Inspection on 09/11/05 for Ashling Lodge

This inspection was carried out on 9th November 2005.

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

Ashling Lodge 04/09/07

Ashling Lodge 20/04/05

Ashling Lodge 04/01/05

Ashling Lodge 13/07/04

Similar services:

Henry Nihill House

Birchwood

The Infirmary

Orchard House Nursing Home

St Josephs Rest Home

Red Court Nursing Home

Spinney (The)

Queen Elizabeth House

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

CARE HOMES FOR OLDER PEOPLE Ashling Lodge 20 Station Road Orpington Kent BR6 0SA Lead Inspector Monica Hanscomb Announced Inspection 9th November 2005 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 Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 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. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ashling Lodge Address 20 Station Road Orpington Kent BR6 0SA 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) 01689 877946 Chislehurst Care Limited Vacant Care Home 13 Category(ies) of Old age, not falling within any other category registration, with number (13) of places Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th April 2005 Brief Description of the Service: Ashling Lodge is a large detached two-storey house converted to provide care and accommodation for the elderly. The home has a large conservatory built to the front of the property which is on a busy main road. The property is accessed by a steep drive and has some off-street parking. Service user accommodation is on both floors, accessed by a stair lift. There is wheelchair access to both the front door and the fire exit leading directly onto the rear garden. The home is within a short walking distance of Orpington town centre with its range of shops, leisure facilities, and public transport links. Central heating is provided to all areas of the home and the radiators are guarded to lessen the risk of an accident. There are handrails in the corridor areas with grab rails provided in toilet and bathroom areas; specialised bathing equipment is also available. All toilet and bathrooms are lockable and can be accessed from the outside in an emergency. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection which took place over 3.5 hours and was carried out as part of the statutory inspection programme. The inspection included a tour of the premises, inspection of the records and safety systems. The inspector spoke with a member of staff, a college student and the cook and was able to observe the interaction with the service users. The inspector would like to thank all those who participated with the inspection. What the service does well: 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. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 6 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 Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 7 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): 1,2,3,4,5,6. The service users and their families are given all the information before choosing whether to live in the home. The service users’ contracts were unable to be verified because they are, as yet, still not kept in the home. EVIDENCE: The home now has an updated Statement of Purpose and Service User’s Guide. Both documents are pertinent to the home and are clear and easy to read. The service users’ contracts were unable to be seen as they are still being kept at the company’s head office and the inspector was unable to verify all service users were given one. Service users are invited to visit before moving in to live in the home. All service users have a full care needs assessment before they are admitted to the home. The service users have a period before the placement is deemed permanent. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 8 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): 7,8,9,10,11. The carers treat all service users with respect and maintain their dignity and independence at all times. EVIDENCE: All service users’ medications are kept in a locked cabinet. They are delivered to the home on a monthly basis or when necessary, and all medications are dispensed into individual dosette boxes. All medications given to service users are immediately recorded on their medication charts. All the medications not in the dosette boxes were all in date. The home has the service of a local pharmacy, which advises the home and trains the staff to administer medication. Service users requiring help with personal care receive help from carers in the privacy of their own rooms. All bedroom doors have a lock, which can be opened from both sides in case of an emergency. The carers were seen to be knocking at bedroom doors and awaiting a reply before entering the room. Relatives and service users confirmed carers treat all service users with respect and were pleased with the quality of care given. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 9 Service users are all assessed, including a risk assessment, before entering the home and a care plan is developed to meet their needs. The carers all receive induction training in all areas to meet the needs of the service users. The service users have sessions of music and movement to help them keep supple and they stated they all enjoyed the session. Service users are weighed on a monthly basis. The services of opticians and dentists are regularly organised for those service users who need treatment. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 10 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): 12,13,14,15. The social activities and the meals are both well managed and provide daily variation and interest for people living in the home. EVIDENCE: There is an activity poster on show on the notice board to inform the service users of the activities which will take place. The service users particularly enjoy music and movement, singing and chatting. During the inspection the inspector met some relatives of the service users who were fulsome in their praise of the care their relative received. The inspector noted they were offered refreshments as soon as they arrived and they stated their relative had been in other homes but they couldn’t speak highly enough of the manager and her staff. The service users always have a choice of two meals on offer. The inspector was given a copy of the latest menus, which had been developed with the help of service users. The menus were well balanced and varied and a choice was always available. The meals are all home cooked which the service users also praised. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 11 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): 16,17,18. The home has all the required protection measures in place to protect the service users at all times. EVIDENCE: The home has received two complaints since the last inspection both have been investigated and substantiated and the appropriate action was taken. The home has a detailed complaints policy and procedure which states all complaints will be thoroughly investigated within the timescales stated and compliance. All the service users are given a copy of the complaints procedure, which informs them how to make a complaint. All members of staff have attended training about abuse held by the London Borough of Bromley, Social Services Training department. Newly appointed staff all have a CRB check before they are allowed to start work. Carers who have been investigated for abuse and found to be at fault are immediately reported to POVA, which means they will be unable to work in the care industry again. The home has a procedure for whistle blowing, which complies with the Public Disclosure Act 1998 and the Department of health guidance ‘No Secrets’. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 12 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): 19,20,21,22,23,24,25,26. The home provides the service users with a homely and clean environment which is safe and well maintained. The laundry should be thoroughly cleaned and the floor should have an impermeable finish and the walls should be readily cleanable. EVIDENCE: The home is well maintained by handymen who will carry out any maintenance as and when the need arises, which provides a safe environment for the service users. The home employs a gardener to maintain the grounds so the service users can sit in the garden and enjoy the views. The home has ordered all new garden furniture for the summer. The home has ramped access for wheelchairs and all the service users have a lock on their bedroom door which can be opened from both sides in an emergency. The whole house was warm, comfortable and homely. The dining room was ready for the midday meal and looked clean and inviting. The home now has a mobile lifting hoist to help carers and the service users when necessary. There is a hoist to help service users in and out of the bath and Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 13 there are raised toilet seats in some toilets to help service users to maintain their independence. The service users own bedrooms were clean and personalised with pieces of their own furniture and photographs of family and friends. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 14 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): 27,28,29,30. The home has competent and well-trained staff to care for the service users. EVIDENCE: All staff in the home undergo a rigorous recruitment and selection policy before they are appointed. References are taken up from the last employer and one other. A CRB check is undertaken and the POVA lists are checked. Once all the checks have been made and are satisfactory the employee is confirmed in post. The carer then has induction training before they are allowed to care for service users. There are always two carers and the manager/senior carer on duty during the waking day. At night there is one “waking” staff and a “sleepin” staff on duty. Ancillary staff e.g. cooks and cleaners are on duty during the day. The Commission for Social Care Inspection is registering the acting manager and once the procedure has been completed she will manage the home. Service users spoke very highly of the acting manager’s ability and will be glad once she is registered. The acting manager has many years of working in residential and nursing homes and has recently been awarded her Registered Manager’s Award. The company has a director of training who is responsible for training all staff within the group. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 15 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): Service users benefit from the ethos, leadership and management approach of the home. EVIDENCE: The acting manager has a management style which ensures an open, positive and inclusive atmosphere and she communicates a clear sense of direction and leadership for staff and service users who sing her praises. There is a regular relatives’ meeting when the home seeks the views of service users and their relatives about the services they receive. All financial transactions are undertaken by head office and qualified accountants audit the accounts. Insurance cover is in place against loss/damage to the assets of the business. The company does not act as an appointee for any service users. Service users have a lockable drawer for valuables. All care staff receive formal supervision at least four times a year. Although the company sends out questionnaires about the service residents receive, the results are not published. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 16 There are no mixer taps in place to control the temperature of the hot water within the home and the manager stated these rooms would be risk assessed until the valves are fitted. The laundry was found to be in need of thorough cleaning and the floors must have an impermeable floor covering and the wall finishes readily cleanable. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 17 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 2 2 3 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 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 3 18 3 3 3 3 3 3 3 3 2 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 2 3 3 3 3 2 Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1 Standard 38.3 Regulation 13(c) Requirement The registered person shall ensure that unnecessary risks to the health and safety of service users are identified and so far as possible eliminated. (Fitting mixer valves to hot water taps.) Timescale for action 01/04/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 3 2 1 Refer to Standard 26.4 33 2.2 Good Practice Recommendations The laundry floor finishes are impermeable and these and wall finishes are readily cleanable. The results of the QA survey should be published. A copy of the contracts should be kept in the home. Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 19 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup DA14 5RH 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 Ashling Lodge DS0000006918.V251522.R01.S.doc Version 5.0 Page 20 - 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. 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