Inspection on 03/04/08 for Ashley House Care Home

This inspection was carried out on 3rd April 2008.

CSCI found this care home to be providing an Adequate service.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ashley House Care Home 06/11/07

Ashley House Care Home 21/12/06

Ashley House Care Home 03/10/05

Ashley House Care Home 19/10/04

Ashley House Care Home 20/04/04

Similar services:

Trevayler Residential Care Home

Thornham Grove

Thistle Hill Hall

Conifer Lodge

Westwood Lodge

Egerton Lodge Care Home

Alfred Minto House Care Home

St Matthews Unit

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

CARE HOMES FOR OLDER PEOPLE Ashley House Care Home Sunnyside Worksop Nottinghamshire S81 7LN Lead Inspector Stephen Benson Unannounced Inspection 3rd and 8th April 2008 09:30 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 Ashley House Care Home DS0000024625.V361847.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. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley House Care Home Address Sunnyside Worksop Nottinghamshire S81 7LN 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) 01909 500541 01909 500542 Ashfieldcare@aol.com Mr L M Patil Vacant Care Home 40 Category(ies) of Dementia - over 65 years of age (40), Mental registration, with number disorder, excluding learning disability or of places dementia (10), Mental Disorder, excluding learning disability or dementia - over 65 years of age (40) Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. The 10 Places in category MD are available for people of 50 years of age and above 6th November 2007 Date of last inspection Brief Description of the Service: Ashley House is located on the outskirts of Worksop. A car park is available at the side of the home and it is on the bus route into the town. The home provides nursing and personal care for 40 residents, including older people with special mental health needs. Within this number the registration allows admission for up to 10 service users over 50 years of age. The home is privately owed by Mr Patil and was opened in 1988. It consists of a large converted old house, with a purpose built lounge and bedroom extension on the ground floor. Plans have recently been passed by the local council to allow the owner to upgrade the home and build a 32 bed extension. There are 17 single and 9 double bedrooms, 12 rooms having ensuite facilities. The first floor is accessible by a lift. The homes grounds are well laid out and provide a secure environment for residents. At the time of the inspection the owner confirmed that the weekly fees ranged from £344 - £370 depending on the residents assessed needs. Additional charges are made for services such as chiropody, toiletries and hairdressing. Information about these costs as well as the day-to-day operation of the home are included in the Statement of Purpose and Service User Guide and a copy of the last inspection report is available in the office. Further information about the home is available on their website at www.ashfieldcare.co.uk Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 1 star. This means the people who use this service experience adequate quality outcomes. This was our first visit to the home since 1st April 2008. Prior to the visit an analysis of the home was undertaken from information gathered over the last year including that from the Annual Quality Assurance Assessment they completed. The visit centred on looking at the key National Minimum Standards for older people. The site visit took place over two days and lasted for 6 ½ hours. The main method of inspection used was called case tracking which involved selecting 3 residents and tracking the care they receive through the checking of their records and discussing this with them. Other residents were spoken with and additional records were seen. A discussion was had with the provider, the acting manager, the clinical manager, staff on duty and care practices were observed. Three visitors were spoken with during the visit. The premises were not inspected in detail but various areas of the home were visited as part of the inspection. What the service does well: The home has a system for assessing the needs of any prospective new resident which will ensure that the home can make sure they are able to meet the person’s needs. When a resident is identified as facing a risk to their, or others, safety this is assessed and measures of reducing the risk are identified. Staff will contact healthcare professionals to see to the healthcare needs of residents. This ensures that the healthcare needs of residents are met. Medication is given out following the recommended safe procedures to make sure that residents are not put at risk when being given their medication. Issues of privacy and dignity are discussed in the home and staff are aware of good practices for promoting this. Visitors are welcome to come to the home at anytime so residents can keep in contact with family and friends. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 6 Residents are able to choose how they spend their time and are supported by staff to make choices where they are able so that residents remain in control of their lives as much as they are able. There is a varied menu with a choice of main meal and further alternatives are available providing residents with a nutritious and balanced diet they enjoy. The home has a complaints procedure, which is available for residents and relatives to use and there are policies and procedures for staff to follow if they suspect anyone is not being properly treated. Required maintenance is carried out to keep the home in good order. There are measures in place to prevent the spread of infection. Staffing levels are altered in line with the number of residents. Currently there are at least 4 care staff and a nurse on duty. Regular training is provided. New staff can only start work when the required checks have been carried out, including a satisfactory Criminal Records Bureau or Protection of Vulnerable Adults check. Regular checks and tests are carried out on the building and equipment, including the fire alarm and water storage system to protect the health and safety of residents. What has improved since the last inspection? What they could do better: There must be opportunities for residents and/or their relatives to be involved in the preparation and reviewing of their care plans, so they can influence the care they receive. More frequent and varied activities must be provided so residents have opportunities to spend time doing things they find enjoyable and stimulating. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 7 All staff must have the required employment checks, even if they have previously worked in the home, before starting work. Staff must be provided with the training they need to be able to do their work. The proprietor must ensure that the manager in post applies to become the Registered Manager All financial transactions made on behalf of residents must be signed and witnessed 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. Ashley House Care Home DS0000024625.V361847.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 Ashley House Care Home DS0000024625.V361847.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): 1, 3 and 6 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are procedures in place so that new residents can be fully assessed prior to moving into the home to ensure that their needs can be met. The home does not offer an intermediate care service EVIDENCE: The provider and acting manager showed updated Statement of Purpose and Service User Guide documents. These were dated April 2008. The acting manager said these have just been completed and will shortly made available to residents, relatives and other interested parties. A sample of three care files were looked at and these contained personal details, including date of birth, sexual orientation, marital status, religion and culture. There were also assessments in each of the files. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 10 The clinical manager said that there have not been any admissions to the home since our last visit, but that the paperwork is in place to go and do a pre admission assessment. Staff said they could not remember when the last resident was admitted but in the past they have been told about new residents before they come in. There is no arrangement made for the home to provide an intermediate care service. Ashley House Care Home DS0000024625.V361847.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 and 10 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents’ health and personal needs are met by care practices in the home EVIDENCE: Care files include assessment information, risk assessments and care plans. These were signed saying they had been reviewed and the last entry for this was March 2008. Care plans were seen for a variety of topics, including personal hygiene, aggressive behaviour, leaving the home, communication and eating and drinking. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 12 The care plans seen gave clear direction, for example one plan said, “…. is partially deaf and will not wear a hearing aid. Ensure that he understands what is spoken and repeat the sentence if he doesn’t understand”. There were risk assessments seen for a variety of things, including tissue viability, going missing, falls, violent outbursts and displaying aggression. The clinical manager said that she and the nurses write the care plans and care staff provide them with information for this. The clinical manager said that she discusses the care of residents with relatives, but this is not always recorded. The clinical manager showed one entry where the arrangements for the care of a resident were agreed with a relative. Staff said that information about any changes in the care of residents is passed over at handover. Staff said the care plans are always available to them, some staff said they will refer to care plans to check up on things whilst others said they don’t often refer to them. A resident said, “I don’t talk about my care”. There was a section of the care file for recording any healthcare appointments and there was information seen on managing health conditions such as epilepsy and diabetes. The clinical manager was seen having a discussion with a doctor about the best approach to follow to investigate health concerns of one resident who was unable to explain his problem. The clinical manager said they can tell if something is not right through their expressions. Staff said they try to promote residents well being through talking to them, keeping them clean and encouraging them to eat and drink properly. Staff said they will liaise with the nurse on duty if they have any concerns about residents’ health. Staff said that they feel confident in meeting the needs of residents that arise due to mental health conditions. A resident said, “I feel a lot better now I don’t drink, I’ve been helped here”. The morning medication round was observed and this was being done correctly, with the nurse observing each resident take their medication and then signing the Medicine Administration Record. The clinical manager said only nurses give out medication. All medication is checked when it arrives at the home and they had recently found an error in the dose of one medication sent. A new prescription had been raised and the wrong drug returned to the pharmacist. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 13 During periods of observation staff were seen attending to the needs of residents, but this was being done with little conversation taking place. When this was raised with the clinical manager, she said that staff were feeling very nervous at being observed and they normally do talk freely with residents. There was a poster displayed outside the office showing ’10 challenges to promote dignity’. The clinical manager said issues relating to residents privacy and dignity are regularly discussed and there had been discussions that morning about how one resident speaks to others and how staff should respond to this. Staff described good practices in promoting residents’ privacy and dignity including protecting their modesty when providing personal care and said that they talk with residents when assisting them. Staff said that they will talk with residents in private when needed. A resident said, “I am treated well”. Ashley House Care Home DS0000024625.V361847.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 and 15 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents need more opportunities to satisfy their social and recreational interests. Residents are helped to exercise choice and control over their lives and receive a wholesome and balanced diet. EVIDENCE: The clinical manager said that she is in the process of recruiting an activities coordinator and showed a list of names of people who have enquired about the vacancy. The clinical manager said that she was aware that activities is an area in need of development and so far she had completed a social needs assessment for each resident and prepared an individual plan of what activities residents could take part in. The clinical manager said she has obtained a supply of large print and audio books from the library. Staff said that there are visiting singers who come to the home on a monthly basis. The provider said that residents pay towards the cost of these as they are not included in the fees and they do not charge a top up fee. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 15 Staff said that they will play games such as dominoes and cards with residents and they organise film nights. A relative said they thought there could be more activities arranged for residents to do. A resident said, “I play dominoes but get fed up. I like the singers, two women come every month”. One resident was taken out by two community based workers for a cup of coffee in the local town. Staff said that they sometimes take residents out to the local park, the shops and the local pub. Staff also said that relatives are able to take residents out. A visitor said she is always made welcome when she visits. A resident said, “I don’t go out as I might be tempted to have a drink”. Residents who were able to walk independently were seen moving freely round the home, using both lounges, the garden and going to their rooms. Staff said that they offer residents choices and gave examples of what they wear, where they want to sit and what meals they have. A resident said, “I can go to my room when I want”. The main meal is at lunchtime and there is a four-week menu, which provides a choice at each meal. Dishes include shepherds pie, sausage, tomato and mushroom casserole, quiche Lorraine and roast ham. There is fish on Fridays and a roast dinner on Sundays. A lighter meal is had at teatime with such things as sausage rolls, ravioli or cheese on toast and pizza and spaghetti hoops. A pudding is provided at lunch and teatime. Residents were seen having breakfast and this consisted of a choice of two cereals, toast and sandwiches. Lunch was a choice of cheese and onion pasties or veggie burgers followed by fresh fruit or ice cream. The cook has only recently taken up post and said she is starting to reorganise the kitchen and will review the menus. Residents said they enjoyed their meals and have enough to eat. Ashley House Care Home DS0000024625.V361847.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 and 18 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There are systems in place for residents to raise complaints and protect residents from abuse. EVIDENCE: There was information about a recent complaint seen on a resident’s file, which had involved a meeting with a relative and an advocate. The provider and clinical manager were unable to locate the complaints book but said there was one and thought the acting manager may have it as he had been dealing with the complaint. This was then seen on the second part of this visit. There was one complaint recorded, which was partially substantiated concerning contractual, personal spending and care plan issues. The acting manager and provider agreed that the complaints procedure could be made better use of to resolve issues that arise in everyday care. Staff said they knew what to do with any complaint made, but were not aware of any complaint made. A resident said, “I am quite happy, I don’t have any complaints”. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 17 The clinical manager showed a copy of the new adult protection procedures and said that staff have had training recently in safeguarding adults. Certificates were seen showing staff had attended safeguarding adults course. When asked if he had ever been treated in a way he didn’t like a resident replied “No”. Ashley House Care Home DS0000024625.V361847.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 and 26 People who use the service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents live in a safe, well-maintained environment, which is clean, pleasant and hygienic EVIDENCE: The home is an older type building and requires ongoing maintenance. The lift was currently out of action as it was being refurbished and emergency lights were being replaced. Staff said there were no problems with the building and it is suitable for them to do their jobs. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 19 A cleaner was seen working in the building and there were notices displayed showing what cleaning equipment should be used in different areas. Staff were seen using protective clothing and staff said there is always sufficient protective clothing available. There is a contract in place for the disposal of any clinical waste and this is used for the disposal of items that may pose a risk of infection. A resident said, “I think the home is kept clean”. Ashley House Care Home DS0000024625.V361847.