Inspection on 23/11/05 for Ashurst Place

This inspection was carried out on 23rd November 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 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

Ashurst Place 14/12/07

Ashurst Place 09/10/06

Ashurst Place 17/05/05

Ashurst Place 18/08/04

Ashurst Place 20/04/04

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 Ashurst Place Ashurst Place Lampington Row Langton Green Tunbridge Wells Kent TN3 0JG Lead Inspector Mrs Ann Block Announced Inspection 23rd November 2005 09:25 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 Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ashurst Place Address Ashurst Place Lampington Row Langton Green Tunbridge Wells Kent TN3 0JG 01892 863661 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) Miss Julia Lynn Watts Mrs Louie Watts Mr Paul Iles Care Home 37 Category(ies) of Old age, not falling within any other category registration, with number (37) of places Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. One person to be accommodated whose date of birth is 21/12/1939. Date of last inspection 17th May 2005 Brief Description of the Service: Ashurst Place is a detached property on three floors, standing in its own grounds. It is registered for 37 older people. Some rooms are available for shared use if requested. Accommodation for residents is on the lower two floors. Thirteen bedrooms are on the ground floor, five rooms have en-suite facilities. There are call points and TV points in every bedroom. There is a shaft lift to the first floor. The home is located in a rural area near to Langton Green where there are shops, a Post Office and church etc. Buses pass at the end of the drive. The town of Tunbridge Wells, where there are all the facilities of a large town including a main line station, is situated approximately 3 miles away. There is ample parking at the front of the house with extensive park like grounds for service users use. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. An announced inspection was carried out on Wednesday 23 November 2005 between 9.25 am and 5 pm by regulatory inspector Ann Block. During that time a number of residents, visitors, staff, the owner and manager agreed to speak with the inspector both in public and privately. Feedback was given to the owner and manager during and at the end of the inspection. This report contains assessments made from observation, conversation and records. As part of the inspection process comment cards were received from residents, relatives and professionals. Comments made included: ‘Well run home’ ‘A good caring residential home’ ‘The residents are always happy, well dressed and clean. The home has a great atmosphere.’ ‘We usually visit once/twice a week, on the occasions I have seen staff dealing with medications it has been appropriately managed.’ ‘Ashurst Place have showed a great understanding and insight into several of my clients needs.’ ‘I was pleased I was able to get my sister places at Ashurst Place.’ ‘Jolly good lot’ What the service does well: Residents feel safe and comfortable in Ashurst Place with freedom to make decisions about their lives. Residents and others have all the information they need to decide whether Ashurst Place is the home for them. The home is warm, friendly and well maintained. Residents said the food was very good, plenty of it and they had a choice at mealtimes. Residents consider the standards of care are very good throughout all the stages of older age, excellent care plans support this view. Health and medication is well managed by staff who are competent and caring. Activities are provided which residents enjoy. Visitors are welcomed, feel their comments are listened to and can be involved in the care of their relative. Staff are very well liked, enthusiastic and welcome training opportunities to promote good care. Management and staff are approachable, interested and responsive. The owners are willing to invest Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 6 money in the service to benefit residents. Health and safety is promoted by responsiveness to maintenance issues, regular health and safety ‘walk round’ checks, staff training and supervision and servicing of services and equipment. 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. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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 the following standard(s): 1,2,3,4,5 & 6 Residents have good information on which to make a decision whether Ashurst Place is their preferred choice of home. EVIDENCE: Residents said they had made a positive choice to come into Ashurst Place, some had prior knowledge of the home, others had the home recommended to them. Some residents leave arrangements for moving into a home to family or care manager but were very happy with the choice made. Staff are always willing to show people round, showing them a vacant room if one is available and talking about services offered. Relatives mentioned how they had been impressed by these initial visits, particular at the lack of any odour. Written information is available if needed, relatives know there is an inspection report which they can read. A copy of the last inspection report is readily accessible in the office. Staff at the home are very clear about the care they are able to provide and who to. If a resident’s needs can no longer be met at Ashurst Place, the Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 9 manager will compassionately support a move to a more appropriate setting. Prior to moving in each resident is assessed by the manager or Head of Care with a written record held of the assessment. A resident said the manager had come to her flat to meet her and have a chat. The assessment process establishes whether the prospective resident will fit into the existing group, whether they are likely to settle in the home and whether staff have