Inspection on 27/09/07 for Ashley House Residential Home

This inspection was carried out on 27th September 2007.

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

Ashley House Residential Home 30/10/06

Ashley House Residential Home 12/12/05

Ashley House Residential Home 09/05/05

Ashley House Residential Home 24/01/05

Ashley House Residential Home 27/07/04

Ashley House Residential Home 19/02/04

Similar services:

The Highlands

Turret Villa Retirement Home

Moor House

Blenheim House

1 Lanark Close

Mendip House

Beaconsfield Court Care Home

Ann Charlton Lodge

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

CARE HOMES FOR OLDER PEOPLE Ashley House Residential Home Thornley Road Deaf Hill Trimdon Station Durham TS29 6DA Lead Inspector Mr Stephen Ellis Key Unannounced Inspection 27th September 2007 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 Residential Home DS0000034013.V349067.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 Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley House Residential Home Address Thornley Road Deaf Hill Trimdon Station Durham TS29 6DA 01429 881225 01429 883769 swhite1973@hotmail.co.uk 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 Matt Matharu Mrs Jean Kennedy Steven White Care Home 25 Category(ies) of Dementia (25), Old age, not falling within any registration, with number other category (25), Physical disability (5) of places Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 persons in the category of PD Physical Disability 55 years or above may be accommodated within the overall total of 25. 30th October 2006 Date of last inspection Brief Description of the Service: Ashley House provides residential care services for up to 25 older persons in the categories: Dementia (25); Old age, not falling within any other category (25); and Physical disability (5). Mr Matt Matharu and Mrs Jean Kennedy own the home. It is located in the small village of Deaf Hill: a large two-storey building with a passenger lift to the first-floor. The home has a pleasant garden area to the rear, which can be accessed by service users from the homes large conservatory. There are 19 single bedrooms, including one with en suite facilities, plus 3 double bedrooms. These are all spacious rooms. The fees vary between £382.50 and £442.50 per week. The fee covers all accommodation, meals and personal care. Hairdressing, toiletries, newspapers and chiropody are not included in the fee. The actual amount people pay will depend upon their individual circumstances. Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced fieldwork visit to Ashley House took place over 5 hours as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the records that the home is required to keep, and interviews with service users, staff and visitors to the home. Comments were received during the visit and from a service user survey carried out before the visit. In total there were comments received from 12 service users, 3 relatives, 3 staff and one visiting social care professional. The overall quality rating for this service following the fieldwork visit is judged to be ‘good’. What the service does well: The service achieves good outcomes for its service users in all key, outcome areas covered by the National Minimum Standards. Typical comments received from service users, relatives and visitors to Ashley House included: “Information was very useful…information wasn’t bad…can’t remember…agreed the home was right for me…I always receive the care and support I need and staff listen and act on what I say…the staff always make time for me and are very approachable…I receive the medical support I need…I receive good support…I am well taken care of here and can see the doctor or nurse whenever I need to…there is such a welcoming and happy atmosphere at Ashley House and everyone is so friendly, that it really feels like ‘home’ for the residents…everyone was so good in finding out his likes and dislikes and what he was interested in, to stimulate conversation and maximise his care, it was as if he was being cared for by his own family…there are activities arranged by the home that I can take part in…I like to sit and do my knitting, although there are activities I could take part in…I go out to the computer club each week, with assistance from staff, and I also like to go shopping at Washington…I enjoy reading my paper each day…I feel welcome here whenever I visit, am usually offered a cup of tea and my brother is quite happy here…staff are very good…they respond very well…I would see Steven (manager) or anybody (staff) if I was worried about anything or wanted to complain and I know that they would deal with it in the right way…the home is always fresh and clean… I also very much appreciated your care of the family, allowing them to be with him whenever they wanted – and feeding them so they could stay with him all day! It was all done so willingly and cheerfully too, with shared laughter, even Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 6 in the midst of sadness, to lighten the load. Again, I doubt that such care would have been possible in a busy hospital ward.” What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashley House Residential Home DS0000034013.V349067.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 Ashley House Residential Home DS0000034013.V349067.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. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them about the service they will receive. Intermediate care is not provided. EVIDENCE: Comments received from residents, relatives and staff, plus visiting social care professional, confirmed that full assessments of needs were carried out prior to admission to the home. Most residents felt there was enough information from which to make a choice about being admitted. Typical comments included: “Information was very useful…information wasn’t bad…can’t remember…agreed the home was right for me.” Comprehensive statements of purpose and service user guides and are supplied routinely. These are informative documents and copies are available in Reception. The terms and conditions of residence are also provided and the home has agreed contracts with the commissioning authorities (Adult Social Services Departments). The home is aware that it needs to keep its statement of terms Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 9 and conditions of residence fully harmonised with its commissioning contracts and its statement of purpose and service user’s guide. The home is reviewing these documents. The home’s reception area is next to the manager’s office on the ground floor and a variety of useful information is displayed, including the service user’s guide, statement of purpose, service user surveys and previous inspection reports. Service user plans of care revealed comprehensive, detailed assessments of need being carried out prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission. These assessments showed that the home only admitted people whose assessed needs it could meet. Ashley House Residential Home DS0000034013.V349067.