Inspection on 21/08/06 for Ashlett Dale Rest Home

This inspection was carried out on 21st August 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 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

Ashlett Dale Rest Home 05/11/09

Ashlett Dale Rest Home 31/03/08

Ashlett Dale Rest Home 16/11/05

Ashlett Dale Rest Home 04/11/04

Ashlett Dale Rest Home 03/06/04

Similar services:

St Vincents

The Cotswold Home

Newbeech House

Winton House

Rush Court

Hillyfield Rest Home

The Maypole Nursing Centre

The Briars

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

CARE HOMES FOR OLDER PEOPLE Ashlett Dale Rest Home Stonehills Fawley Southampton Hampshire SO45 1DU Lead Inspector Rodney Martin Unannounced Inspection 21st August 2006 10:00 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 Ashlett Dale Rest Home DS0000011884.V305513.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. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashlett Dale Rest Home Address Stonehills Fawley Southampton Hampshire SO45 1DU 023 8089 2075 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) Mr Frederick William Liddington Mrs Maureen Mary Liddington Mrs Collette Willis Care Home 14 Category(ies) of Dementia - over 65 years of age (14), Learning registration, with number disability over 65 years of age (14), Mental of places Disorder, excluding learning disability or dementia - over 65 years of age (14), Old age, not falling within any other category (14), Physical disability over 65 years of age (14) Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 16th November 2005 Brief Description of the Service: Ashlett Dale provides care and support to 14 service users with dementia, learning disabilities, mental illness and physical disabilities, over the age of 65 years. The home is situated in a semi rural area in Fawley on the outskirts of the New Forest. There is a public house within a short walking distance and a number of other amenities and leisure activities a short car journey away. The home is a two-storey building having a reasonable sized garden of which service users spend time in during the warmer months. The current fees are £395 to £425 per week. This information was contained in the pre-inspection questionnaire received in the Commission’s office on 3 August 2006. There are additional charges for hairdressing, chiropody, newspapers/magazines, medical requisites, luxury items and toiletries. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The unannounced inspection took place between 9.35am and 2.45pm. An opportunity was taken to look around the home, view records and talk to a visitor, a visiting community nurse, several service users and staff members, including the cook. On arrival the inspector was told the registered manager and registered persons were on holiday. However, a staff member rang Mr and Mrs Liddington and their daughter, Mrs Collette Willis, who is the registered manager and they came in to assist in the inspection process. On the day of the visit thirteen service users were accommodated. Ashlett Dale has one vacancy, although a new resident was due to be admitted the following day. In line with the Commission’s policy, all the key standards were inspected on this occasion. There were no previous issues identified at the last inspection that required following up. What the service does well: What has improved since the last inspection? Care plans are now reviewed on a monthly basis. Since the last inspection a new bath suite has been provided in the downstairs bathroom, a new toilet provided in room 5, the dining room redecorated and new chairs purchased for the lounge. The home is in the process of redecorating throughout. The home has recently signed up through a recognised training organisation, which includes a comprehensive induction programme, fire safety, food safety, manual handling, first aid, health and safety, infection control, diet and nutrition, risk assessment, coping with aggression and adult protection. A supervision system is now in place. Staff, spoken to, said they had benefited from having individual sessions with the manager. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 6 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. Ashlett Dale Rest Home DS0000011884.V305513.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 Ashlett Dale Rest Home DS0000011884.V305513.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, 5 and 6 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The admission process is well managed with an assessment completed, to ensure that Ashlett Dale can meet their needs. Ashlett Dale does not provide intermediate care. EVIDENCE: Ashlett Dale was accommodating thirteen residents, with six male and seven female service users, whose ages range from 78 to 98 years. One resident has been in the home since 1994, with the rest having been admitted since 2001. Ashlett Dale has a married couple. It was noted that over half the residents have a diagnosis of dementia. There was evidence that the home is able to meet residents’ needs. Since the last inspection, four new residents were admitted. The last admission was on 27 April 2006. On the day of the visit the inspector met the wife of a prospective service user, who is due to be admitted the following day. They had been several times to the home and asked a variety of questions and said that the home had been able to satisfactorily answer them. The manager Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 9 had been out to visit the prospective service user and had completed a preadmission assessment. Seven residents’ files were viewed and they all contained a pre-admission assessment, detailing relevant information for the home to make an informed judgment regarding whether they could meet the perceived needs of the resident or not. Ashlett Dale does not provide intermediate care, although prospective residents can come for a short respite stay, if there is a vacancy. Short stay residents are assessed in the same way as permanent residents. Ashlett Dale Rest Home DS0000011884.V305513.