Inspection on 17/07/07 for Ashlyns Residential Home

This inspection was carried out on 17th July 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

Ashlyns Residential Home 25/07/06

Ashlyns Residential Home 30/01/06

Ashlyns Residential Home 08/08/05

Ashlyns Residential Home 09/02/05

Ashlyns Residential Home 29/07/04

Ashlyns Residential Home 11/02/04

Similar services:

Claremont House

Oak Ridge

Sun Court Nursing Home

Ashville House

Bramley Avenue (73)

Bilney Hall

Hill Barn

Mabbs Hall Nursing Home

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

CARE HOMES FOR OLDER PEOPLE Ashlyns Residential Home Chesham Road Berkhamsted Hertfordshire HP4 2ST Lead Inspector Pat House Unannounced Inspection 17th July 2007 10:45 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 Ashlyns Residential Home DS0000019271.V345569.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. Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashlyns Residential Home Address Chesham Road Berkhamsted Hertfordshire HP4 2ST 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) 01442 870565 01442 861601 www.bmcare.co.uk Colley Care Limited (Trading as B & M Care) Mrs Diane Delicate Care Home 58 Category(ies) of Dementia - over 65 years of age (19), Old age, registration, with number not falling within any other category (38), of places Physical disability (1) Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. When the named service user in the PD category permanently leaves the care home for any reason the PD category will be removed and the number of places in the OP category would revert back to 39. 25th July 2006 Date of last inspection Brief Description of the Service: Ashlyns is a purpose built residential care home for 58 service users in the older people category. The home has a Dementia Unit (for 19 service users) and a Residential Unit (for 39 service users). The home is one of the B & M group of care homes. The building, part of a large country estate, is situated on the outskirts of Berkhamsted, close to the A41. There are ample parking spaces nearby. The home has a front driveway and the main entrance to the building is security locked. All the bedrooms have en-suite facilities and some are double rooms. All bedrooms are accessible to wheelchair users. The Dementia Unit has 19 bedrooms, two lounges, a small nurses station, a kitchenette and a dining room. Overlooking the lounge is the sensory garden. The interior décor and furnishing are designed to provide a homely and comfortable atmosphere. Security locks are in place at both ends of the Dementia Unit for the safety of the service users. The corridor extends into the Residential Unit, with 39 bedrooms, a lounge, a laundry room, a main kitchen and two dining rooms. There are grounds all around the home and in the centre of the building is a courtyard that is well designed with an ornamental fountain, attractive potted and climbing plants and comfortable garden furniture. There is a large sun lounge, adjacent to an activity room and overlooking the back garden, which is accessible to wheelchairs. The ‘Statement of Purpose’ and ‘Service User’s Guide,’ which includes the ‘Complaints Procedure’, are kept in the office along with the last CSCI inspection report. All are available on request. Fees for residence at the home range from £645 to £875 per week. Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection took place over one day with one inspector. The manager and deputy manager were both present during the visit and some time was spent discussing the corporate changes currently being implemented to records in the home. All areas of the building were visited and residents and staff were observed and spoken with. Activities took place throughout the day and the mid-day meal was served during the inspection. Medication procedures were checked and one visiting district nurse was spoken with. A selection of records was examined and a spot check was made on cash being held for a resident at the home. A quality self-assessment form, sent out by the CSCI, had been completed and returned by the manager. Quality assurance questionnaires will now be sent out to a selection of residents and relatives and information provided for the CSCI will be included in the next inspection report. What the service does well: Without exception, residents spoken with in the home praised all aspects of the care provided and said that care staff and management were “wonderful”. Facilities provided are constantly under review and residents and staff said that they felt involved in any changes made to the home. Residents helped choose new names for the three units in the home and have regular meetings where their views are sought. Evidence was seen of meaningful introduction visits taking place prior to someone new entering the home and of individual arrangements being made to ensure the new person settled happily. Staff were observed, often from a distance, being really respectful to residents, some of whom were very confused, and of taking time to listen to what was really wanted. The dementia unit has been thoughtfully equipped and has its own safe garden area. However, arrangements for activities and for presenting meals are equally good for the confused and the not confused. An assessment of “excellent” has been given in this report for arrangements for the daily life of residents in the home. The range of activities provided is extensive and the input from schools in the area is not just at “token” times such as Christmas, but happens weekly and there is a two way relationship between the school children and residents in the home, clearly enjoyed by all. Families and friends are really welcomed and the home has introduced special arrangements to support the relatives of the more confused residents, with “Restaurant Evenings” provided by staff. Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 6 Meals in the home are also excellent, with a three course mid-day meal and wide choice offered at all meal times. Snacks and finger foods are also available at all times. 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. Ashlyns Residential Home DS0000019271.V345569.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 Ashlyns Residential Home DS0000019271.V345569.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): Standards 1, 3, 4 and 5. Standard 6 does not apply to this home. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Appropriate written information is provided about services in the home and all prospective residents have detailed assessments completed. Introductory visits are welcomed and specialist services offered at the home are kept under review and updated. All these aspects of the home help to ensure that prospective residents and their families know if Ashlyns is the right home for them. EVIDENCE: The manager is currently updating the home’s Statement of Purpose and Service User’s Guide to include the change of names now given to the different units in the home. The manager said she also intends to include more information than previously given to ensure that all residents have a complete picture of facilities available at Ashlyns, some of which have been recently extended. Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 9 One resident had moved into the dementia unit of home the previous day. Records seen showed that a family member had visited the home on three occasions and had brought their relative in for a “tea visit” before the resident took up the place. Senior staff at the home had also visited the resident in their own home and a detailed written assessment of need had been completed. An initial care plan had been drawn up for this resident, which included arrangements for a family member to come in to the home and help the resident have a bath, as was their choice. The resident was spoken with during the inspection and staff confirmed that their bedroom, which was full of personal items and furniture, had been prepared by the family before the resident moved in, to assist with familiarisation. The dementia unit, “The Willows”, is a secure area where residents can move about freely, and it has its own garden, which is also secure. Fire hydrants in this area have covers over them for safety. There are pictorial signs on toilet doors to enable orientation and staff said they are planning to put pictures of residents, or appropriate images, on bedroom doors. During the visit the Willows had posters and collages depicting summer on display, to emphasise the current season, and there is a seating area with a piano, and music sheets available. Other specialist services include the unit having its own dining room, the availability of snack meals at all times, if needed, and incentives to support the relatives of residents in the unit (as described later in the report). Dementia training is provided for all staff and some eight staff members are enrolled on a specialist diploma course. Targeted activities for dementia are now also provided and the manager is planning to access training for staff in this specialised area. Ashlyns Residential Home DS0000019271.V345569.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): Standards 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. Procedures followed in the home ensure that all care needs are clearly set out in care plans so that care staff are aware of all needs and how to meet them. The system for administering medication is thorough and helps to protect service users and staff work hard to make sure every resident is treated with respect in the home. EVIDENCE: A review has taken place of the records used in all the homes in the B & M group, and new corporate documents have now been provided. New care plans have been introduced and are being completed for all residents, although this work is still underway, and most residents’ records still contain the previous care plans. The new records have specialist sections for those residents who have dementia. Five staff members from Ashlyns have already been trained to use the new system and two more were taking part in this training during the inspection. The new documents were discussed with the manager during the Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 11 visit and it was agreed that more detailed risk assessments would also be included in individual plans for the prevention of falls and for moving and handling arrangements. Current care plans were tracked for the residents seen or spoken with and all contained good daily recording, body charts where appropriate, details of regular weight checks and specific details of individual needs and how these needs should be met. Signed inventories of belongings were included as were instructions for death and dying arrangements. Information about the past histories of residents was seen in the plans and this information is incorporated into activity planning. All plans are now accessible to staff and have the name of the resident on each file. A visiting district Nurse was spoken with and confirmed that staff at the home provide good care for the residents and always involve Health professionals at appropriate times. One resident who was unwell and who now remained in bed looked very comfortable and had drinks and a call alarm nearby. There were food, fluid and turning charts in this resident’s room and these had been regularly recorded in appropriate detail. Mouth swabs had been provided and care staff confirmed that these were used to ensure the resident’s comfort. The home has a Treatment room, which visiting health professionals can use and where medication is stored. Procedures for administering medication were checked and storage and recording were appropriate and thorough. One resident’s medication and records were tracked and no errors were found. Risk assessments had been completed for the administration of Warfarin and all packets of drugs were dated when opened. The procedure for dealing with Controlled drugs was also thorough. Staff spoken with confirmed that only those who had been trained are involved in drug administration and that regular audits take place to ensure the system is operating as it should. The interaction between care staff and residents was observed throughout the inspection and in all cases staff treated the resident concerned with respect and afforded them real dignity, taking pains to ensure they were following individual wishes, even where the resident concerned was clearly very confused. Residents spoken with also said they were always told about events and changes in the home and had monthly coffee mornings, where they were asked for their views. There was an open letter to residents, from the manager, displayed on the notice board, thanking the residents for their input into choosing the new names for the separate units in the home. Ashlyns Residential Home DS0000019271.V345569.