Inspection on 06/07/06 for Ashpark House

This inspection was carried out on 6th July 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Adequate. 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 there to be outstanding requirements from the previous inspection report. These are things the inspector asked to be changed, but found they had not done. The inspector also made 10 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 02/02/06

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 6th July 2006 08:30 Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 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.V302590.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 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.V302590.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashpark House Address Peldon Road Abberton Colchester Essex CO5 7PB 01206 735567 01206 735567 ashparkhouse@btconnect.com www.alliedcare.co.uk Ashpark House Limited 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) 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.V302590.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 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 2nd February 2006 3. 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.V302590.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was a key inspection started on 1st April 2006. The inspection process included: a site visit on 6th July 2006, which lasted 61/2 hours; review of evidence supplied by the proprietor, residents, and the staff; resident, relative and staff surveys; discussions with the registered manager, support workers and residents. During the site visit the premises were inspected, including inspection of the grounds. Samples of records and residents care plans were also reviewed. The home was clean and well maintained. The overall care and well being of the residents was the focus of the inspection. Staff and residents were welcoming and happy to speak to the inspector at the site visit. This inspection covered all twenty-one key standards and seven of the remaining standards. The manager and her staff approached the inspection in a positive and cooperative manner that was focused on achieving best practice to meet the needs of the residents. What the service does well: What has improved since the last inspection? What they could do better: Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 6 The general temperature within the home especially on the first floor, needs to be urgently reviewed to ensure that residents and staff are in a comfortable environment. The manager should regularly review all areas of the home from a safety point of view, so that repairs and maintenance can be carried out in a timely fashion. All CoSHH products must be kept locked to ensure that resident safety is not put at risk. Policies and procedures in the home must be regularly reviewed to ensure that they are up-to-date and current before the residents of that live there. The home would benefit from a quality assurance plan on being compiled that takes into consideration the views of all users of the service. 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.V302590.R01.S.doc Version 5.2 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.V302590.R01.S.doc Version 5.2 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 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. The information available when changed will be appropriate to insure that prospective new purchasers all this service have all the information they need to assess its suitability. EVIDENCE: Statement of purpose and service users guide are in the process of change, to include the new managers details, they were not completed at the time of the site visit, but would be sent to the local office of the Commission for Social Care Inspection when completed. There had been no new admissions since the last inspection. However at the time of the site visit there were two new proposed residents under consideration, both of whom were female. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 9 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): 6, 7 & 8 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. Care plans at this home demonstrate a commitment by the staff to care for the residents’ individual needs and choices. EVIDENCE: Two resident care plans were reviewed at the time of the site visit. Both were very good, user-friendly and detailed. One of the care plans reviewed demonstrated new and detailed procedures for dealing with the residents behavioural outbursts. However some of the reviews for one of the residents were not up-to-date, but this residents behaviour was changing frequently and the manager was advised to ensure that every change of care was documented as soon as it happened. Daily records were very good and were descriptive. During this site is it residents were observed making choices regarding their food and personal care. Care plans showed detail of what choices they made themselves on a day-to-day basis. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 10 Resident levels of risk taking were demonstrated in the two care plans reviewed. However more varied risk assessment were needed to cover other areas of their care. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 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): 12, 13, 15, 16 & 17 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service The staff at this home are committed to ensuring that the residents lifestyle is suitable for their individual needs and that their rights are respected at all times. EVIDENCE: The dependency levels at this home are generally high. However one resident currently attends college and takes classes in computing and improving writing skills. Other residents go to day centres and the local colleges, as they are able. The staff at the home are pro-active in accessing appropriate learning resources for the individual needs of the residents. The day-to-day timetables of the current residents are reviewed on a regular basis. At the time of this inspection process and site visit, there were two on-going complaints from the local neighbours. (See concerns complaints and protection.) The acting manager was observed dealing with one of the Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 12 complaints in a fair and reasonable manner. The acting manager was proactive in keeping the links and good relationships within the village, she was actively trying to involve the neighbours who had made the two complaints, in the day-to-day life of the home, to demonstrate the work of this service. One of the residents still occasionally goes to the local to the local public house with an advocate. All residents at his home are on the electoral register. At time of the site visit two of the residents were on a weeks holiday and two residents were due to go to Skegness in August. Other resident holidays were arranged as requested by the residents or their relatives. The manager and staff of this home try to ensure that all residents are able to retain family relationships and friendships with others who have a learning disability and those without. On arrival at the home, for the site visit, one of the residents was being taken to meet their parents at another home in the group in London, by the deputy manager and a support worker. The inspector was told that this is a regular occurrence arranged between the two homes, as the residents’ parents are elderly and unable to travel all the way to Colchester. Another