Inspection on 02/02/06 for Ashpark House

This inspection was carried out on 2nd February 2006.

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 found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashpark House 27/07/07

Ashpark House 06/07/06

Ashpark House 14/06/05

Ashpark House 23/11/04

Ashpark House 02/06/04

Similar services:

Coopers Mill Ltd

Bramley Avenue (73)

Paradise Lodge

Grangewood

Upaya Ananda

Newton Court (1-2)

Kings Lane (32)

Pemdale

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

CARE HOME ADULTS 18-65 Ashpark House Peldon Road Abberton Colchester Essex CO5 7PB Lead Inspector Lysette Butler Unannounced Inspection 2nd February 2006 09:00 Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 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 Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 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 Adults 18-65. 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. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashpark House Address Peldon Road Abberton Colchester Essex CO5 7PB 01206 735567 01206 735567 ashparkhouse@btconnect.com 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) Ashpark House Limited Mrs Andrea Walters Care Home 11 Category(ies) of Learning disability (11), Learning disability over registration, with number 65 years of age (1) of places Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. Persons of either sex, under the age of 65 years, who require care by reason of a learning disability (not to exceed 11 persons) One named person, over the age of 65 years, who requires care by reason of a learning disability, whose name was provided to the National Care Standards Commission in October 2003 The total number of service users accommodated in the home must not exceed 11 persons 14th June 2005 Date of last inspection Brief Description of the Service: Ashpark House is a detached house with large, enclosed grounds, in the north Essex village of Abberton, south of Colchester. Its a rural, village location and was originally bought as a vacant property. It has been tastefully decorated throughout in a style appropriate for the type of residents it is intended for. Ashpark House is registered for 11 residents with learning disabilities, one of whom is over 65 years old. It is divided into two distinct units, one upstairs and one downstairs. All rooms are single occupancy, seven are ensuite and all have good views over the grounds of the home. The proprietors of Ashpark House are Allied Care Ltd. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was undertaken on one day in February 2006. Twenty of the forty-three National Minimum Standards were inspected during this visit. All the National Minimum Standards were assessed at the two statutory inspections for the year 2005/6. Information on any standards not assessed at this unannounced inspection can be found in the report dated 14th June 2006. It was found that many of the standards had been met or partially met. The overall care and well being of the residents was good; staff and residents were welcoming and happy to speak to the inspector. During this visit the inspector spoke to residents and care staff. The inspector also spent time with the deputy manager. What the service does well: What has improved since the last inspection? What they could do better: The statement of purpose and service users guides need further review to include all the elements required by Schedule 1 of the Care Standards Act 2000. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 6 Quality assurance questionnaires need to be developed for relatives and in appropriate formats for the residents. ‘CARED 4’ policies and procedures should be individualised to the specific needs of this home. 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. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard 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. The information supplied to prospective residents is comprehensive and can be offered in various formats. EVIDENCE: The statement of purpose and service users guide had both been recently reviewed, but the names of the management team had not been updated and some of the required elements of Schedule 1 were not included. Inspection reports were available for viewing by the residents and visitors to the home on request. There had been no new admissions since the last inspection. However review of the file of the last resident admitted to the home demonstrated a welldocumented assessment period that mainly relied on a yes/no basis, which seemed to obtain all the information required, but the inspector felt that consideration should be given to writing more information down in a prose style. The staff are generally able to meet the needs of the residents, but at the time of this inspection two of the residents were experiencing behavioural problems that not all the staff were trained for. However the deputy manager highlighted the action plan that had been formulated for each resident to manage the situation. One of the residents in the home had been diagnosed with the early stages of dementia; so a number of the care staff were due to attend dementia Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 9 training following this inspection. The general training offered was good and wide ranging, linked to the needs of the service offered. A Mencap worker was regularly visiting one of the residents. Introductory visits to the home are always undertaken gradually and were individually planned for each prospective resident. Contracts had not been changed since last year and were issued to all residents and their relatives. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 10 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): Not applicable. EVIDENCE: None of these standards were reviewed during this inspection. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 11 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 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. The evidence reviewed at this inspection demonstrates a commitment by the staff to ensuring that the residents’ rights are respected. EVIDENCE: The residents of this home have moderate to severe levels of learning disability, but the staff demonstrated a willingness to encourage the residents’ independence. Two of the residents were enabled to make decisions on their day-to-day activities. On speaking to one of these residents they were happy with the home and the help given them. The two residents also hold their own room keys. Visiting is unrestricted. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 12 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 & 20. Healthcare and medication procedures are good in this home and ensure the safety of the residents. EVIDENCE: Staff of both sexes and with varying abilities offer support and personal care to the residents of this home. Staff and residents worked well together to ensure that the residents are enabled to live their lives as independently as possible. Medication procedures had been reviewed and improved since the last inspection. The dispensing pharmacy for the home has changed since the last inspection and the service offered by the new pharmacy is more suited to the level of dependence of the residents of this home. No residents were selfmedicating at the time of this inspection. The staff were experiencing problems with two of the residents which were linked to changes in medication, but there were action plans in place for both residents in conjunction with their doctors to improve the situation. An ongoing medications training/updating programme for care staff has been commenced since the last inspection. The home experienced a sudden death after the last inspection, which was handled well by the staff and residents alike. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 13 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 22. Complaints procedures in this home ensure that the residents’ care and treatment within the home and locality is good. EVIDENCE: The evidence reviewed at this inspection demonstrated a commitment to the company complaints procedures by the staff, however the Commission for Social Care Inspection have not received any complaints since the last inspection. The few complaints received by the home directly had been logged and dealt with appropriately. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 14 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24. The environment in this home is appropriate for the residents it caters for. It is decorated in a domestic style, is clean and tidy. EVIDENCE: There had been no change to the fabric of the building since the last inspection. No residents were using a wheelchair in the home at the time of this inspection however one resident utilised a wheelchair when out of the home. It was clean and tidy throughout the home on the day of inspection. The grounds are extensive and well maintained. Residents help to choose the decoration of their rooms when they are redecorated. There were no malodours anywhere in the home, at the time of this inspection. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 15 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33 & 35. Staffing numbers and roles are appropriate for the safe care of the current residents. EVIDENCE: Staff roles were clear and staff have input in to any changes of contracts. Staff training was well organised, including all statutory requirements and individualised programmes to suit the needs of the home and specific staff learning objectives. The skills of some of the staff from abroad were utilised to care for the residents and teach the other staff in the home. Staff numbers and skill mix is appropriate for the current residents, although the manager is negotiating more care hours for one of the residents who needs one to one care for some hours of each day. Staff turnover is low at this home. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 16 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39, 40, 41, 42 & 43. The new manager of the home has already shown good leadership and her management approach has improved the working relationships within the home. Residents seemed settled and relaxed. EVIDENCE: The manager of this home has been registered with the Commission for Social Care Inspection since the last inspection. She is currently undertaking the Registered Managers Award. Quality assurance procedures were in line with the proprietors’ policies using the ‘CARED 4’ system. The proprietors had recently employed a quality assurance manager who was due to carry out an audit at the home following this inspection. The company do not undertake relative questionnaires. Commission for Social Care Inspection questionnaires were given to residents and sent to relatives. Two resident forms and five relatives forms were returned to the Commission before this report was written. The home should Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 17 consider developing questionnaires in suitable formats for the current residents. All policies and procedures used were supplied as part of the company ‘CARED 4’ system. They are updated regularly. However they were not individualised for this specific home. Record keeping was good throughout the home. The home maintained a clear record of all checks and servicing carried out on equipment and utilities (gas, electric and water), which provided evidence that the equipment and premises were regularly maintained. There were efficient systems in place to ensure the regular servicing of equipment was undertaken. Accident reports were filed in the individual residents files. Management procedures and structures were clear; staff spoken to knew the lines of accountability. Each home puts in a yearly business plan that is taken into consideration when the budgets were each home was fixed. Insurances were valid and appropriate for the service offered. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 18 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 2 3 3 3 4 3 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 X ENVIRONMENT Standard No Score 24 3 25 X 26 X 27 X 28 X 29 X 30 X STAFFING Standard No Score 31 3 32 3 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score X X X X X LIFESTYLES Standard No Score 11 X 12 X 13 X 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 X 3 X 3 X 2 2 3 3 3 Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 19 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. 1. Standard YA1 Regulation 4, Schedule 1 24(1a-b,2 & 3), 12(1a-b) Requirement The statement of purpose & service users guide must contain all elements required by Schedule 1 of the Care Standards Act 2000. Feedback must be actively sought from residents and their relatives to inform future planning and review of the homes policies and procedures. Timescale for action 30/06/06 2. YA39 31/10/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. 2 Refer to Standard YA39 YA40 Good Practice Recommendations The proprietors should develop quality assurance questionnaires in suitable formats for the residents, to gain their opinions of the service offered. Policies and procedures should be individualised to the residents’ needs. Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Colchester Local Office 1st Floor, Fairfax House Causton Road Colchester Essex CO1 1RJ 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 Ashpark House DS0000017754.V281559.R01.S.doc Version 5.1 Page 21 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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