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 and 30 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Staffing levels are varied according to the needs of the residents. Residents are not fully protected by the home’s recruitment procedures. Staff have not received all the training they require to support residents. EVIDENCE: The provider has assessed their minimum staffing levels to be 4 care staff and a nurse on duty and staffing is altered according to occupancy levels. In addition the home employs a clinical manager, kitchen staff, laundress, handyman and cleaners. The home employs male and female staff and they are of varying ages and from differing ethnic backgrounds. There are 4 staff who have completed National Vocational Qualification level 2 and the provider said he is in he process of arranging for a new intake. A member of staff said she had started National Vocational Qualification level 2 but had not been able to complete it for personal reasons, but was looking at starting it again. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 21 A sample of staff files were seen and these showed that the correct information is obtained for new staff prior to starting to work at the home, however one long standing member of staff who left the employment of the home and returned shortly afterwards did not go through a fresh recruitment, including a new Criminal Records Bureau check as required and a file could not be found. There was a fire safety training session taking place for staff who had not attended a recent session. The acting manager showed the training tracker used to monitor staff training and this showed that some staff had not had the required training, including the recently appointed cook who has not completed a basic food hygiene course. The acting manager said that although there is no further training planned he had recently met with a training company to discuss the training needs of staff and was looking to introduce a training plan. The provider showed a new induction programme he was considering introducing for all newly appointed staff. Ashley House Care Home DS0000024625.V361847.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 and 38 People who use the service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. There is a lack of accountability due to not having a registered manager. The management systems for safeguarding residents finances and providing residents opportunities to express their views need to be more robust EVIDENCE: The acting manager, who is the son of the provider, has obtained his Criminal Records Bureau check and is in the process of completing the application form to be considered to become the registered manager. Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 23 Staff said that the provider, acting manager and clinical manager were all approachable and supportive. The acting manager showed some residents and relatives surveys that had been completed. Residents expressed total satisfaction with their care, relatives raised issues concerning laundry and meals. The provider and acting manager described action that had been taken as a result of these. The acting manager said he wanted to increase the amount of surveys returned and as a first step was including these in the Statement of Purpose. A sample of residents’ personal allowance records was seen. These showed detail of expenditure made and there were receipts to accompany these, however each transaction was signed by one person and did not have each transaction witnessed to say it was correct. The manager said that all the required health and safety checks are carried out at the required frequency and there are service contracts in place for servicing all the equipment. It was stated on the Annual Quality Assurance Assessment that equipment is tested or serviced as recommended by the manufacturers or other regulatory body. Ashley House Care Home DS0000024625.V361847.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 3 X 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 2 X 3 X 3 X X 3 Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 25 Are there any outstanding requirements from the last inspection? Yes 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 OP7 Regulation 15(1) Requirement There must be opportunities for residents and/or their relatives to be involved in the preparation and reviewing of their care plans, so they can influence the care they receive. More frequent and varied activities must be provided so residents have opportunities to spend time doing things they find enjoyable and stimulating. The correct recruitment process must be followed at all times, including obtaining a Criminal Records Bureau check. This requirement had a timescale of 19/11/07, which has not been met. Enforcement action is now being considered 4. OP30 18(1)(c)(i ) Staff must be provided with the training they need to be able to do their work. This will ensure that residents are cared for by suitably trained staff. 04/04/08 Timescale for action 01/07/08 2. OP12 16(2)(n) 01/06/08 3. OP29 19 (1)(a) 04/04/08 Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 26 This requirement had a timescale of 01/03/08, which has not been met. Enforcement action is now being considered 5. OP31 18(1)(a) The proprietor must ensure that the manager in post applies to become the Registered Manager This requirement had a timescale of 01/02/08, which has not been met. Enforcement action is now being considered 6 OP35 17(9)(a) All financial transactions made on behalf of residents must be signed and witnessed 11/04/08 04/04/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Eastern Region Commission for Social Care Inspection Eastern Regional Contact Team CPC1, Capital Park Fulbourn Cambridge, CB21 5XE 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 Ashley House Care Home DS0000024625.V361847.R01.S.doc Version 5.2 Page 28 - 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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