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. 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 health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. EVIDENCE: Residents and relatives felt that the health and social care needs of service users were well known by staff and were being fully met. Health and social care assessments are being carried out, with input from local doctors, community nurses and social workers. Residents said that the community nurse or doctor would see them whenever required and they were very satisfied with the quality of service they received. Residents’ personal, social and health care needs were well known, understood and respected by the staff team. Residents said that they felt they were treated with respect and sensitivity. Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 11 Typical comments included: “I always receive the care and support I need and staff listen and act on what I say…the staff always make time for me and are very approachable…I receive the medical support I need…I receive good support…I am well taken care of here and can see the doctor or nurse whenever I need to…there is such a welcoming and happy atmosphere at Ashley House and everyone is so friendly, that it really feels like ‘home’ for the residents…everyone was so good in finding out his likes and dislikes and what he was interested in, to stimulate conversation and maximise his care, it was as if he was being cared for by his own family.” Care plans and risk assessments were detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving service users, relatives and social workers. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, has included the important issues of privacy and dignity and a high percentage of permanent care staff (80 ) have achieved NVQ in care. There are good arrangements for the safe administration of medicines. All care staff members responsible for the administration of medicine have completed Safe Handling of Medicines courses. There is good support from a local Pharmacist who supplies medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are good storage systems and care staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. Residents may attend to their own medication (there are, for example, lockable drawers in bedrooms) but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. Care staff carry out medicine audits routinely. It is commendable that a photograph of the service user is kept next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification. Ashley House Residential Home DS0000034013.V349067.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. 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 choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. EVIDENCE: Many residents said they enjoyed living at Ashley House and described the staff as being caring and helpful, and the atmosphere in the home as being friendly and supportive. They were free to sit in any lounge, dining area, or in their own bedroom. All were satisfied with the arrangements for daily life in the home, including one or two smokers who could either smoke outside or in the conservatory smoking room. Residents confirmed they could exercise choice in their daily lives. For example, they could decide what clothes they wore and how they spent their time, including when they got up and went to bed. They said that there was a varied programme of social and recreational activities, including bingo; board games; crafts; seasonal events; occasional visiting entertainer; quizzes; raffles; chair exercises; videos and DVDs; reminiscence and outings. An Activities Organizer was appointed earlier this year and helped to develop ‘life story books’ and personal profiles with service users and their families. The Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 13 post is vacant again, but the job has been re-advertised. In the meantime, care staff members take a lead in organising social events for each day and there is a daily programme. Residents pursue individual interests if they wish, such as reading, television or knitting. Comments from residents and visitors included: “There are activities arranged by the home that I can take part in…I like to sit and do my knitting, although there are activities I could take part in…I go out to the computer club each week, with assistance from staff, and I also like to go shopping at Washington…I enjoy reading my paper each day…I feel welcome here whenever I visit, am usually offered a cup of tea and my brother is quite happy here.” People’s religious needs were being addressed. Various services are held each month within the home. Residents said that visitors were always made welcome and could call at any reasonable time. Some residents went out with relatives or friends for part of the day. All the residents spoken to said the catering was good. There was a wide choice and the Cook understood their preferences, including special diets. A cooked breakfast was available for those who wanted one. Residents mainly dined together in the dining room. They could, however, eat their meals elsewhere and at different times if required. Records are kept of meals served, available for inspection. The Cook confirmed the varied, appetising menu. Ashley House Residential Home DS0000034013.V349067.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. 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. Residents have access to a robust, effective complaints procedure and are protected from abuse. EVIDENCE: All residents who commented said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. Typical comments included: “Staff are very good…they respond very well…I would see Steven (manager) or anybody (staff) if I was worried about anything or wanted to complain and I know that they would deal with it in the right way.” A written complaints procedure is provided in the statement of purpose and service user’s guide. Staff and management are aware of the need to safeguard adults from abuse or neglect and have undergone training in these issues. Staff confirmed they are aware of the home’s ‘whistle blowing’ policy and confident to speak out about any suspected abuse or neglect. Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 15 All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks carried out as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through induction and foundation training so that they have the right knowledge and skills to do their jobs competently. Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 16 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. The physical design and layout of the home enables residents to live in a safe, well-maintained and comfortable environment, which encourages independence. EVIDENCE: There were no unpleasant odours and the home was found to be clean in all the areas inspected. A new entrance porch has been fitted since the last inspection and the home is planning to replace its existing conservatory with a new one. Bedrooms are spacious and often well personalised. Most care staff members have completed training in Health and Safety, Infection Control and Food Hygiene. Paper towels and liquid soap were provided in toilets and bathrooms in wall-mounted containers, to promote hygienic practices (although residents have personal flannels and towels in their rooms). Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean: A typical comment from residents was “The home is always fresh Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 17 and clean.“ The home is generally well maintained with servicing being carried out according to schedule. However, it was noticed that a small backlog of maintenance work had built up recently and it is necessary for this work to be attended to promptly. Also, the dining room area was observed to be in need of some refurbishment and redecoration. Provision of a walk-in, level entry shower should be considered as a useful addition to the home’s bathing facilities, promoting choice and independence in some situations. A couple of bedrooms still require suitable locks to be fitted. Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 18 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. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. EVIDENCE: On the day of inspection, there were 15 residents being accommodated. Typically there are 3 care staff members on duty during the day, one of whom is either a senior care assistant or supervisor (day shifts run from 8 am to 8 pm). At night, there are 2 members of care staff on duty (again, one will be a senior). There are sufficient ancillary staff members, including 2 full time cooks. The full time registered manager works weekdays. His hours are not included in the care hours available. A part time Activities Organizer is being recruited to replace the one that left earlier this year. A full staff training and development programme is in operation, including moving and handling, first aid, safe handling of medicines, safeguarding adults, positive dementia, health and safety, infection control and food hygiene. Staff confirmed that they had undergone extensive induction and foundation training. Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 19 At least 80 of care staff members have completed training and assessment for National Vocational Qualifications (NVQ) in Care at NVQ level 2 or 3, which is commendable. Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. Most care staff members have completed Protection of Vulnerable Adults training. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident. As one visitor commented: “I also very much appreciated your care of the family, allowing them to be with him whenever they wanted – and feeding them so they could stay with him all day! It was all done so willingly and cheerfully too, with shared laughter, even in the midst of sadness, to lighten the load. Again, I doubt that such care would have been possible in a busy hospital ward.” Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 20 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, 32, 33, 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 management and administration of the home is based on openness and respect, has effective quality assurance systems developed by a qualified, competent manager. EVIDENCE: The registered manager is experienced and competent in his role. Residents, visitors and staff spoke well of his leadership skills and commitment to good outcomes for residents. He was described as being approachable and caring. He has completed the Registered Manager’s Award at National Vocational Qualifications (NVQ) level 4 and is working towards NVQ level 4 in Care. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of many residents. In those situations where the home helps Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 21 look after residents’ monies, such as personal allowances, clear individual records are maintained. Comments received from staff and management confirmed that there are good health and safety policies and procedures that promote the health, safety and welfare of residents and staff. All staff members do refresher training in health and safety, such as moving and handling, fire safety and food hygiene. This helps reinforce the registered provider’s written policies on Health and Safety. Health and Safety issues are also discussed at bi-monthly staff meetings and in staff supervision sessions. Personnel records and comments received from staff confirmed that regular staff supervision and appraisal is being carried out. Residents and staff expressed satisfaction with the way the home was run. They said they believed the home was safe and run in the best interests of residents. For example, residents’ meetings are held monthly and minutes taken. Also, there is an annual survey of residents’ satisfaction carried out and the findings are reported within the home. One of the registered providers visits the home frequently, checking on the welfare of residents and the progress of the home. The manager invites comments from service users and visitors, with forms for written comments kept in Reception. Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 22 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 3 3 X X 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 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 4 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 X 3 3 X 3 Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 23 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. 1. Refer to Standard OP1 Good Practice Recommendations The home is working to ensure that its statement of purpose, service user’s guide and its statement of terms and conditions of residence are fully harmonised and consistent with each other. Provision of a dedicated activities organizer is desirable. The home is generally well maintained but it was noted that a small backlog of maintenance work had built up recently and this work should be attended to promptly. The dining room area was observed to be in need of some refurbishment and redecoration. A couple of bedrooms would benefit from having suitable locks fitted. Provision of a walk-in, level entry shower should be considered as a useful addition to the home’s bathing facilities, promoting choice and independence in some situations. 2. 3. 4. 5. 6. OP12 OP19 OP19 OP24 OP21 Ashley House Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Darlington Area Office No. 1 Hopetown Studios Brinkburn Road Darlington DL3 6DS 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 Residential Home DS0000034013.V349067.R01.S.doc Version 5.2 Page 25 - 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!