Inspecting for better lives Random inspection report
Care homes for older people
Name: Address: Ashmeade 379 Padiham Road Burnley Lancashire BB12 6SZ The quality rating for this care home is: The rating was made on: three star excellent service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed inspection. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Julie Playfer Date: 1 9 1 1 2 0 0 8 Information about the care home
Name of care home: Address: Ashmeade 379 Padiham Road Burnley Lancashire BB12 6SZ 01282425142 01282454956 Ashhfe@aol.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Mrs Kathleen Mary Rhodes care home 15 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 old age, not falling within any other category 0 Over 65 15 Conditions of registration: The registered person may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission to the home are within the following categories: Old age, not falling within any other category - Code OP The maximum number of service users who can be accommodated is: 15 Date of last inspection Brief description of the care home Ashmeade is registered with the Commission for Social Care Inspection to provide accommodation and personal care for 15 Older People. The home is a detached property set in its own grounds with well-maintained and attractive gardens. There are car-parking facilities at the rear of the building. The home is located close to local shops and is on a major bus route. Accommodation is provided on two floors, linked by a passenger lift, in 9 single rooms and 3 double rooms. Three of the single rooms have an ensuite shower room and one shared bedroom has an ensuite toilet and hand wash Care Homes for Older People Page 2 of 9 basin. Communal space is provided in two lounges and one dining room. A visitors room is also available adjacent to the green lounge. The fees charged were varaible depending on the needs of the residents. Information was made available to prospective residents by means of a statement of purpose and service users guide. The guide was usually given to prospective residents and/or their relatives on viewing the home or at the point of assessment. The last inspection report was available with the statement of purpose in the home or it can be obtained from our website at www.csci.org.uk Care Homes for Older People Page 3 of 9 What we found:
Ashmeade was randomly selected for an inspection to check that the residents continued to receive an excellent service and that our rating was still valid. We last visited this service on 19 June 2007. The inspection was carried out by one inspector, however, the following report refers to we as it was written on behalf of the Commission. At the time of the visit there were 15 people living in the home. The inspection lasted approximately nine and a half hours and involved looking at some written documentation and the premises, talking to the residents, staff and the registered person and observing life in the home. At the end of the inspection feedback was given to the registered person and the deputy manager. Overall we found that the residents were happy with the quality of care provided, but there were some shortfalls identified in the handwritten medication records and the recruitment records, which needed to be addressed to meet regulatory requirements and safeguard the best interests of people living in the home. Most medicines administration records were pre printed by the pharmacy, however, the handwritten records we saw had not been properly completed. Hence, the dose of one medication had not been accurately recorded and the full instructions from the prescription labels had not been transferred to the record. We also noted that the handwritten entries had not been countersigned by another member of staff. Further to this, the registered person gave assurances that this would be immediately rectified and checks would be made to ensure the staff fully understood the medication procedures. A recruitment and selection procedure was available and a checklist was used to track documentation required for the recruitment of new staff. We looked at the files of three members of staff. We found that all the applicants had completed an application form, provided a full working history and had attended the home for an interview. However, we noted that one persons references and one persons POVA check had been received after they had commenced working in the home. The registered person confirmed that the recruitment and selection procedure would be updated with immediate effect to ensure all future staff were fully checked before they had access to the residents. What the care home does well:
We looked at the written information, which was available for residents, this included the statement of purpose and service users guide. The guide had been distributed to residents and the statement of purpose was available for reference in the home. The residents told us they had received a copy of the service users guide, when they were admitted to the home. The guide was presented in an easy read format and provided useful and informative information about the home. Copies of the last inspection report were available for reference within the statement of purpose. This meant the residents were well informed about the services and facilities available in the home. We looked at two of the residents files in detail. This demonstrated that the residents had their needs thoroughly assessed prior to admission by a social worker and the registered person. The residents and their relatives were supported and encouraged to Care Homes for Older People
