Inspection on 03/08/05 for Ashton Court

This inspection was carried out on 3rd August 2005.

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 there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Ashton Court 24/05/07

Ashton Court 24/07/06

Ashton Court 25/01/06

Ashton Court 17/01/05

Ashton Court 16/06/04

Similar services:

Turret Villa Retirement Home

Moor House

Mendip House

Beaconsfield Court Care Home

Little Sisters Of The Poor

Manor House

Middleton Hall Ltd

Middlesbrough Intermediate Care Centre

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

CARE HOMES FOR OLDER PEOPLE Ashton Court 376 West Road Newcastle upon Tyne Tyne and Wear NE4 9RJ Lead Inspector Elaine Malloy Unannounced 03 August 2005 10:30 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. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashton Court Address 376 West Road Newcastle upon Tyne Tyne and Wear NE4 9RJ 0191 275 0638 0191 275 0638 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) Solehawk Limited Sue Horsley CRH 37 Category(ies) of OP - Old Age (37) registration, with number of places Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: None. Date of last inspection 17.1.05 Brief Description of the Service: Ashton Court is a care home that provides personal care for 37 older people. The home is situated on the corner of the West Road and Two Ball Lonnen and is close to local amenities and public transport. There is an accessible garden and car parking space. Accommodation is over two floors and a passenger lift is provided. All bedrooms are currently single occupancy and there are larger rooms that can be used as doubles. The home has a large lounge that is divided into smaller areas and there is an adjoining dining room. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This inspection was unannounced and took place over 5½ hours. Staff and residents were spoken to. Each area that the home was asked to improve at the last inspection was checked. Parts of the building and a range of records were also inspected. What the service does well: New residents have their care needs assessed before moving into the home. People considering moving into the home, and their relatives can visit and spend time before making a decision. Residents described being well cared for by a stable team of staff. They said staff treated them nicely and with respect. Plans are recorded that shows how residents care needs are to be met. Arrangements are in place to meet resident health care. There are a good variety of social activities, events and outings. Residents have contact with family, friends and the local community. Residents know how to complain if they are unhappy about anything. The home has systems in place to protect residents from abuse. Residents have access to comfortable communal rooms, single bedrooms and outdoor space. There is suitable staffing to meet the needs for the number and dependency levels of residents. Staff are encouraged to train for care qualifications. The home has a well-experienced Manager who is studying to gain a further qualification. There are procedures for monitoring the quality of the service. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 6 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. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3, 4 and 5. Residents are provided with suitable contracts. Full assessment before admission was completed for new residents. Residents care needs are being met and positive feedback was received. Prospective residents are given opportunities to visit the home before admission. EVIDENCE: At the last inspection a Requirement was made for resident contracts to comply with all aspects specified under the relevant standard. This had been actioned. The care records of residents admitted to the home in recent months were examined. Referral forms are completed. Care Manager’s assessments are obtained and pre-admission assessment of care needs is conducted. Residents and relatives spoken with gave many positive comments about the home and the care provided. They said they were happy here and pleased with the care, including progress in health. They said they receive all the help they need and were looked after by a stable team of staff. Staff were described as treating residents nicely and with respect. One resident praised a young carer Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 9 who she said was kind and had given her assistance. One gentleman and his relative explained about visiting other care homes and how they had chosen here and were impressed with the atmosphere. Choice of meals was confirmed and residents said the food is good. They said a range of activities and entertainment is offered. The accommodation was described as clean and comfortable. Staff spoken with during the course of the inspection demonstrated very good knowledge of individual residents needs. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 8. Plans are recorded that demonstrate how residents care needs are to be met. However plans addressing continence needs were not specific. Ongoing reports were not being recorded regularly and did not show links to care plans. Arrangements are in place to meet resident health needs. EVIDENCE: A range of assessments are completed upon admission and updated on a regular basis. These include Activities of Daily Living, Social History, Norton, CAPE, Barthel, Mental Test Score, Nutrition, Moving and Handling, and Falls Risk. Care plans were devised according to identified needs for health, personal and social care. The plans were generally well recorded and were being evaluated at least monthly. Entries to day and night reports were often infrequent and did not demonstrate links to care plans to aid evaluations. Continence management was discussed and care plans were examined. The plans were not specific in that they did not cover the 24-hour period and state frequency of toileting. Associated toileting charts were not recorded to enable monitoring and any necessary changes to toileting regimes. Residents were currently using 7 GP practices. The District Nursing Service was visiting twice weekly at present. There was evidence within care records of Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 11 input from a variety of health care professionals. Arrangements are in place for visits from podiatrists, dentist and optician. Referrals are made where needed to specialist medical services, for example mental health professionals. Moving and handling needs and risk of falls are assessed. Exercise is built into the home’s activities programme. Nutritional assessment is completed and weights are monitored monthly, or weekly where needed. Residents identified as being nutritionally at risk are provided with homemade fortified drinks as supplements. The home’s representative and catering staff showed good understanding of fortification of food and provision of additional snacks between meals. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 12 and 13. A good variety of activities and events are provided for residents’ social stimulation. Residents are encouraged and supported to maintain contact with family, friends and the local community. EVIDENCE: Residents spoke positively about life in the home and how they make choices and decisions. They confirmed that contact with family and friends are supported. During the inspection residents were observed taking part in an afternoon bingo session. One resident said he enjoyed reading and that newspapers and books were available. Residents have care plans that address social interests. Religious services are held in-house. The home is temporarily without weekly Activities Co-ordinator hours. Care staff have continued to organise and provide activities, events and entertainment. There is not a forward planned programme of activities. However, the social diary showed a good range of daily activities including baking, quiz, bingo, pampering, films/videos, sing-a-long, dominoes, reminiscence, arts and crafts and board games. Regular exercise was discussed with the home’s representative. There had been local outings to shops and pub, and trips into Newcastle, including to the Millennium Bridge and Quayside. Visiting entertainers are arranged. Residents had enjoyed a VE Day party. They had also compiled life stories from the war years that were Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 13 sent to Newcastle City Library. The library had included these in a book of memories, local studies and on their website. A Summer Fayre was being planned. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 14 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 and 18. There is a procedure for making complaints that residents understand. The home has systems to protect residents from abuse. EVIDENCE: The home has procedures for complaints and protection of vulnerable adults. Three complaints had been received and investigated by the home since the last inspection. Residents confirmed they were aware of how to make a complaint. They also indicated that they were confident any matters would be acted upon. There had been no allegations of abuse. Staff spoken with had clear understanding of whistle blowing (informing on bad practice). Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 15 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 and 26. A number of the previous improvements required to the environment had not been addressed. Residents have access to comfortable communal rooms, and outdoor space. All residents occupy single bedrooms that are suitably furnished. Brighter lighting and better ventilation was needed in some parts of the building. The home was generally clean and comfortable. EVIDENCE: At the last inspection Requirements were made for a range of improvements to be carried out in the building. Most of these had been actioned. Issues that still needed to be followed up were: Upstairs shower room to be made operational Replacement of two windows with broken double-glazing seals Fitting of thermostatic valves to wash hand basins. Repair bath panel in bathroom 4. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 16 The Inspector conducted a tour of parts of the building. The majority of areas seen were clean and comfortable. The area behind the bath hoist in bathroom 4 required cleaning. The home has accessible grounds and car parking space is provided. There is sufficient communal lounge and dining space. An extractor is needed for the designated smoking room. All bedrooms were being used for single occupancy, however larger rooms are available for couples. Further decoration was needed in room 22. Bedrooms were nicely personalised with resident’s possessions. Lighting in some bedrooms and bathrooms was dim, as low wattage bulbs were being used. These should be replaced. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 17 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 and 28. The home maintains suitable care staffing to meet the needs for the number and dependency levels of residents. However, rotas should show staff left in charge of the home in the absence of the manager. Staff are provided with opportunities to gain care qualifications. EVIDENCE: At the time of the inspection there was 25 residents. Suitable care staffing levels were maintained as follows: 4 in the mornings, 3 carers in the afternoons and evenings and 2 carers at night. The Manager’s hours are supernumerary to these levels. At present there are only two senior carers employed, one each for day and night duties. The rota did not therefore demonstrate a senior staff member on each shift. Staff left in charge of the home in the absence of the Manager should be designated and shown on the rota. There are plans to increase the number of senior carers. Weekly catering, domestic and laundry hours were satisfactory. The home was temporarily without a Handyperson, however another Handyman within the company was providing cover. At the last inspection a Recommendation was made for 50 of care staff to have NVQ level 2 by 2005. Two staff have completed the training and the remaining carers are currently studying to achieve this qualification. The home is therefore now on target to meet or exceed the standard. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 18 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, 33 and 37. The home has a well-experienced Manager who is studying to gain a further qualification. Systems are in place to monitor the quality of the service provided. The Registered Person, or their representative was not conducting monthly visits to the home and reporting on findings. EVIDENCE: A Recommendation was made at the previous inspection for the manager to complete the relevant care and management qualification within the specified timescale. Ms Horsley was currently studying to achieve the ‘Registered Manager Award’ qualification. At the last inspection a Requirement was made to update quality assurance policies and procedures and collate and publish resident surveys. A Recommendation was also made to produce an annual development and refurbishment programme. These improvements had been actioned. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 19 The Registered Person or their representative was not consistently carrying out visits to the home. These are required to be conducted on at least a monthly basis and reports of findings provided to the Manager. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 20 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 x 3 3 3 3 x HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 x 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 x 15 x COMPLAINTS AND PROTECTION 2 3 2 x 3 3 2 x STAFFING Standard No Score 27 2 28 3 29 x 30 x MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 3 x 3 x x x 2 x Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 21 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 7 Regulation 15 Timescale for action (a) Care plans addressing Immediate continence management must be action specifically recorded, and toileting programmes introduced (b) Day and night reports must be recorded with greater frequency and link to care plans (Outstanding Requirement) 3.9.05 (a) The work on the upstairs shower room must be completed and made operational (b) Repair the bath panel in bathroom 4. (a) Replace the two windows, (a)(b)(c) which have broken double by 3.9.05, glazing seals (Outstanding (d) Requirement). Immediate (b) Fit thermostatic mixing action valves to wash hand basins (Outstanding Requirement). (c) Suitable ventilation must be fitted in the designated smoking room (d) Lighting in bedrooms and bathrooms must be reviewed and where necessary brighter lighting provided. (a) Further decoration must be Immediate carried out in bedroom 22 action (b) The bath hoist in bathroom 4 must be cleaned. Version 1.40 Page 22 Requirement 2. 21 23 3. 25 23 4. 19 & 26 23 Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc 5. 37 26 The Registered Person, or their representative must visit the home at least monthly and prepare a written report on the conduct of the home. Immediate action and reports to be submitted to the CSCI until further notice. 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 27 Good Practice Recommendations Rotas should indicate staff left in charge of the home in the absence of the manager. Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 23 Commission for Social Care Inspection Northumbria House Manor Walks, Cramlington Northumberland NE23 6UR 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 Ashton Court B53-B03 S392 Ashton Court V237615 030805 Stage 4.doc Version 1.40 Page 24 - 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!