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 and 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The residents’ physical and emotional needs are being met, with evidence of good support from health professionals. The home has clear arrangements in place ensuring the medication needs of residents are met. Working practices in the home ensure the promotion of privacy and independence for service users. EVIDENCE: Seven care plan files were viewed. Each file included the personal details of the resident including a photograph and their background, various risk assessments, a manual handling assessment, an assessment matrix, a Barthel activities of daily living assessment, records of medical visits and appointments and the care plan. The care plan detailed activities of daily living along with recreational activities and a psychological profile in the assessment matrix. The assessment matrix indicated that some residents were confused or very confused. The home uses a day logbook to record contact with residents as well as have information about specific care needs, especially for those with dementia. On the previous inspection visit it was identified that care plans needed to be reviewed on a monthly basis. There was evidence that care Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 11 plans had been reviewed on a monthly basis, with the last date recorded, 19 July 2006. The personal and oral hygiene of each service user is maintained and recorded. A record is kept of all health professional visits, including GP, district nurse, chiropodist, dentist, phlebotomist and community psychiatric nurse. Residents are registered with the red and green practice at Blackfield health centre. The inspector met a community nurse, who visits Ashlett Dale regularly. She said that “the staff are very helpful here” and that “the home has a good relationship with the GP’s”. She also confirmed that the district nursing service did not receive inappropriate referrals from the home. Residents have a choice of attending surgery or other medical services, with family support, but the majority prefer to have domiciliary visits to the home. The home has a relevant medication policy, which satisfactorily details the receipt, recording, storage, handling, administration and disposal of medicines. Residents are able to self medicate within the home’s risk management framework. Currently only one resident is partially self-medicating. The home operates a monitored dosage system for administering medication. This is kept in a locked cupboard. The home does not currently have any controlled drugs, apart from one resident who has been prescribed Temazepam. This was satisfactorily recorded and locked within the cupboard. The drug administration sheets were found to satisfactorily recorded, with no omissions. A senior care assistant has been given the responsibility of ordering medication and looking after the medicine cupboard, which was found to be safe, tidy and secure. Medication that is not suitable for the blister packs are kept in a plastic box for each resident. It was reported that all residents are on some form of medication. On the day of the inspection a GP visited and changed a resident’s medication. They had signed the drug administration sheet, stopping a particular dose. Relevant staff have received medication training and are due further training on 31 August 2006. Staff members supported service users with kindness and sensitivity, using service users’ preferred names and supporting gently with care giving. Staff members knocked on service users’ door before entering. Residents, spoken to, confirmed that the home encourages their right to privacy. The inspector spent some time speaking to a resident, in the privacy of their room. They said that they could get up and go to bed when they want to as well as entertain visitors in their room. They preferred to spend time in their room, and this was respected. Ashlett Dale Rest Home DS0000011884.V305513.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 and 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are able to engage in a variety of appropriate age-related activities in the home. Residents are supported to maintain contact and positive relationships with family and friends. Nutritional needs of residents are well managed and offer variety and choice. EVIDENCE: Ashlett Dale employs two activities carers, who work one week on and one week off providing activities for residents. The other week they form part of the care staff rota. Both staff members were on duty on the day of the inspection and they confirmed the activities they provide for residents, including taking them out for walks, various age-related games, as well as manicuring and painting the nails of female residents. The home has a variety of reminiscence material. Details of purchasing a comprehensive book on activities for people with dementia, from the Alzheimer Society, was discussed with the manager. All residents have friends or family visiting. Two residents have their own telephone installed. One resident goes regularly to church each Sunday, as well as going to a meeting on a Monday with the church. There was a notice in Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 13 the hall, stating, “There are no set visiting hours. You may visit anytime day or night; at night staff will require ID unless they recognise you”. Some Ashlett Dale residents are part of a research programme from Moorgreen Hospital, looking into various aspects of dementia and the way it affects different people. Permission has been given for this. Residents are