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): Standards 12, 13, 14 and 15. Quality in this outcome area is excellent. This judgement has been made using available evidence including a visit to this service. Staff in the home provide a wide range of activities and events which are imaginative and innovative and which provide stimulation and interest for residents and support for families and friends and which encourages the on-going participation of visitors to the home. Procedures followed in the home mean that residents are supported to make real choices about their daily lives and continue to feel part of the wider community. Food provided in the home is of an excellent standard and caters for a variety of tastes and need, directly benefiting the health and well being of residents. EVIDENCE: Details of activities taking place in the home are displayed around the building and residents spoken with confirmed that these events take place as advertised. Residents also said that staff remind them about the activities on a daily basis and they then choose which events they wish to take part in. There is an activities room on the ground floor where a wide range of equipment and displays of photographs are kept. Events advertised included weekly trips to a local supermarket, hand and nail treatments, quizzes, visiting singers, exercise Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 13 sessions, weekly Holy Communion and monthly visits from members of a local Church. The notice board had details of visits from the mobile library and there is a mobile shop in the home on two mornings each week. The activities coordinator was spoken with and said that she visits every resident twice each day to record choices for the next meal and in this way she also gets to know individual interests and promotes the activities being arranged. The coordinator has introduced new recording documents where names of attendees are written with details of whether each resident enjoyed the event or not. The co-ordinator will also be monitoring who did not attend events and will assess which way they can find stimulation while in the home. Residents from the dementia unit, (The Willows), join in with the main events but now also have a dedicated co-ordinator providing specialist activities on two days each week. There is a volunteer who visits the home each Sunday and who organises a weekly quiz which staff said was very popular. There is also a sherry club which meets in the home every day before lunch. During the inspection residents were having manicures provided and the male residents were keen to enjoy this treatment along with the ladies. One resident who likes doing jigsaw puzzles had been provided with a large puzzle and a large space had been cleared in her room so that she could work at this as she wanted. During the afternoon, an opera singer entertained the residents and this was clearly a very popular regular event. Local schools visit the home on a regular basis. Children from one school visit weekly between 4.30 and 5.30 pm and residents make trips back to the school and are invited to the school events. Another school visits fortnightly and the children link with named residents on a one-to-one basis and become their “buddy”. Staff said that one child who had left the school recently returned to meet up with his previous “buddy” and that this and other relations formed gave lasting pleasure to the residents. In addition children from a local nursery school make weekly visits to the home when one of the residents reads a story to the children, and staff said this session is extremely popular and supported by other residents in the home. Residents spoken with confirmed that their relatives were welcomed at all times and were always invited to special events held in the home. They said their friends and families were supported to take them out both in the day and for evening outings as well. Some residents still handle their own financial affairs to some degree but staff said that families mostly handle their relatives ‘ money. Staff said that residents were encouraged to bring personal possessions into the home with them and bedrooms seen contained lots of personal items and furniture. Residents praised the food provided at the home and confirmed they chose what to eat twice each day for meals on that day. Some residents said they chose to eat some or all of their meals in their rooms but that this was as they wished. The chef prepares both the mid-day and evening meals in the home Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 14 and four weeks of menus, for all three daily meals, were on display on notice boards around the home. During the inspection the mid-day meal was observed in both dining rooms and all tables were laid with clean table-cloths, cloth napkins, flowers and condiments. The meal had three courses and there was extra cheese and salad ready on the side, although several different choices had been catered for anyway. Drinks were on the table and the food provided looked extremely appetising and well presented. Residents spoken with in the dining rooms said the meal was “lovely” and that food was always “excellent”. During the morning and afternoon a trolley with tea, coffee and cold drinks was seen taken round the building and biscuits and fruit were also offered at this time. Cold drinks were also seen available in all bedrooms visited. Residents confirmed they could have snacks and drinks in the evening and had special meals when it was a resident’s birthday. There is one chef who works during the week and another chef is employed at weekends. There is also an assistant chef who only works in the kitchen and does not have any care duties. All kitchen staff have Food Hygiene training certificates. The kitchen staff spoken with confirmed they take part in all general staff training and that they are provided with any equipment or supplies they might need. There was a list on the wall in the kitchen detailing resident’s special diets and allergies and also a list of birthdays so that special plans could be made. Recently, special “Restaurant Evenings” have been arranged for residents in the dementia unit and their families, who sometimes find it difficult to take their relatives out to a restaurant. At the last such evening, staff from the home had “waited” on the tables, menus were displayed and some relatives had dressed formally. Staff said that this evening had been enjoyed by large numbers of visitors who were also able to socialise with other relatives and who had found this situation very supportive. Another evening had been planned for the following month and the manager said that these events would continue. Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 15 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): Standards 16 and 18. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Procedures followed in the home ensure that residents are protected from abuse and have any concerns listened to and dealt with appropriately. EVIDENCE: The home has written policies for making a complaint and for Whistle blowing, which staff spoken with said they were aware of. The complaints policy is displayed in the foyer of the home and staff said that residents are reminded of the process at residents’ meetings. Residents spoken with said they were fully aware of how to voice a concern or make a complaint and would not hesitate to do so if the need arose. The home has a written policy for Safeguarding Adults and all staff receive training in Adult Protection. Ashlyns Residential Home DS0000019271.V345569.