of the residents regularly visits a friend at a different home, which is arranged in conjunction with the two homes and their staff, taking it in turns to take the residents to each of the homes. A further resident has been enabled to attend a family funeral and has been supplied with pictures of the grave to help them understand that the family member had died. The staff of this home will also collect visitors who have travelled by public transport, as necessary, because the transport service into the village is generally poor. Other relatives keep in contact with the home by e-mail. The day-to-day choices made by the residents are reviewed on a regular basis to ensure that they are enabled to enjoy a varied lifestyle within the home. The staff work well with the residents in making these choices. Menus are decided on a weekly basis with help and input from the residents. Some of the residents occasionally go out with the support workers to do the weekly shopping. There is a different menu on each floor of this home and all staff attend food hygiene courses every three years. Sandwiches and snacks are generally served at lunchtime with the main meal being in the evening. The evidence reviewed at this inspection demonstrates a commitment by the staff to ensuring that the residents rights are respected. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 13 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, 19, 20 & 21 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this i Personal and health care support at this home is offered to the level needed by each individual resident. EVIDENCE: The staff at this home ensure that all residents are offered personal support appropriate to their needs. One resident said that for staff were very kind and that they could ask for how much help they wanted. The same resident also said that she was allowed a loss of independence and enjoyed living at home. Those residents that were able were encouraged to attend all health appointments outside of the home. However those residents that were more dependent still attended as many appointments outside the home as possible, with the help of the staff who took them to the appointments, but the staff arranged for specialists to attend the home if this was the better option. All health appointments were documented within the residents personal files and future appointments were added to the homes diary so that staff were aware of when they were due. Evidence supplied to the commission confirmed that each resident had at least annual health and psychological checks with Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 14 appropriate consultants. All of the residents are registered with one of two GP surgeries in the village. Since the last inspection there has been further problems with the supply of medications to the home. The acting manager is fully aware of the problems, which were discussed with the inspector at the time of the site visit. The deputy manager is going to write a step-by-step guide for staff so that there can be no ambiguity about what they should and should not be doing. The acting manager is going to request a meeting with the dispensing chemist to discuss the problems being experienced, if this does not improve the situation she intends to look for a new supplier. The evidence reviewed at the site visit confirmed that the staff who give medication are following company procedures. All medication administration records were reviewed and all were correctly completed. However the administration records would benefit by having the residents photo attached to each individual record. Storage facilities for medications within the home comply with legal guidelines. There is no overstocking of medications anywhere in the home. The policies and procedures for administration of medications when residents go on holiday, or on days out, are good and administration records review showed that they are followed. The philosophy of this home is that it is a home for life and have therefore had a recent condition added to their registration certificate for one resident who is now over 65 years of age. The staff were also concerned that the resident was demonstrating other signs of ageing, the manager has therefore arranged for all staff to have appropriate training to enable them to deal with the problems as they arise. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 15 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 & 23 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. The procedures followed at this home ensured that the residents were protected and that complaints were kept to a minimum. EVIDENCE: Shortly before the site visit the commission was supplied with information from a local neighbour about noise at the home, during the site visit the manager and inspector discussed these concerns at length. The acting manager was fully aware of the concerns and was pro-active in the way in which she was dealing with them. She personally spoke to one of the complainants during this time and dealt with the complainants concerns in a very even and appropriate way. Other then the complaints about noise at the home they had been no other complaints forwarded to the commission or directly to the home since the last inspection. All complaint policies and procedures used by this home are the company approved ones from the CARED 4 pack. There had been no Protection of Vulnerable Adults issues raised since the last inspection and the training matrix included regular Protection of Vulnerable Adults training for all staff. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 16 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, 27, 29 & 30 - Quality in this outcome area is good; this judgement has been made from evidence gathered both during and before the visit to this service. This home is appropriate for the needs all the current residents. However some aspects of safety within the home need to be addressed. EVIDENCE: There has been no change to the fabric of this building since the last inspection. The activities room has been redecorated and rearranged since the last inspection it now contains a computer that is regularly used, beanbags to sit on and a TV. The room is generally bright and airy and the windows have been painted with appropriate designs. One of the support workers is also the day-care coordinator. The home was clean and tidy throughout at the time of the site visit. There was evidence that new equipment had been bought as needed in the home. Both kitchens were clean and tidy and suitable for use by both the staff and the residents. The day of the site visit was very warm; on the ground floor all the windows were open along with the back door so it was cool throughout. However only some of the upstairs windows were open due to the noise problems that formed the basis for the complaints mentioned earlier, Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 17 so in some of the upstairs areas of the home were very warm. The manager was going to review this issue with the staff and with her area manager following the site visit. The acting manager had purchased a gazebo for the garden so that the residents could sit out there in the shade if they wish to. The large garden areas had been well maintained and were safe. The support workers on arrival at work in the mornings carried out cleaning and tidying of the home. During the visit downstairs areas of the home were very quiet as the two residents on holiday were from the ground floor accommodation. There were two empty rooms at the home at the time of the site visit, one of the rooms will need in new carpet and redecoration if a new resident is to be admitted to it. Bathrooms and toilets were clean and adequate for the number all residents at his home, however the ground floor bathroom needs the flooring replaced as one area of it is unsafe. The laundry room is on the ground floor of the home and at the site visit the door was unlocked. It was clean and tidy, however CoSSH products were in the room in unlocked areas, which did not comply with health & safety regulations. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 18 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): 33, 34 & 35 - Quality in this outcome area is adequate; this judgement has been made from evidence gathered both during and before the visit to this Recruitment policies and procedures in this home ensure that the residents are cared for safely. However statutory training must be kept up-to-date to ensure appropriate care is offered. EVIDENCE: Staffing numbers and rosters had been supplied to the commission prior to the site visit. The rosters showed adequate numbers of staff and a good skill mix on each shift. However at the time of the site visit there was less staff on duty in the home as staff had gone away with the residents who were on holiday. Three staff personnel files were reviewed during the site visit, they were all tidy and easy to follow. They contained all elements required by the national minimum standards. However the inspector left an immediate requirement regarding the work permit status of one of the support workers. (The proprietors confirmed appropriate legal status of the worker by return of post.) All personnel files were locked in the managers office. Criminal Records Bureau declarations were kept on the personnel files; the inspector suggested that the manager might want to keep these in a separate file. Supervision records kept on file were not up-to-date. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 19 Statutory training for some staff was not up-to-date. The training matrix for the home, which was compiled by the company, showed training sessions appropriate to the homes needs. Individual staff matrices still needed to be completed, the acting manager was aware of this and had already planned to undertake this exercise in the near future. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 20 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, 38, 39, 40 & 42 - Quality in this outcome area is adequate; this judgement has been made from evidence gathered both during and before the visit to this service. Staff and residents have welcomed the new management arrangements in the home. However the new acting manger needs to sort out a number of day to day running issues to ensure that the procedures are properly followed and protect the residents of the home. EVIDENCE: The new acting manager for this home demonstrates a good attitude to clients with learning disabilities. At the time of the site visit she had not yet sent the commission an application for registration as manager or applied for her own Criminal Records Bureau declaration. The ethos in the home was good and staff spoken to were happy working at the home, they felt that the change of management in the home had been god for the staff and residents alike. One support worker thought that there should be a more stable period now. Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 21 Quality assurance processes were part of the CARED 4 system and were reviewed by the company as a whole. There had been a recent internal audit, but the manager could not find it at the time of the visit to show the inspector. However there was no audit/quality assurance plan for this individual home and the inspector discussed the need for one to be compiled with the acting manager. There had been no recent resident or relative surveys carried out by the home. The CARED 4 system is used throughout the company that owns Ashpark House and reviews were all carried out centrally. However none of the policies or procedures had been reviewed since June 2005 and some had not been reviewed since 2004. The manager was going to follow this up with her head office following the site visit. All certificates and servicing contracts reviewed during the site visit were up to date and appropriate for the equipment in the home. However the lift maintenance had not been recently carried out and CoSHH risk assessments were in the process of being completed at the time of the visit. Ashpark House DS0000017754.V302590.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 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 3 2 3 3 X 4 X 5 X INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 2 28 X 29 3 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 2 35 2 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 2 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 2 3 3 3 2 2 X 2 X Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 23 Yes 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 YA1 Regulati on 4, Schedul e1 13(4) Requirement The registered person must ensure that there is an up-to-date statement of purpose & service users guide available at all times. The registered person must compile appropriate risk assessments on each resident to ensure that if they are undertaking risks in their everyday life they are safe. The registered person must ensure that all areas of the home are safe for the residents to use. The registered person must ensure that all foreign staff recruited must have appropriate work permits/ visas and that their status is clearly documented in their personnel files. The registered person must ensure that staff all attend statutory training regularly. The registered person must ensure that a quality assurance plan is compiled for this home individually to enable the staff to continually improve the care offered to the residents. Feedback must be actively sought from residents and their relatives DS0000017754.V302590.R01.S.doc Timescale for action 31/08/06 2. YA9 30/09/06 3. 4. YA24 YA27 YA34 13(4a), 23(2a), 39(h) 19 30/09/06 30/09/06 5. 6. YA35 12(4b), 18(1c), 24(1-3) 31/12/06 30/09/06 YA39 7. YA39 24, 12 31/10/06 Ashpark House Version 5.2 Page 24 8. YA40 17 9. YA42 12, 37(1e) to inform future planning and review of the homes policies and procedures. The registered person must ensure that there is an annual review of the policies and procedures offered by CARED 4 The registered person must ensure that all CoSHH products stored in line we health and safety guidelines. 30/09/06 30/09/06 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. 3. Refer to Standard YA20 YA24 YA39 Good Practice Recommendations The registered person should consider putting up to date photographs of individual residents on each medication administration record. The registered person should consider how best to ventilate and call down the first floor of this home. The proprietors should develop quality assurance questionnaires in suitable formats for the residents, to gain their opinions of the service offered. (This is a repeat recommendation.) Policies and procedures should be individualised to the residents’ needs. (This is a repeat recommendation.) 4. YA40 Ashpark House DS0000017754.V302590.R01.S.doc Version 5.2 Page 25 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.V302590.R01.S.doc Version 5.2 Page 26 - 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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