manor 1 & 3 Vicarage Road Plympton Plymouth Devon PL7 4JU 01752346662 01752336233 loretta_severn@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mrs Maureen Lawley,Miss Loretta Maher-Lawley care home 66 Number of places (if applicable): Under 65 Over 65 0 66 0 dementia old age, not falling within any other category physical disability Conditions of registration: 38 0 38 The maximum number of service users who can be accommodated is 66. The registered person may provide the following category of service: Care home only Code PC to service users of either gender whose primary care needs on admission to the home are within the following categories: Old Age, not falling within any other category (Code OP) Dementia (Code DE) - maximum of 38 places, Physical disability (Code PD) - maximum of 38 places Date of last inspection 0 8 0 4 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Ashleigh Manor is a care home and was Registered for 38 people, however the new extension is now complete and the home is Registered for sixty-six people who may have dementia and/or physical disabilities. The home does provide a small number of short-term respite care. Mrs Maureen Lawley, who is the Registered Manager, and Ms Loretta Maher-Lawley currently own the home. The home is a large detached house set within its own grounds in the residential area of Plympton. It is close to local shops and amenities and public transport is easily available. Some rooms are en-suite. The home has access for wheelchair users including a passenger lift and stair lifts and ramps to the garden. There is parking space available at the front of the home and has a large garden to the rear of the property. The current fees range from 333 pounds to 406 pounds. However this may vary depending on individual need. Additional charges are made for personal items should as hairdressing. Care Homes for Older People Page 3 of 8 What we found:
The homes new admission process is now in place and the last 2 admissions had completed pre-admission assessments completed. The care plans were examined for these last admissions and were found to have detailed information for staff to meet the needs of both people. This included input from District Nurse and CPNs. Risk assessments supported these care plans where needed. This provided evidence that the Requirement made at the last full inspection is now completed. The new medication room and treatment room was found to be fit for purpose with 2 medication trolley and a secure controlled drug cupboard in place. The Controlled Drugs were examined and were clearly audited. The 2 recording errors found by the home had been dealt with and records of action to be undertaken. Examination of the medication process provided evidence that the Requirement made in the last report, that the home must continue to improve and be audit by the manager has been completed. Picture were displayed on the homes activities board of a recent charity walk completed with some of the people living in the home and a 100th birthday celebration for one of the people living in the home. The Manager confirmed that some activities had been canceled during the summer months due to staff shortages. However new activities were planned. The notice board displayed a Exercise class and a Indian Night arranged for the next few days. With effect from next week one staff member was due to commence 3 days a week as an activities co-coordinator. The new kitchen was now up and running and was suitable for its stated purpose. The meal served at lunch time, Shepherds pie or sweet and sour chicken with fresh vegetable, was home cooked and well presented. The home had not received any complaint. The Commission had received an anonymous concern and the issues raised were examined during this inspection. These issues were unsubstantiated. The home had referred one person living in the home to the Safeguarding team. No one in the home had been involved in the Safeguarding concern raised. The new extension is now fully operational and is completed to a high standard. The old part of the building continues to be updated and ongoing redecoration work was being undertaken during this inspection. This included all bedrooms being completed refurbished as well as all living areas with new flooring and re painted. The conservatory has had new guttering due to leaks from the redesigning of the new extension and the conservatory was being repainted during the inspection by one of the decorators. The last full inspection made a Requirement that, all areas of the home must be well maintained, is ongoing due to the major refurbishment work still in progress. On the day of the inspection there were 8 care staff on duty with both joint owners, one being the Registered Manager, 3 administration staff and 6 auxiliary staff support the 43
Care Homes for Older People Page 4 of 8 people currently living in the home. The registered Manager stated that there had been times over the summer months when they had been short of staff and they had recruited new staff members to manage the increase in numbers of people living in the home. The concerns sent to the Commission stated that administration staff had assisted with care during the summer months when they had been short of staff. Two administration staff were spoken with and said they were happy to assist when needed and went onto say that the staff in the home work together as a team to support each other. The staff files examined showed medication training had been undertaken by some of the staff and the manager confirmed that only suitable qualified staff administer medication and these staff hold a minimum NVQ level 3 qualification. However the newly employed staff member did not have an Induction programme completed and had not completed Fire Safety training. The Registered Manager continues to update her training and the managers files showed courses completed in Dignity Care, Infection Control, Safeguarding and Flu Pandemic as well as others. The Maintenance and service folder was examined and showed that the lifting equipment including the stair lift, had been serviced recently. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 19 16 All areas of the home must 28/08/2009 be well maintained and meet peoples individual needs. This will protect the health and safety of all that live in the home. Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