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): Standards 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 home is well presented, well maintained, clean and hygienic so that residents benefit from living in pleasant surroundings at all times. EVIDENCE: The home was generally clean and well decorated and furnishings and fittings were all in good order and appropriate for their use. The bathrooms, toilets and shower room were all “spotlessly” clean and had soft paper towels and liquid soap in use, as recommended in current guidelines for infection control. Bathroom 5 had been repaired since the last inspection and was fully operational and hot water was being delivered at safe temperatures in the areas checked. Staff spoken with felt there were sufficient numbers of cleaners employed and residents said the home was always clean and fresh smelling. Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 17 Residents also said they always received their laundry back nicely washed and directions to the laundry in the home were written on an old fashioned mangle, for the benefit of those left with only long-term memory. For safety the home has CCTV cameras covering the four main external areas and the grounds looked well kept and very attractive. The dementia unit has secure grounds available, with a circular path, which can be safely walked along. A new greenhouse has just been installed for the use of residents so that those who enjoy gardening can pursue this interest through all seasons. Ashlyns Residential Home DS0000019271.V345569.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): Standards 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. Recruitment procedures at the home are thorough and help to protect residents. Staff are well trained and employed in sufficient numbers to ensure that all service users’ care needs can be met. EVIDENCE: The residents and staff spoken with all felt that there were usually enough staff on duty in the home and residents said that a high standard of care was provided. On the day of the inspection the manager and deputy were on duty and a senior was in charge of each of the three units in the home. The administrator was also on duty as well as care and ancillary staff. The home has its own maintenance worker and there is a maintenance team available for the group of B & M homes. The manager is currently advertising for new night staff and a new day care worker was due to start work the following Monday. Recruitment records for this new member of staff and for two others were examined and evidence of all appropriate checks was seen. Staff spoken with said at the start of each new shift, all care staff now “walked round” the home with the senior on duty, and visited each resident, hearing Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 19 about any current needs or changes, as they went. All those spoken with said that communication in the home was very good and staff said they felt involved in decisions about care provision. Care staff confirmed they had received full induction training when they started work at the home. This training took two weeks and included shadowing other care staff. There is an on-going training programme for all staff at the home, which covers basic topics, dementia needs and Adult Abuse. Records were seen of regular staff supervision and every fortnight staff discuss a different topic from the home’s policies and procedures. The manager said all areas of policy will be covered gradually. NVQ training is promoted for staff and 8 staff are also enrolling in a diploma course at a local college. Staff spoken with said they were provided with a lot of courses and felt well trained. Ashlyns Residential Home DS0000019271.V345569.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): Standards 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Service users benefit from living in a well run home where procedures for promoting health and safety help to protect both residents and staff. EVIDENCE: The manager is qualified and registered with the CSCI. Staff and residents spoken with said they felt the home was well managed and that they could approach the manager at any time to discuss issues. The new procedures being introduced to the home by the B & M company include a new Quality Assurance process, which will be started soon. Regular questionnaires are already sent out to families and other relevant people, by Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 21 the manager and there are various questionnaires given and meetings held to secure the views of residents in the home. One resident keeps a small amount of money in his room, which the family add to at intervals and some individual amounts of money are kept in the office for residents. The system for handling this money was examined and one resident’s cash was checked in detail. Records were in order and receipts were kept where appropriate. Other residents have amounts spent on their behalf included in the monthly invoices, which are sent out for payment. The accident records were checked and were well documented and fire checks were detailed appropriately. There are notices displayed in the home that the fire alarm is tested every Wednesday, but separate drills also take place. A notice also gives information to residents regarding PAT testing arrangements for personal electrical goods. There were some toiletries accessible in a cupboard in the hairdressing room, which was not locked. The manager removed these items during the inspection and said that a lockable container would be provided for storage in the hairdressing room. Ashlyns Residential Home DS0000019271.V345569.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 x 3 3 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 4 13 4 14 4 15 4 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 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 x 3 x 3 x x 3 Ashlyns Residential Home DS0000019271.V345569.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. Refer to Standard Good Practice Recommendations Ashlyns Residential Home DS0000019271.V345569.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Hertfordshire Area 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 - 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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