Inspection on 20/04/07 for Ashleigh [Wimborne]

This inspection was carried out on 20th April 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ashleigh [Wimborne] 24/02/06

Ashleigh [Wimborne] 13/09/05

Ashleigh [Wimborne] 22/03/05

Ashleigh [Wimborne] 19/08/04

Similar services:

Fairfields Country Rest Home

Poldhu

Queensmount

Trevaylor Manor

Didsbury Court Rest Home

Belma

Hunters Care Centre

Manor Lodge

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

CARE HOMES FOR OLDER PEOPLE Ashleigh 7 St Johns Hill Wimborne Dorset BH21 1BX Lead Inspector Carole Payne Unannounced Inspection 20th April 2007 08:30 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 Ashleigh DS0000026758.V336442.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. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashleigh Address 7 St Johns Hill Wimborne Dorset BH21 1BX 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) 01202 883314 F/P01202 883314 Mr C Dodla-Bhemah Mrs J R Dodla Bhemah Care Home 10 Category(ies) of Old age, not falling within any other category registration, with number (10) of places Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 24th February 2006 Brief Description of the Service: Ashleigh is a care home registered to provide accommodation to a maximum of 10 service users in the category OP (Old Age). The home usually accommodates 9 service users, as one double room is generally used for single occupancy. Ashleigh is a detached older style property located approximately one mile from Wimborne town centre. The house retains many of its original features and stands within its own, well-maintained gardens. Off road parking is provided. A three-storey building, accommodation is provided to service users on ground and first floor levels whilst the owners occupy the top floor as private accommodation. Access to the first floor is by means of a central stairway with chair lift. There are four bedrooms on the first floor and a bathroom and separate toilet. Two of these first floor bedrooms are reached by a further four steps without lift assistance. The ground floor comprises of five bedrooms, a communal lounge and a dining room, a bathroom and a toilet. The kitchen and laundry are also on the ground floor. Wimborne offers the amenities of a market town with high street shops, post office, banks and building societies as well as GP surgeries, a cottage hospital and various places of worship. Current fees are £380 to £425. See the following website for further guidance on fees and contracts: http:/www.csci.org.uk/about_csci/press_releases/better_advice_for_peop le_choos.aspx Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection was carried out on the 20th April 2007 and took a total of 7 hours, including time spent in planning the visit. The inspector was made to feel welcome in the home during the visit. This was a statutory inspection and was carried out to ensure that the eight residents who are currently living at Ashleigh are safe and properly cared for. Requirements and recommendations made as a result of the last inspection visit on 24th February 2006 and key standards met at the last inspection were also reviewed. The premises were inspected, records examined and the daily routine observed. Time was spent in discussion with six residents living in the home and two staff members on duty. Six resident survey forms were received by the Commission for Social Care Inspection prior to the visit, four General Practitioners’ comment cards and two comment cards from health and social care professionals and five relative / visitors’ comment cards. A pre-inspection questionnaire was completed by the home in October 2006 and is referred to in this report. Throughout the inspection and following the visit the management and staff team have demonstrated a positive and proactive commitment to addressing any issues raised and continuously improving the quality of life for people living at Ashleigh. What the service does well: A General Practitioner said that the home is ‘excellent.’ One resident said that they are ‘treated like royalty.’ One relative responding in a comment card said that their relative is ‘very happy and content and treated as one of the family.’ Detailed assessments and a warm welcome ensure that people’s needs are assessed prior to moving in and they are reassured that the home is able to meet these needs. Feedback from health professionals, residents and care records demonstrate that residents’ health needs are fully met. Residents are treated with great care and respect, and their rights to be cared for with dignity and the protection of their privacy are upheld. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 6 People who live at Ashleigh feel that they experience a varied lifestyle, which meets with their personal preferences, social, cultural and religious interests and needs. Residents’ families say that they feel welcome at Ashleigh and part of the family environment which people living in the home enjoy. People who live at Ashleigh say that they make choices about their routine, exercising control and autonomy over their daily lives. Residents enjoy good traditional cooking, a varied and balanced diet in the environment of their choice. The home is kept clean and hygienic, supporting residents to live in a pleasant environment. Residents’ needs are met by a staff team who have both the experience and skills to be aware of the individual needs of people living in the home. What has improved since the last inspection? What they could do better: Care plans should describe when and how care is to be provided, so that staff members are fully supported in meeting residents’ needs. A detailed diabetic care plan must be completed for an insulin dependent diabetic, including details of recognition and action to be taken should blood sugar levels become unstable. The home must establish a system of auditing medicines held, so that it is ensured that medicines held correspond with Medication Administration Records, protecting people living in the home. The home’s adult protection policy should be available at all times, so that it can be referred to, promoting the protection of people living at the home. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 7 An assessment of the premises by qualified persons, including an occupational therapist, should be made to establish the extent of the disability equipment to be provided and environmental adaptations required to meet the needs of service users. The manager and his wife, who both work in the home, must have appropriate time off, so that they are not over tired, and able to meet residents’ needs to the high standards they have set. Applicants who wish to work at Ashleigh must complete an application form, so that the home has full details required to ensure that they are suitable to work at the home, and residents are fully protected by the home’s recruitment procedures. According to the completion of a summary sheet of all members of staff training they must receive regular updating in all areas of mandatory training, so that they update their skills to safely care for the residents in the home. The registered person shall establish a system and maintain a system for reviewing the quality of care provided at the care home, ensuring that the quality of service provided to people living in the home is continuously improved. 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 DS0000026758.V336442.R01.S.doc Version 5.2 Page 8 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 Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 3 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Detailed assessments and a warm welcome ensure that people’s needs are assessed prior to moving in and they are reassured that the home is able to meet these needs. EVIDENCE: One resident had been admitted since the last inspection. A thorough assessment had been undertaken prior to admission. A short-term care plan had been completed when the person had moved in. One resident said that the provider had collected her so that she could come and look around the home, before she made a decision about moving in. She said that she was in no doubt that she wanted to make Ashleigh her home. A copy of a letter was on file confirming that the home is able to meet the Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 10 person’s needs. The person indicated that they feel very settled and well cared for. Six people living in the home returning resident survey forms said that they received enough information about the home prior to moving in. One relative said that the provider had visited their relative in hospital. One person said that they had been recommended to the home. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 & 10 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Care plans do not currently adequately describe how and when care is to be provided ensuring that clear assessments inform care plans which describe to staff members how residents’ needs are to be met, with particular reference to specialist needs. Feedback from health professionals and residents demonstrate that residents’ health needs are met. The home does not currently have an audit system, to support the home’s good practice with regard to the handling of medicines, protecting people living in the home. Residents are treated with great care and respect, and their rights to be cared for with dignity and the protection of their privacy are upheld. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 12 EVIDENCE: Care plans were seen for three residents. Assessments inform the homes clear care plans. The need to ensure that plans describe how and when care is to be delivered was discussed with the manager. Currently the home has a very small staff team, who are confident and skilled in meeting the needs of people living in the home. However, the manager is intending to recruit two new fulltime members of staff. The care plans will, therefore, need to clearly support staff members to provide any assistance required. Health and social care professionals responding said that if they give any specialist advice it is incorporated into the care plan. The home meets the needs of an insulin dependent diabetic. It was advised that a detailed diabetic care plan is completed, detailing action to be taken should a resident’s blood sugar levels become unstable, supporting the good practice and knowledge of the staff team meeting this resident’s needs and giving clear instructions to new care staff. Three residents spoken with said that they felt that they are well cared for at the home. All praised the care and attention of the manager. One relative said that their relatives’ needs are met ‘in the kindest possible way.’ Five health and social care professionals said that they are satisfied with the overall care provided. Care records seen reflected great care in monitoring and meeting the medical needs of residents, referring appropriately to members of the multi-disciplinary team when appropriate. One General Practitioner said that the home is ‘excellent.’ The home has good measures in place for ensuring that people receive their medicines safely. However, there is currently no system in place for ensuring that there is an audit system so that medicines that are not held in the monitored dosage system can be checked against records of amounts administered. One person was taking warfarin. It was not possible to check amounts held with those recorded as administered on the Medication Administration Record (MAR) chart. Any allergies or none known are recorded on the MAR chart. When handwritten entries are made to the MAR chart two people sign the chart. The home and the pharmacist, receiving returned medication, sign returns to the pharmacy. Throughout the visit staff members on duty treated residents with care and respect. Residents responding in survey forms said that staff members listen and act on what they say. One resident said that staff members are ‘cooperative and helpful.’ The manager knocked on residents’ doors before entering, protecting their privacy. Some residents have a key to their own door Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 13 and lock it when they are going out. The manager has details of the new Skills for Care induction programme, which includes reference to the core values of care practice, training staff to uphold the privacy and dignity of people living in the home. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 14 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. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 & 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. People who live at Ashleigh feel that they experience a varied lifestyle, which meets with their personal preferences, social, cultural and religious interests and needs. Residents’ families say that they feel welcome at Ashleigh and part of the family environment which people living in the home enjoy. People who live at Ashleigh say that they make choices about their routine, exercising control and autonomy over their daily lives. Residents enjoy good traditional cooking; a varied and balanced diet in the environment of their choice. EVIDENCE: Two people returning resident survey forms said that there are always activities arranged by the home that they can take part in. Two people said Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 15 that this was usually the case. Three people said sometimes. One resident said that the local church visits the home. Another said how much they enjoy communion at the home each month. There is a relaxed environment in the home. Some residents were in the lounge on the morning of the visit, others were in their own rooms. One resident said that they like sing a longs held at the home. Printed sheets are used so that everyone can join in. One healthcare professional said that given the size of the home, that this might sometimes restrict social opportunities. The home has books about the locality and one resident was reading a magazine that they take regularly. One resident said that they enjoy having friends at the home and playing cards or bridge. Details of contacts with families are included in care records. Two relatives spoken with at the time of the visit said how welcome they are made to feel when they visit the home. One resident was having breakfast when the inspector arrived. They said that they normally like to get up early. Another resident got up just before lunch. People’s choices about their routines, therefore are respected by the home. Details of people’s preferences are included in care plans. One resident responding in a survey form said that the food is ‘excellent’. Another resident said that the food is always ‘served nice and hot.’ One resident spoken with said that the home provides ‘traditional home cooking.’ Residents in the dining room enjoyed lunch on the day of the visit. One person living in the home said that although there is not a choice, if they did not like the meal provided an alternative would be provided. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 16 & 18 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The home’s complaint’s policy clearly supports the home’s open ethos to the receipt of complaints. Updating of training and available procedures will support the protection of people from abuse. EVIDENCE: The home’s complaint’s policy needed updating at the time of the inspection. The home has confirmed that this has been carried out to include the timescale in which a response will be made to the complainant and the name of the current registration authority. The policy also should state that a complaint could be referred to the Commission for Social Care Inspection at any time. All residents responding in survey forms said that they know how to make a complaint. One relative said that staff members ‘always listen to any problems as and when.’ The manager had a copy of the Dorset local adult protection ‘No Secrets’ guidelines. Staff members have signed to say that they have read and understand the policy. However there was no copy available of the home’s adult protection policy. The manager has confirmed that this is now available, Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 17 following the inspection. He also said that staff had had adult protection training a couple of years ago. (See staffing.) Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 18 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. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 22 & 26 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. Residents live in a satisfactorily maintained environment. An assessment from an occupational therapist would support the home to ensure that safety is promoted for people living in the home. The home is kept clean and hygienic, supporting residents to live in a pleasant environment. EVIDENCE: The home offers a comfortable and warm, homely environment. The home has a pleasant lounge and dining room, and well-maintained gardens. Individual rooms visited were personalised. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 19 Risk assessments have been completed to protect people from the risk of scalding from unguarded radiators. These will need to be reviewed, to include factors such as residents accommodated and the way that furniture is arranged in the environment. Due to the home’s lay out, which is essentially as family accommodation, the home would greatly benefit from an assessment from an occupational therapist, or other suitably qualified person, ensuring that aids and adaptations meet the needs of people living in the home. The home’s kitchen was clean and well organised. Six residents responding in survey forms said that the home is always clean. ‘Beautifully clean’ said one resident. A member of staff was sorting out residents’ laundry and taking care to ensure that garments are ironed and returned to the residents to whom they belong. The home has two washing machines and one drier. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 & 30 Quality in this outcome area is poor. This judgement has been made using available evidence including a visit to this service. The numbers of staff working at Ashleigh satisfactorily meet people’s needs. However, the dependence upon the manager and his wife to cover a lot of the work, at present means that residents’ experience continuity in the care provided, but staff are vulnerable to being over tired. Residents’ needs are met by a staff team who have both the experience and skills to be aware of the individual needs of people living in the home. The completion of an application form will support the home’s otherwise efficient recruitment procedures, protecting people living in the home. Shortfalls in the updating of staff in key areas of mandatory training, result in staff not being aware of current good practice guidelines, which potentially impacts upon the care and support of residents. EVIDENCE: The home maintains a roster of people on duty. The manager and his wife live on the premises and sleep-in each night. It was confirmed that no one in the home currently needs help at night. The residents seen at the time of the Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 21 inspection were mainly independent. There are normally two to three members of staff on duty during the day. At the time of the visit the manager and his wife were undertaking most shifts. The manager said that he is in the process of recruiting two new members of staff. It must be ensured that any member of staff working in the home is fit to carry out their roles; and is not restricted by tiredness to work effectively and meet residents’ needs. The manager has obtained details of the Skills for Care Induction. One member of staff has started work since the last inspection, but has now