Inspection on 10/10/06 for Ashton Lodge

This inspection was carried out on 10th October 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Ashton Lodge 06/02/09

Ashton Lodge 27/10/08

Ashton Lodge 11/10/05

Ashton Lodge 20/04/05

Ashton Lodge 04/10/04

Ashton Lodge 14/05/04

Ashton Lodge 30/01/04

Similar services:

Trevayler Residential Care Home

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

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

CARE HOMES FOR OLDER PEOPLE Ashton Lodge 3 Daneshill Road Leicester Leicestershire LE3 6AN Lead Inspector Chris Wroe Unannounced Inspection 10th October 2006 11:00 X10015.doc Version 1.40 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 Ashton Lodge DS0000006319.V315046.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 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 Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashton Lodge Address 3 Daneshill Road Leicester Leicestershire LE3 6AN 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) 0116 2620075 0116 2620075 T/F Mr Ramesh Dhunjaysingh Seewooruthun Mr Ramesh Dhunjaysingh Seewooruthun Care Home 27 Category(ies) of Dementia - over 65 years of age (27), Mental registration, with number Disorder, excluding learning disability or of places dementia - over 65 years of age (27), Old age, not falling within any other category (27), Physical disability over 65 years of age (27) Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. No additional conditions of registration apply. Date of last inspection 11/10/05 Brief Description of the Service: Ashton Lodge Residential Home is a care home offering accommodation for up to twenty-seven older people. People who come to live at Ashton Lodge may have dementia and/or mental disorder, and/or they may be physically disabled. The home is located near to the centre of Leicester. There are bus routes, which pass near to the home. The home itself is situated in a residential area. Ashton Lodge is a large Victorian property, which has been converted and extended. It has a large rear garden, which is well maintained. Accommodation is provided on the ground and first floors. There are fifteen single and six shared bedrooms. Bedrooms are located on both floors. All areas on the first floor are accessible via a slow moving lift. Residents have use of a number of lounges and communal spaces. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection included a visit to the service. The inspector visited the home on 10th October 2006, at 11am. The visit lasted for four hours and fortyfive minutes in total. The Registered manager, Mr Ramesh Seewooruthun, assisted the inspector during the visit, along with other members of staff. The main method of inspection used was ‘case tracking’. This means looking at the care given to residents in different ways. The ways this was done are: • talking to the residents • talking to staff and the manager • watching how residents are given support • looking at written records. The inspector spoke with seven people who live in the home, and one relative of a resident who was visiting. In addition, a sample of comment cards were sent out to ten randomly selected service users. Together with comments from people spoken with during the inspection, these form a sample of views. The views of people living in the home are given throughout the report. Residents in the home were happy about living in Ashton Lodge, and about the care given by staff. They felt the home was comfortable and that they have what they need. All the key standards were checked during this inspection. The information below is based only on those aspects checked in this inspection. Individual detail has been kept out of the report, to make sure it is kept confidential. What the service does well: Assessments are carried out by the manager and deputy before someone comes to live in the home, to make sure that staff can meet their needs. Staff have completed a range of training courses, to enable them to meet the needs of people living in the home, such as training about dementia and people’s support needs. There are care plans in place for each resident, including details about how staff support residents to live the life they choose, and how they make sure Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 6 they pay attention to any risks, such as falls. Accident and incident records are kept, and these show a low number of falls in the home, which is good. Reviews of care plans are held regularly, and staff have begun to work individually with residents to ask them how they are finding things, what they need, whether there is anything they would like to do. Health care reviews and social work reviews are also carried out by visiting professionals. Staff seek support from healthcare professionals where they need it, such as from the dietician regarding food and nutritional health. Medication administration is carried out well. There are some good safekeeping practices in place to make sure residents are given the right medication. During the inspection staff were seen to treat residents with respect. Eight out of eight comments cards received confirmed that residents felt staff listened to them. One resident expressed how well he feels he is treated, by saying: ‘There is no anger here’. Residents said that they felt they had a good lifestyle in the home. Staff were seen to pay attention to ensuring that residents were well looked after and involved in the home. Residents are enabled to attend day centres/ have community involvement to ensure their cultural needs are met. Residents are helped to follow religious observances in the way they choose. Visitors are made welcome in the home. There was a sense of inclusion observed during the inspection, with residents spending time talking with each other and staff. Staff are commended for this. One resident said that it is free and easy in the home – there is no pressure to do anything – they are able to do what they want to do. Another said ‘I love it here. Everyone is very friendly’. Menus show that residents receive a varied and nutritious diet. Residents spoken with during the inspection confirmed that they were satisfied with the meals and had sufficient choice. There is a complaints procedure in the home – there have been no complaints since the last inspection. Residents confirmed that they felt comfortable to speak to the manager/staff if they had any concerns. Staff with whom the inspector spoke showed an understanding of the importance of safeguarding residents from harm and abuse, and the need to report any concerns. There have been no such issues noted over the last inspection period. The living environment is good for residents. Residents confirmed that they were satisfied with the accommodation, that their rooms were comfortable and that they have everything they need. Parts of the premises seen were found to be clean with no offensive odours. Laundry arrangements were satisfactory and laundry facilities adequate. Systems are in place for the prevention of infection control. Safety checks are carried out regularly. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 7 There are sufficient numbers of staff in the home. It was observed during the inspection that residents benefit from the staffing levels in the home, and staff confirmed they have some time to spend talking with residents, which is good practice. Of a sample checked, all required records for the recruitment of staff were found to be in place. Ongoing supervision of staff takes place, to make sure they are working well and are confident about what they are doing. Staff have ongoing training in a range of aspects to help them do their job well, for example, first aid, food hygiene, moving and handling. There is a longstanding and experienced manager (also the owner of the home) in place. Residents spoken with expressed confidence in the management. Quality assurance is good in the home. Some small amounts of money are held in the home on behalf of residents – and systems are in place to make sure monies are kept safe for residents. Attention is paid to safety in the home on an ongoing basis. Safety checks are carried out by external contractors. What has improved since the last inspection? What they could do better: Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 8 There were no requirements or recommendations made about things that need to improve in the home. As a good practice recommendation, it was suggested the manager looks at ways of ensuring the home is accessible and welcoming to people from all communities, and the manager intends to provide training for staff to raise awareness about this. 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 Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 9 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 Outcomes Statutory Requirements Identified During the Inspection Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 10 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 the following standard(s): 3 (6 does not apply at this time) Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good admissions process. EVIDENCE: Assessments are carried out by the manager and deputy before someone comes to live in the home, to make sure that staff can meet their needs. The relative of one person who lives in the home confirmed that they had received information about the home before moving in, and that the manager came to see them to carry out the assessment. Seven out of eight people who responded in comments cards said that they had received enough information about the home before moving in to enable them to make a choice about whether it was the right place for them. Staff have completed a range of training courses, to enable them to meet the needs of people living in the home, such as training about dementia and people’s support needs. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 11 Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 12 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 the following standard(s): 7, 8, 9, 10 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from good attention to health and personal care. EVIDENCE: There are care plans in place for each resident, including details about how staff support residents to live the life they choose, and how they make sure they pay attention to any risks, such as falls. Accident and incident records are kept, and show a low number of falls in the home, which is good. Reviews of care plans are held regularly, and staff have begun to work individually with residents to ask them how they are finding things, what they need, whether there is anything they would like to do. Health care reviews and social work reviews are also carried out by visiting professionals. Staff seek support from healthcare professionals where they need it, such as from the dietician regarding food and nutritional health. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 13 Six out of eight people who responded in comments cards said that they always get the care and support they need; two said they usually do. Eight out of eight comments cards said that staff are always available. Medication administration is carried out well. Medication stocks, which were checked, were in good order and records were properly kept. There are some good safekeeping practices in place to make sure residents are given the right medication. Pharmacy inspections are carried out. Residents were happy that medication is given out properly. Staff spoken with confirmed that they had done training in medication administration. During the inspection, staff were seen to treat residents with respect. Eight out of eight comments cards received confirmed that residents felt staff listened to them. One resident expressed how well he feels he is treated, by saying: ‘There is no anger here’. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 14 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 the following standard(s): 12, 13, 14, 15 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good lifestyle in the home. EVIDENCE: Residents said that they felt they had a good lifestyle in the home. Staff were seen to pay attention to ensuring that residents were well looked after and involved in the home. Residents are enabled to attend day centres/ have community involvement, to ensure their cultural needs are met. Residents are helped to follow religious observances in the way they choose. Visitors are made welcome in the home. One relative spoken with said that they felt very welcome in the home, and like to sit in the lounge so they could talk with all the residents, not just their own relative. There was a sense of inclusion observed during the inspection, with residents spending time talking with each other and staff. Staff are commended for this. One resident said that it is free and easy in the home – there is no pressure to do anything – they are able to do what they want to do. Another said ‘I love it here. Everyone is very friendly’. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 15 Menus show that residents receive a varied and nutritious diet. Five out of eight residents said in comments cards that they always enjoy the food, three that they usually do. Residents spoken with during the inspection confirmed that they were satisfied with the meals and had sufficient choice. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 16 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 the following standard(s): 16, 18 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents’ rights are safeguarded by good complaints and adult protection procedures. EVIDENCE: There is a complaints procedure in the home – there have been no complaints since the last inspection. Residents spoken with confirmed that they felt comfortable to speak to the manager/staff if they had any concerns. This was backed up by responses in comments cards – six people who responded said they always know who to speak to if they are not happy, and two that they usually do. Six people commented that they always know how to complain, and two that they sometimes do (linked with capacity due to dementia). Staff with whom the inspector spoke showed an understanding of the importance of safeguarding residents from harm and abuse, and the need to report any concerns. There have been no such issues noted over the last inspection period. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 17 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 the following standard(s): 19, 26 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from a good living environment. EVIDENCE: Eight people who gave views in comments cards said that the home is always fresh and clean. Residents spoken with confirmed that they were satisfied with the accommodation, that their rooms were comfortable and that they have everything they need. Residents’ bedrooms showed evidence of personal possessions. Parts of the premises seen were found to be clean with no offensive odours. Laundry arrangements were satisfactory and laundry facilities adequate. Systems are in place for the prevention of infection control. Safety checks are carried out regularly – for example relating to fire safety, and there is a fire risk assessment in place. An environmental health office inspection has been carried out within the last year and recommendations followed. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 18 Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 19 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29, 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from good arrangements for staffing the home. EVIDENCE: Staff advised that there are always five carers on duty in the morning, and four in the afternoon, with the manager, deputy manager, trainee manager/carer, cook and domestic as additional staff. Three waking members of staff are on duty at night. It was observed during the inspection that residents benefit from the staffing levels in the home, and staff confirmed they have some time to spend talking with residents, which is good practice. Of a sample checked, all required records for the recruitment of staff were found to be in place. Ongoing supervision of staff takes place, to make sure they are working well and are confident about what they are doing. Staff have ongoing training in a range of aspects to help them do their job well, for example, first aid, food hygiene, moving and handling. Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 20 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 31, 33, 35 and 38 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, 33, 35, 38 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents benefit from good ongoing management of the home. EVIDENCE: There is a longstanding and experienced manager (also the owner of the home) in place. The management of the home remains stable. There is also a deputy manager who has worked in the home for a number of years. Residents spoken with expressed confidence in the management. Quality assurance is good in the home. There are questionnaires provided to relatives to get their views about the home. The manager has recently introduced ongoing one to one questionnaires and reviews with individual residents, where a member of staff asks on a monthly basis how things are Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 21 going, if the person needs anything, or if they want anything – this is an area of improvement and is good. Staff meetings are held. Some small amounts of money are held in the home on behalf of residents, and systems are in place to make sure monies are kept safe for residents. Attention is paid to safety in the home on an ongoing basis. Safety checks are carried out by external contractors. Staff are aware of infection control procedures and confirmed that all necessary equipment is provided to them. Ashton Lodge DS0000006319.V315046.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 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 X X X HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 4 13 4 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 3 X X X X X X 3 STAFFING Standard No Score 27 4 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 4 X 3 X X 3 Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 23 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashton Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 24 Commission for Social Care Inspection Leicester Office The Pavilions, 5 Smith Way Grove Park Enderby Leicester LE19 1SX 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 Lodge DS0000006319.V315046.R01.S.doc Version 5.2 Page 25 - 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!