Inspection on 13/01/07 for Ashleigh [Minchinhampton]

This inspection was carried out on 13th January 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is (sorry - unknown). 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashleigh [Minchinhampton] 12/01/09

Ashleigh [Minchinhampton] 09/02/06

Ashleigh [Minchinhampton] 26/09/05

Ashleigh [Minchinhampton] 12/10/04

Ashleigh [Minchinhampton] 20/07/04

Ashleigh [Minchinhampton] 17/02/04

Ashleigh [Minchinhampton] 03/12/03

Similar services:

2 Perhaver Park

The Vicarage

St George`s

5 Seafield Road

Credence House

Radfords

Honeybourne House

32 Beaumont Way

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

CARE HOME ADULTS 18-65 Ashleigh 3 Box Crescent Minchinhampton Glos GL51 9DJ Lead Inspector Tim Cotterell Key Unannounced Inspection 13 January 2007 10:00 d Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 1 Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 2 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 DS0000016369.V318828.R01.S.doc Version 5.2 Page 3 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 DS0000016369.V318828.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Name of service Ashleigh Address 3 Box Crescent Minchinhampton Glos GL51 9DJ 01453 886636 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) Gloucestershire Group Homes Joanne Wheeler Care Home 3 Category(ies) of Learning disability (3) registration, with number of places Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 5 SERVICE INFORMATION Conditions of registration: Date of last inspection 9th February 2006 Brief Description of the Service: Ashleigh is a semi-detached house with accommodation for three adults with Aspergers Syndrome/Autism. This home differs from other homes within the organisation as the service users display more autistic needs. The organisation offers a very specialised, individual service for its service users, and staff receive training to support them appropriately. The home is situated in Minchinhampton, near Nailsworth and enables service users to access local community facilities such as shops, take aways, chemists and a Post Office. Service users also have access to transport that is provided by the home and this enables them to access facilities in several other local towns. Family and friends are welcome to visit the home at any time and service users can meet them in private if they wish to. The service users attend various activities, which include Day services provided by Gloucester Group Homes and college courses. The inspector has visited the day service that is provided by the organisation. It has been developed specifically for people who have Aspergers syndrome/Autism and offers service users very individual programmes to meet their needs. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 6 SUMMARY This is an overview of what the inspector found during the inspection. The judgements contained in this report have been made from evidence gathered during the inspection, which included a visit to the service and takes into account the views and experiences of people using the service. The inspection was undertaken by two visits. The first visit took place on Saturday 13 January 2007 and the second on Wednesday 7 February 2007. All service users were seen. The inspector was shown around the accommodation. Some time was spent with the member of staff on duty and the discussions referred to how service users spent their day and the way in which privacy, dignity and choice were exercised for the service users. It was evident that service users lived in an environment which encouraged individuality and supported responsible risk taking. Staff on duty were seen as competent, caring and having a comprehensive knowledge of the presenting problems of the individuals cared for. The home was seen as having a relaxed atmosphere and one in which individual needs were addressed and provided. The home was in a good condition and provided a caring and domestic environment. What the service does well: What has improved since the last inspection? Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 7 The issue of the administration of medicines for one service user has been amended. 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. The summary of this inspection report can be made available in other formats on request. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 8 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 DS0000016369.V318828.R01.S.doc Version 5.2 Page 9 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): EVIDENCE: The standards were not inspected as there had not been any new admissions since the last inspection. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Service users changing needs are identified and service users are consulted about their lives. EVIDENCE: All service users have individual plans of care, which include any treatment/rehabilitation; the plan also indicates how the services will be delivered. There is also an annual review and Individual Personal Programme which is reviewed every three months. At the last staff meeting it was agreed that the personal programmes will be looked at again to ensure specific “autism” issues are addressed. One review was looked at by the inspector and it was noted that the objectives had been met. Wherever possible plans of care are completed in consultation with the service users and relatives and if necessary other healthcare professionals. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 11 Service users are supported in an appropriate manner and the information provided by staff enables an informed decision to be made. Where additional advocacy is needed this is available from an external source. Responsible risk taking is encouraged and written risk assessments are available. Staff have been trained to respect the confidentiality of the information received and records are kept in a safe and secure place. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. All service users have a varied programme and are supported to ensure family links are maintained. They are able follow particular interests and make choices about their daily lives. EVIDENCE: The inspector was shown the daily “activity” sheets. Each service user has one and it was evident that considerable thought had been given to ensure that individual needs and wishes are addressed. Service users have the opportunity to develop skills and this includes social and where appropriate independent skills. There are also opportunities for activities, which are accessed through the day service and community facilities. The staff encourage and support service users to use facilities and integrate into the local community. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 13 The plan of care would indicate the level of support from families and staff provided evidence of the efforts made by them to ensure links are maintained. The routine of the home is flexible and this promotes individual choice and freedom of movement for the service users. Healthy eating is being promoted but there is also respect for likes and dislikes and the preparation of the menus is undertaken after consultation with the service users Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Service users are supported in an individual and appropriate manner. Staff ensure that they have access to all of the health care facilities. EVIDENCE: Service users are treated in an individual manner and the flexible service provided by the home ensures personal support is provided in an appropriate manner. Service users in the home were seen as vulnerable however the staff provide a sensitive competent and unobtrusive support, which ensures that all health care services are available. It is essential that staff who administer medicines sign to say this has been done and that this record is retained. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 15 The procedures for the administration of medicines for service users who visit the day service had been changed. This is in response to the comments in the last inspection report. At the time of the inspection no service users were self-medicating however in principle the question of ability to do this will be subject to a risk assessment. Medication is recorded on receipt at the point of administration and when they are disposed of. Staff were aware of the homes policies and procedures and any individual protocol. Staff have not received accredited training for the management of medicines. The home should refer to Standard 20.10 (National Minimum Standards). The registered manager did bring the inspectors attention to the training staff have received, however this was felt to fall short of any accredited training which would include the decision regarding competency. If homely remedies are needed staff must consult the senior on call staff. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 16 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good. Service users live in a safe environment and are protected from abuse. EVIDENCE: The home has a complaints procedure and the inspector was advised that all service users were able to understand the contents. The inspector felt that the relationship between staff and service users would enable service users to deal with any issues in an informal manner and raise the matters directly with staff. There had not been any complaints since the last inspection. Training in the identification of abuse had been done by senior staff and there was further training available at a local college. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 17 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): Quality in this outcome area is good. The home provided a clean and comfortable physical environment where service users have been encouraged to personalise their private spaces. EVIDENCE: The accommodation was seen and was clean and well maintained and seen as a domestic type environment. The home was in good decorative order and appropriately furnished. The outside areas were well kept and the greenhouse will soon be providing a further interest for the service users. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 18 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): Quality in this outcome area is good. Staff were seen as caring and competent and supporting service users in a dignified manner. EVIDENCE: Staff have recently received equal opportunities training and further training is planned in “empathy - autism/aspereger”. Training is provided through supervision and appraisals and the usual route included mandatory training and specific training for autism. The specific training is undertaken through a distance-learning course run by Birmingham University. The registered manager was aware of Standard 35.5.which refers to training and development days for staff. The inspector was also advised that if staff felt they needed some specific training every effort would be made to provide this. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 19 The inspector discussed the issue of the ageing process for service users and the implications that may have for staff training. In view of the number of homes managed by the registered manager (3) consideration must be given for the appointment of a “senior” for the home to ensure that suitable direction and support is available at all times. It is appreciated that there is an on call system and that senior staff are always on hand through the on call system. There is a hand over period at each shift change and this enables staff to ensure that ongoing matters are relayed effectively. No staff appointments had been made since the last inspection. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 20 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): Quality in this outcome area is good. The home is supported by competent senior staff who available at all times. EVIDENCE: The manager of the home is registered to manage three homes and this includes Ashleigh. The registered managers monthly report dated November 2006 indicated that the homes risk assessment needs to be reviewed and this was discussed at this inspection. One member of staff had now deen identified as the Health and Safety person and will be receiving training to ensure they are aware of the responsibilities involved. Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 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 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 3 23 3 ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 X 3 X 3 X X 3 X Ashleigh DS0000016369.V318828.R01.S.doc Version 5.2 Page 22 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 YA20 Regulation 13(2) Requirement The manager must maintain a record of who administers the medicines. Timescale for action 08/02/07 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 DS0000016369.V318828.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Gloucester Office Unit 1210 Lansdowne Court Gloucester Business Park Brockworth Gloucester, GL3 4AB 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 DS0000016369.V318828.R01.S.doc Version 5.2 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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