Page 4 of 9 have an active role in the assessment process, which meant they had an active input into the delivery of their care. Copies of the preadmission assessments covered a range of individual needs including personal, social, health and cultural needs. The registered person confirmed that admissions were not made to the home in the absence of a full needs assessment. This meant the registered person could be confident that the staff had the necessary skills and knowledge to meet the assessed needs of prospective residents. Both files seen contained a care plan, which was based on the persons assessment of needs. Personal profiles had been incorporated into the care plan documentation, which provided details about past life experiences and important events. This information was useful for staff to stimulate meaningful conversation with the person. The plans were supported by daily records of personal care, which provided information about changing needs and any recurring difficulties. The records were detailed and the residents needs were described in respectful and sensitive terms. The care plans covered the residents personal, social, health and cultural needs and provided staff with clear guidance on how best to meet these needs. This meant staff had up to date information about the residents needs and preferences. Policies and procedures were in place to cover all aspects of the management of medicines. Appropriate records were maintained in respect to the receipt, administration and disposal of medication and suitable arrangements were in place for the storage and administration of controlled drugs. The residents preferences in respect of social activities were recorded and considered as part of the assessment and care planning processes. A range of activities was planned and implemented by the registered person and staff. These included exercise sessions, nail care, hairdressing, clothes parties, bingo and sing-a-longs. The residents were encouraged and supported to participate in the activities as they wished. Residents spoken to during the inspection said they enjoyed participating in the various activities, one person said, I really enjoy the sing a longs, they make me feel happy. The residents were consulted on a daily basis about what activities they wished to pursue. During the inspection the residents were observed having a hand massage, chatting to staff, reading newspapers and playing bingo. The residents spoken to told us that they liked the food provided. One resident said, The meals are exceptionally good. There was a choice of food each meal time and residents were asked prior to each meal what choice they wished to make. The food was homemade and breakfast was served throughout the morning to suit the preferences of the residents, who wished to have a lie in. The meal served on the day of the visit was plentiful and well presented. The residents said it was very enjoyable. The residents had access to a clear complaints procedure, which was displayed behind wardrobe doors in each bedroom. The procedure contained the necessary information and included the relevant telephone numbers should a resident wish to raise a concern. The residents said they felt comfortable about expressing their views and were aware of whom to speak to in the event of a concern. The policies and procedures for safeguarding vulnerable adults were available and provided guidance for staff should they suspect or witness any harmful practice. These Care Homes for Older People Page 5 of 9 issues were incorporated into the induction training and staff received specific tuition as part of their NVQ training. This meant staff had clear guidance in the event of an alert. The home was well maintained and decorated to a good standard throughout. Since the last inspection, the stair carpet had been replaced, 4 bedrooms had been refurbished and decorated, two new adjustable beds had been purchased and the call systems had been upgraded. The residents liked their bedrooms, which they described as spotlessly clean and very comfortable. Staff attended both internal and external training courses and had at least three paid days training a year. Staff spoken to felt their training needs were well supported by the registered person. 11 out of 17 care staff had completed NVQ level 2 or above, which equated to 65 of the staff team and 4 members of staff were working towards this qualification. This meant the majority of the staff had completed an appropriate qualification to enable them to carry out their role effectively and competently. Appropriate arrangements were in place for handling money, which had been deposited with the home by or on behalf of a resident. We carried out a random check of the records and monies deposited on the premises. These were found to be correct and up to date. This meant the residents financial affairs were safeguarded. There was a set of health and safety policies and procedures, which included the safe storage of hazardous substances and infection control. Staff received health and safety training, which included moving and handling, food hygiene, first aid and fire safety. Documentation seen during the inspection indicated the electrical, gas and fire systems were serviced at regular intervals. The fire log demonstrated that the staff had received instructions about the fire procedures during their induction. Risk assessments had been completed in respect to safe working practice topics, including fire safety. Arrangements were in place to record accidents and incidents in the home and the registered manager had notified us as appropriate of any significant event in the home. What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 6 of 9 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These requirements were set at the last inspection. They may not have been looked at during this inspection, as a random inspection is short and focussed. The registered person must take the necessary action to comply with these requirements within the timescales set.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 7 of 9 Requirements and recommendations from this inspection
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 9 13 Medication records must be 28/11/2008 clearly and accurately completed. This is to support the safe administration of medication. All recruitment records must 28/11/2008 be collated and maintained in line with current regulatory requirements. This is to ensure that new staff are fully vetted before they have access to the residents. 2 28 19 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No. Refer to Standard Good Practice Recommendations 1 9 All hand written medication records should be signed and counter signed by a second person to ensure accuracy. Care Homes for Older People Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report CSCI General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: 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 We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 9 of 9 - 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!