left. They had started to complete an induction, which was seen at the time of the visit. No members of staff currently hold a National Vocational Qualification aside from the manager, who holds the Registered Manager’s Award. However there are only two members of staff working in the home aside from the manager and his wife. Both these members of staff have worked at the home for a long time and have both the experience and skills required by the service. A relative on a comment card praised the staff. Two residents spoken with said how ‘special’ the staff are. The manager is in the process of recruiting two new members of staff, who he hopes will have equivalent qualifications to National Vocational Qualifications in Care (NVQ). The recruitment record was seen for the member of staff who had started work since the last inspection. Two written references had been obtained prior to starting work and a Criminal Records Bureau check had been received. However the manager could not find the member of staff’s completed application form. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 & 38 Quality in this outcome area is adequate. This judgement has been made using available evidence including a visit to this service. The manager of the home is well qualified and committed to meeting the needs of residents. The home does not have a formal quality assurance system, by which the service continuously seeks to improve its standards. The home does not handle residents’ monies, ensuring that people’s financial interests are protected. Updating of all mandatory areas of training will support the home’s commitment to maintain, the health, safety and welfare of people living at Ashleigh. Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 23 EVIDENCE: The manager of the home has considerable experience in care and holds the Registered Manager’s Award. Residents spoke very highly of the care, attention and efficient organisation of the day-to-day running of the home. Care records include details regarding any relevant information in respect of residents’ monies. The manager confirmed that the home does not hold monies on behalf of residents. Some satisfaction survey forms were seen, which had been completed a year ago and included a focused survey of residents’ satisfaction with food. The last inspection report was available and displayed in the home. Fire records seen showed that regular checks are undertaken of fire systems in the home. Records were seen of tests of portable electrical appliances. Accident records were seen on individual files. Records seen had been completed in detail. A risk assessment had been completed of the environment. The manager confirmed that this is reviewed when new residents move into the home. Staff members require updating in some areas of health and safe practice, including moving and handling. (See staffing.) Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 24 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 X X X HEALTH AND PERSONAL CARE Standard No Score 7 2 8 2 9 1 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 2 17 X 18 2 3 X X 2 X X X 3 STAFFING Standard No Score 27 1 28 2 29 1 30 1 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 1 X 3 X X 2 Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? No 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 OP8 Regulation 12 Requirement The registered shall ensure that the care home is conducted so as to promote and make provision for the health and welfare of residents. A detailed diabetic care plan must be completed for an insulin dependent diabetic, including details of recognition and action to be taken should blood sugar levels become unstable. 2. OP9 13 The registered person shall make 30/06/07 arrangements for the recording, handling, safekeeping, safe administration and disposal of medicines received into the care home. The home must establish a system of auditing medicines held, so that it is ensured that medicines held correspond with Medication Administration Records, protecting people living in the home. 3. Ashleigh Timescale for action 06/06/07 OP27 18 The registered person shall, having regard to the size of the DS0000026758.V336442.R01.S.doc 31/07/07 Page 26 Version 5.2 care home, the statement of purpose and the number and needs of residents ensure that at all time suitably competent staff are employed to work at the care home. The manager and his wife, who both work in the home, must have appropriate time off, so that they are not over tired, and able to meet residents’ needs to the high standards they have set. 4. OP29 19 The registered person shall not employ a person to work at the care home unless: Applicants who wish to work at Ashleigh must complete an application form, so that the home has full details required to ensure that they are suitable to work at the home, and residents are fully protected by the home’s recruitment procedures. 5. OP30 18 The registered person shall ensure that the persons employed by the registered person to work at the care home receive training appropriate to the work that they are to perform. According to the completion of a summary sheet of all members of staff training they must receive regular updating in all areas of mandatory training. 6. OP33 24 The registered person shall establish a system and maintain a system for reviewing the quality of care provided at the care home, ensuring that the quality of service provided to DS0000026758.V336442.R01.S.doc 06/06/07 31/07/07 31/07/07 Ashleigh Version 5.2 Page 27 people living in the home is continuously improved. 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 OP7 Good Practice Recommendations Care plans should describe when and how care is to be provided, so that staff members are fully supported in meeting residents’ needs. The home’s adult protection policy should be available at all times, so that it can be referred to, promoting the protection of people living at the home. An assessment of the premises by qualified persons, including an occupational therapist, should be made to establish the extent of the disability equipment to be provided and environmental adaptations required to meet the needs of service users. This was a recommendation in the last inspection report issued to the home. The recommendation has not been met. 2. OP18 3. OP22 Ashleigh DS0000026758.V336442.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Poole Office Unit 4 New Fields Business Park Stinsford Road Poole BH17 0NF 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 DS0000026758.V336442.R01.S.doc Version 5.2 Page 29 - 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!