This inspection was carried out on 30th October 2009.
CQC found this care home to be providing an Good service.
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 2 statutory requirements (actions the home must comply with) as a result of this inspection.
Random inspection report
Care homes for older people
Name: Address: Ashton View Nursing Home Wigan Road Ashton-in-makerfield Wigan Lancashire WN4 9BJ two star good service The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: John Mullen Date: 3 0 1 0 2 0 0 9 Information about the care home
Name of care home: Address: Ashton View Nursing Home Wigan Road Ashton-in-makerfield Wigan Lancashire WN4 9BJ 01942722988 01942274896 ashtonview@schealthcare.co.uk www.schealthcare.co.uk Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Southern Cross Care Centres Limited care home 58 Number of places (if applicable): Under 65 Over 65 0 19 dementia old age, not falling within any other category Conditions of registration: 39 0 The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP, (maximum number of places: 19) Dementia - Code DE (maximum number of places: 39) The maximum number of people who can be accommodated is: 58 Date of last inspection Brief description of the care home Ashton View is located in the centre of Ashton-In-Makerfield and is convenient for public transport and shops. There is level access to the front of the home with adequate parking to the front. There
Care Homes for Older People Page 2 of 8 Brief description of the care home are no gardens, only 2 small sitting areas on either side of the car park. A second floor rooftop garden terrace provides users on Pilling Unit with a safe outdoor area. There are three floors and there is a passenger lift to all levels. The home has three units. On the ground floor there is the general nursing unit (Evans), on the first floor there is a unit for residents with dementia who need specialised nursing input (Gerard), and on the second floor a unit for residents with dementia (Pilling). All the bedrooms throughout the home are single. Bathrooms and toilets are provided on each floor. Fees at the time of the key inspection ranged from 335.19 to 540 pounds per week. The fees charged depend on the needs of the residents and whether they receive the free nursing care top up. Additional charges are made for private chiropody, hairdressing and newspapers. Care Homes for Older People Page 3 of 8 What we found:
This was a random unannounced inspection of Ashton View Care Home following two complaints and two safeguarding issues referred to us. The main concern was in relation to the staffing levels within the home which were thought to be insufficient to meet the needs of people living there. This inspection was conducted by two inspectors. The premises were inspected and interviews were held with the registered manager, nursing and care staff and people living in the home. One relative who was visiting the home was also interviewed. A selection of files for people living in the home were seen and a small selection of staff files were also examined. The home consists of three units and in two of the three staffing levels were satisfactory for the people accommodated there. However on the unit accommodating users with dementia this was not the case and significant shortfalls were found on this unit. Users and the family member interviewed were happy with the standard of care they received. The premises were of a variable standard and some redecoration is required in the dementia unit. Staff opinions varied but, overall, they were positive about the home. There was some deficit in moving and handling training which must be rectified for the safety of staff and users. On one unit, the administration of medicines was taking a great deal of time which was keeping the nurse from other duties. What the care home does well: What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 2. Care Homes for Older People Page 4 of 8 Are there any outstanding requirements from the last inspection? Yes R No £ Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action 1 7 15(1) Care plans must be in place 16/05/2008 for any identified need or risk. You must make sure that the care plans are up to date and give a clear picture of the residents? condition. 2 19 13(4)(a) You must make sure that 31/05/2008 residents are protected from avoidable risks to their health and safety. Call bells must be accessible to residents in the bathroom and bedroom identified. To aid mobility and prevent accidents, toilets must have suitable aids and adaptations. 30/06/2008 3 21 13(4)(a) 4 25 23(2)(p) The problems with the 31/08/2008 extremes of temperatures on the Pilling Unit must be sorted out. 5 25 13(4)(a) To prevent the risk of 31/05/2008 accidental burning the radiator in the bathroom must be guarded or a low surface temperature radiator fitted.
Page 5 of 8 Care Homes for Older People Outstanding statutory requirements
These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 Requirements and recommendations from this inspection:
Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours.
No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 1 27 18 The staffing complement on 01/12/2009 the dementia care unit must be kept at the required level. For the safe delivery of the service. 2 30 18 Training in moving and handling must be provided for all care staff. So that users can be assisted in a safe manner. 01/12/2009 Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service.
No Refer to Standard Good Practice Recommendations 1 9 The home should review its method of administering medicines on the dementia care unit to see if it can be done more effectively. The redecoration of the dementia care unit should be considered as a means of improving its appearance. 2 19 Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 8 of 8 - 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!