encouraged by the staff to make choices in their daily life and these choices include choosing which clothes they will wear and what time they get up and go to bed. Residents are also encouraged to take control in their daily life. One resident is able to have a kettle in their room and make their own beverages. This activity has been risk assessed. The resident also prefers not to have a bed but sleep in their special electric recliner chair. There was evidence that residents had brought their own personal possessions and in some cases furniture into the home. The home is not appointee for any service user as well as not handling any service users’ money. Residents have a choice of having breakfast in their room or in the dining room. The inspector was able to have lunch with the residents. Residents are offered a choice at each mealtime. The meal was plated and service users had cottage pie or cold meat, runner beans and swede, with tinned strawberries and pears with ice cream. Residents, spoken to, said they enjoyed the meal and that the food in Ashlett Dale was good. Residents were due to have a selection of sandwiches, beans on toast, jelly and cream for tea. The cook, who has worked in the home for nineteen years in October 2006, bakes fresh cakes each day. Ashlett Dale Rest Home DS0000011884.V305513.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 and 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has a satisfactory complaints procedure, which residents feel able to use and an adult protection procedure, which protects and safeguards residents from abuse. EVIDENCE: The home’s complaints procedure is contained in the statement of purpose and service users guide. The complaints procedure contains details of the steps for making a complaint and how someone can contact the Commission. The home has a complaints log although no complaints were recorded. One resident, spoken to, was aware of the complaints procedure and stated that they had no issues with the home and were happy with the service the home provided. The Commission has not received any complaints. Ashlett Dale has all the relevant documentation relating to adult protection, including a whistle blowing and the adult protection policy. Staff, spoken to, were aware of the various forms of abuse and the issues involved. Staff have received adult protection training and this is also part of the home’s induction core training package. The home has signed up with a recognised training organisation and adult protection is part of the basic training package. There have been no incidents of abuse notified to the Commission. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 15 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, 20, 21, 23, 24, 25 and 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a clean, safe and pleasant environment, where they have individualised their bedrooms, to meet their needs. EVIDENCE: A tour of the building was undertaken. Ashlett Dale is over two floors with a stair left to the first floor. Residents have access to a rear garden, which is provided with garden furniture and has fruit trees growing. Ashlett Dale has fourteen single bedrooms, with all, bar one, provided with en suite toilet facilities. The single room not provided with a toilet has a bathroom opposite that the resident can use. The home has a married couple. They had previously used one single bedroom as their sleeping room and the other single bedroom as a living room. However, they have recently reverted to having a bedroom each. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 16 Since the last inspection a new bath suite has been provided in the downstairs bathroom, a new toilet provided in room 5, the dining room redecorated and new chairs purchased for the lounge. The home is in the process of redecorating throughout. Mr Liddington discussed the registration of two bedrooms that are not currently registered. The inspector was able to measure these two upstairs adjoining rooms. One measured 14.69sq.m and this did not include the measurements of an en suite toilet, wash hand basin and en suite shower room plus a small adjoining kitchen. The other bedroom measured 11.14sq.m and is just under 1sq.m short for registration, plus the room did not have an en suite toilet. It was agreed that a variation application would be submitted, to increase the home’s registration from fourteen to fifteen, for the larger room but that the other room would require some interior alteration with extra space created from the other adjoining room, before this could be considered for registration. There was evidence of residents’ personal belongings in the rooms. One resident has an electric kettle to enable them to make their own hot drinks. There is a risk assessment for this. There were no adverse smells noted. The home has a separate laundry room, which is situated away from food preparation. The home has two washing machines and a dryer. The laundry room was clean and tidy. There was evidence of COSHH [control of substances hazardous to health] policies and procedures in place. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 17 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The home has good staffing levels and residents are supported by sufficiently trained and supervised staff, to ensure that their needs are met. EVIDENCE: Since the last inspection the home has recruited three carers, as five carers have left. There were reasonable explanations for these departures. The home is using agency staff, who are currently covering for two carers who are off sick. The manager reported that they have had the same agency care staff and that they have fitted very well into the home. Although there are currently care staff hours to fill the manager is not going to advertise until after the summer holiday period. Ashlett Dale employs two senior care assistants, one to work during the week and another for the weekend shifts. On the day of the inspection there were two carers [one was a senior care assistant], a domestic, cook and the carer therapist on duty. The inspector was able to speak to all the care staff. As noted in the summary, the registered persons were on holiday but came into the home to assist in the inspection process. However, the majority of staff have worked in Ashlett Dale for a number of years and are aware of their duties and responsibilities. Four staff have obtained NVQ [national vocational qualification] at level 2 and a further two carers have enrolled for NVQ level 2 and another carer has Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 18 enrolled for level 3. The manager is an internal assessor for NVQ, having obtained City & Guilds D32/33 certificates. The staff file of a recently appointed staff member was seen. This contained the application form, which included a signed declaration under the Rehabilitation of Offenders Declaration, references and proof of identity. The home had received a reply under PoVA first [protection of vulnerable adults register] and was waiting for a returned CRB [criminal records bureau] notification. It was confirmed that they are supernumerary until the CRB comes through. The home operates a comprehensive training programme for staff, having recently signed up through a recognised training organisation, which includes a comprehensive induction programme, fire safety, food safety, manual handling, first aid, health and safety, infection control, diet and nutrition, risk assessment, coping with aggression and adult protection. Staff have had dementia training through a training organisation. One carer said they loved working in Ashlett Dale and felt supported by the management team. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 19 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, 35, 36 and 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The manager is approachable and has an open style of management. She provides good leadership, which ensures staff are supported and residents’ health, safety and welfare promoted through the home’s practices. EVIDENCE: Collette Willis, registered manager, has worked in Ashlett Dale since August 1983. She is an internal assessor for NVQ [national vocational qualification] and has a diploma in social care, having attended college for two years. She completed NVQ level 4 but told the inspector that having finished the course work found out that having paid she was not registered with the examining body. She is currently trying to sort out what she needs to do to complete the registered managers award for NVQ level 4 in both management and care. Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 20 There is an open, friendly and transparent atmosphere within the home. Residents spoke warmly of staff and the way the home is run. The home does not hold residents’ meetings but feedback is informal through observation, discussion and verbal feedback from relatives. An annual questionnaire is sent out to relatives in January each year. The home is not appointee for any service user. The majority of residents are subject to power of attorney orders with relatives or solicitors as appointed representatives. One resident is subject to a Court of Protection order. Ashlett Dale is not responsible for the resident’s financial affairs. It was noted in the last inspection report that it was unclear if formal supervision had been started in the home. Staff did feel they had discussions with the manager on care practice issues but none were aware of records being maintained of signing a supervision record and on that occasion records were unavailable. However, a supervision system is now in place. Supervision records were available and indicated that the majority of staff have had three supervision sessions so far this year. Staff, spoken to, said they had benefited from having individual sessions with the manager. The fire log was inspected and the records indicated that the fire safety equipment had been tested and serviced within the guidelines. Staff have received fire safety training and the home had a fire drill on 6 April 2006. Staff, spoken to, were aware of what to do in the event of a fire. The manager ensures the safe working practices by planning courses on health and safety within Ashlett Dale, including first aid, adult protection, manual handling, food hygiene, fire and medication. Risk assessments are in place. There are current and up to date contracts on electrical equipment as well as kitchen and domestic appliances et cetera. COSHH [control of substances hazardous to health] policies and procedures are in place. Window restrictors are in place on the windows above ground level, to ensure safety for residents. From a check of the records and practices observed in the home during the inspection, the health and safety measures taken in the home ensure the welfare and safety of the residents. Ashlett Dale Rest Home DS0000011884.V305513.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 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 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 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 3 17 X 18 3 3 3 3 X 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 X 3 Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 22 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. Standard Regulation Requirement Timescale for action 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 Ashlett Dale Rest Home DS0000011884.V305513.R01.S.doc Version 5.2 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 Ashlett Dale Rest Home DS0000011884.V305513.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. 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!