the skills necessary to meet identified needs. Each resident has a letter confirming that following the assessment the home can meet need. Where the placement is funded information, both verbal and written, is gained from the placing agency. If necessary further clarification is sought. A questionnaire is given to each resident after admission asking for their comment about the admission process. One response recorded that the resident had been helped to settle in as the ‘staff were kind’. Each resident will be given a statement of terms and conditions which records both residents and owners’ rights and responsibilities. The statement has been revised to provide accurate information, this format needs to be used routinely. Respite care is offered where a room is vacant, recently there have been no vacancies for respite care as the home now has a waiting list for permanent care. Intermediate care is not offered. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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 the following standard(s): 7,8,9,10 & 11 Residents’ health and care needs are well met and documented. EVIDENCE: Each resident has a plan of care which consists of a main file plus a file holding individual summary sheets with daily records. The manner in which care plans are structured and the information they contain are excellent. The initial assessment and information given by family and professionals are used as the first care plan to help the resident settle in. Staff make sure that as more is known about the resident or needs change, the plan is updated. Formal reviews also take place. The summary sheets give ample detail to ensure the resident’s wishes and needs can be met in an individual way. Staff understand the need for good record keeping and ensure records of the day for each resident are made. This effective record keeping aids tracking the wellbeing of residents, which is particularly useful when trying to monitor physical or mental health. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 11 The home runs a keyworker system, i.e. a member of staff who takes a special interest in a designated resident. Relatives spoke of liaising with their father’s keyworker. The keyworker has overall responsibility for updating care plans. Health care is well maintained with specialist and outpatient attendances supported. Chiropody, hearing and sight tests are sourced. Records of in house and external health care visits are made. A district nurse visits the home as required. Where there are any concerns about a residents physical or mental health, professional advice will be obtained. A doctor visited during the inspection as staff were concerned about a resident. Staff administering medication have safe handling of medication training. Administration is by monitored dosage with records of administration signed appropriately. Staff are aware of the triggers to administer as required medication and record when such medication has been given. Where a resident has brought in medication, any uncertainties about the drug will be discussed with the general practitioner or pharmacist. Handwritten entries on the medication record will in future be checked and singed by two people. As at all recent inspections, residents spoke very highly of the staff team. Comments made included ‘the staff are lovely’, ‘they’re great’, nothing’s too much trouble for them’, ‘they take time to think what I need’, ‘they bother about me’. Staff routinely knocked on doors and spoke with respect to residents. Locks are provided where necessary, some residents choose not to have locks on their doors. Good use of individual ‘do not disturb’ notices were seen and respected by staff and others. Residents thought the laundry service was good and their clothes were well cared for. Staff ensure residents dress as they like to be presented, one resident had beautifully coordinated clothing of which she was proud. Practices when a resident is in later stages of life support a dignified and pain free as possible passage. Family are supported to be with their relative if that is what the resident desires. Residents and staff are able to pay their respects if they wish and are supported in the grieving process. Deteriorating conditions are understood and well managed. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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 the following standard(s): 12,13,14 & 15 Residents have a life where they can be occupied and about which they can make choices. EVIDENCE: Residents and relatives spoken with had a good understanding of the type of home Ashurst Place would be and felt that their expectations were met. Staff try their best to meet individual preferences regarding timing of baths and general care. Residents said they would be offered a cup of tea by night staff then would be able to have a lie in or sit in a chair until breakfast was brought up. Some residents like to go up to their rooms after supper so they can get ready for bed and relax watching TV before deciding when to settle for the night. Residents said they understand they are part of a group of people so sometimes might have to wait a little before staff could attend to them. Lunch and supper are at set times, a meal or snack can be held for anyone who is out. Religious personnel visit the home regularly, such as the Church of England minister. Residents can attend local churches if they choose. Cultural needs Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 13 are met once the pre admission assessment indicates this is possible at Ashurst Place. An activities coordinator is employed who also acts as advocate if needed. Residents said they enjoyed her sessions, both actively and sometimes just watching others. One resident had said she didn’t really want to join in when she first came to the home, but seeing others enjoying themselves she now came down and took part. