Inspection on 23/06/05 for Ashridge House

This inspection was carried out on 23rd June 2005.

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 but made no statutory requirements on the home.

Other inspections for this house

Ashridge House 08/04/10

Ashridge House 29/04/08

Ashridge House 17/12/07

Ashridge House 23/05/07

Ashridge House 20/07/06

Ashridge House 09/12/05

Similar services:

The Shelley

Springfield House

Sutton Lodge Nursing Home

St Helier`s Residential Hotel

St Joseph`s

Ridgemount

Wingham Court

Old Hastings House

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

CARE HOMES FOR OLDER PEOPLE Ashridge House 132 Dorset Road Bexhill on Sea East Sussex TN40 2HT Lead Inspector Andy Denness Unannounced 23 June 2005 12:00 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 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. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashridge House Address 132 Dorset Road Bexhill on Sea East Sussex TN40 2HT 01424 222200 Telephone number Fax number Email address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) Sarojini Sivayogarajah Vacant Care Home (CRH) 29 Category(ies) of Old age not falling within any other category registration, with number (OP) 29 of places Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. That only older people will be accommodated. 2. That service users accommodated will be aged sixty-five (65) years or over on admission. 3. That the maximum number of service users to be accommodated will be twenty nine (29). Date of last inspection 2 November 2004 Brief Description of the Service: Ashridge House is a large detached property situated on the outskirts of Bexhill on Sea. The town centre with its shops and access to bus and rail routes is approximately a mile and a local shopping centre is approxmately half a mile. Accommodation is provided on three floors and a shaft lift is fitted to assist those service users who may have moblity problems. Bedroom accommodation is provided in 25 single and two double rooms. The home is registered to accommodate up to 29 older people and the registered owner is a Mrs Sivayogarajah. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection took place over a morning and afternoon in June and lasted 4 hours. To help gather evidence on how the home is performing the Inspector sat and ate dinner with service users, met with the home’s manager and owner, examined a range of records and written information and undertook a short tour of the premises. In depth discussions took place with six service users. New owners purchased Ashridge House earlier this year; this was the first inspection since then. What the service does well: What has improved since the last inspection? What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 7 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1,2,3 & 5. Pre admission procedures were good and ensure that service users move into a home that is suitable to meet their assessed needs. EVIDENCE: The new owners have produced a statement of purpose and a service user’s guide, these documents provide guidance for prospective service users about Ashridge House and the service provided there; both documents were examined, they were of a good quality. Assessments of service users’ needs are undertaken by the management prior to admission to the home; a selection of these were examined, they were of a satisfactory quality and covered all required areas of daily living. Service users said that that they had the opportunity to visit the home prior to moving in, to help them in their decision of whether to move to Ashridge House. All service users are issued with a contract detailing the terms and conditions of their stay in the home, this document contained all required information. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 8 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7, 8 & 9. The policies, procedures and practices in the home regarding health, personal and social care needs are good and help ensure that identified service user needs in these areas are appropriately met. EVIDENCE: Using the initial assessment of need as a starting point individual plans of care are compiled for each service user; these identify what support they require from staff to meet their day to day needs in relation to health, personal and social care needs. Since the last inspection the new manager has made improvements to the care planning system and all plans examined were of a good quality. From records examined and discussions with service users it was evident that needs identified in the plans were being appropriately met. Service users also confirmed that medical and other professional help is obtained for them when it is required. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 9 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 & 13 &15. Service users have choices in all areas of their daily living. Some work is required to ensure more access to the local community for those interested. A varied and wholesome menu is provided. EVIDENCE: Service users spoken to confirmed that they have choices in all areas of their daily living, including what time to get and go to bed and whether to stay in their rooms or not. Questionnaires completed by service users that were examined highlighted that some would like assistance to access facilities in the local community more often. The acting manager and the owner are aware of this and are hoping to address the matter in the near future. A small shop has recently been introduced in the home, service users spoke very positively of this one said “it was a great idea, it saves me having to bother my family”. The Inspection took place over dinner time and the Inspector sat and ate with service users. The meal was well prepared using fresh ingredients and was enjoyed by service users who spoke highly of the meals provided for them. Menus that were examined indicated that a varied and wholesome menu is provided. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 10 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16. Arrangements regarding complaints were satisfactory with service users being confident that their concerns would be listened to and acted upon. EVIDENCE: The home has a written complaints policy, which has been reviewed since the last inspection; this was examined and it now complies with national minimum standards. Service users said that they felt able to raise concerns and were happy that action would be taken to address them. One complaint has been made to the Commission for Social Care Inspection regarding the home, since the new owner took over, the complaint was unfounded. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 11 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19,20,21,23,24,25 & 26. Physical standards in the home were good, ensuring that service users live in a clean, hygienic, safe and homely environment, which is suitable to meet their needs. EVIDENCE: An inspection of all communal areas and some bedrooms was undertaken. All areas were clean, hygienic and well maintained. The main entrance hall and staircases have recently been redecorated and carpeted; service users spoke very positively of this. Service users have the use of one large lounge/dining room; furnishings here were of a good quality, all dining room chairs have recently been replaced. Accommodation is on three floors and a shaft lift is fitted to assist those service users who may have mobility problems to access all areas. Sufficient bathrooms and WCs are available, these were suitably equipped and clean and hygienic. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 12 Heating is provided by a gas central heating system with radiators in all rooms, since the new owners took over guards have now been fitted to all previously uncovered radiators. Individual thermostatic mixer valves are fitted to all hot water outlets, this is to reduce the chances of service users scalding themselves. It was not possible to ascertain if these were working because the water was turned off whilst the system was being repaired by an engineer. It was however noted that currently the manager is not testing the valves, it has been required that this happens. Bedrooms inspected were decorated to a good standard; service users said that they could bring their own furniture with them, this has happened in several cases. The home is fitted with a full fire protection system with detectors in all areas. The laundry was inspected; it was suitably equipped in line with national minimum standards. A good standard of cleanliness and hygiene was found throughout the home. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 13 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 considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27,29 and 30. Staffing arrangements in the main were satisfactory with sufficient numbers of skilled staff employed to meet service users needs. EVIDENCE: Staffing numbers on the day of the inspection were satisfactory to meet the needs of service users. From records examined and discussions with service users it was evident that this is the case at all times. Observations made during the Inspection confirmed that staff were caring and competent in their interactions with service users. Service users were very positive about the staff, their comments included “I couldn’t praise staff more highly” and “ we are well looked after”. The new owner has not employed any new staff since taking over the home; an inspection of recruitment records of staff already employed at that point, highlighted one instance where the incorrect criminal records bureau had been obtained, the manager has been required to ensure the correct check is obtained. The Inspector was told that currently 50 of staff are not trained to the national required level and introductory training does not comply with national minimum standards. The manager and owner are aware of this and said that they will be addressing these matters in the near future. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 14 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 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32, 35, 36, 37 & 38. The management and administrative systems in home have improved since the new owner took over and the new manager was appointed and are now are providing good support to staff. EVIDENCE: The inspection confirmed that the manager and the owner have, now complied with the majority of requirements and recommendations made following the last inspection, when the home was under the previous management. Service users said that things were “very much better”. All service users spoken to were complimentary of the new owner comments included “ she is very good and very nice”, “she is very very nice” and “ she is concerned over our well being”. One service user said how nice it was that she found time to sit and talk to her. The manager is about to apply to the Commission for Social Care Inspection for registration as manager. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 15 One area that has not been addressed by the manager is the provision of regular one to one support meetings with individual staff; however the manager said that she has now obtained the correct documentation and is soon to go on training course on the subject. The manager holds some money on behalf of some service users; in one instance the balance of cash held did not tally with the written record; the inspector was told that money had been taken at the request of a relative to buy clothes for a service user, and this was not recorded. Action has been required to ensure that this does not happen again. A selection of polices and procedures were examined; a number of new policies and procedures have been introduced under the new owner, these were of a good quality. A range of records were examined these were generally in good order and were stored securely in the office. In discussions the manager demonstrated a clear understanding of health and safety matters and has carried out several assessments of risk. A full fire protection system is fitted records examined that this is tested regularly. Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 16 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score 3 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 2 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x 3 3 2 3 STAFFING Standard No Score 27 3 28 2 29 2 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x x 3 3 x x 1 1 x x Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 17 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 12 Regulation 16(2)(m) Requirement That arrangments are made for service users to access facilities in the local community if they so wish.(outstanding from the last inspection) That regular tests of the temperature of hot water outlets are re-introduced. That 50 0f staff are trained to NVQ level 2.(outstanding from last inspection) That an up to date criminal records bureau check is obtained for the member of staff discussed. That staff induction and foundation training that complies with NTO specifications is introduced.(outstanding from last inspection) That accurate records are kept of monies held on behalf of service users. That formal supervison is provided for staff in line with national minimum standards and that the manager receives training in the subject.(outstanding from last inspection) Timescale for action 23/7/05 2. 3. 4. 25 28 29 18(1)(a) 28 19(1)(b) 23/6/05 31/12/05 23/7/05 5. 30 18(1)(a) 23/9/05 6. 7. 35 36 17(1)(a) 18(2) 23/6/05 23/9/05 Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 18 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. Refer to Standard Good Practice Recommendations Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 19 Commission for Social Care Inspection Ivy House, 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Ashridge House H59-H10 S62830 Ashridge House V228327 230605 Stage 2.doc Version 1.30 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. 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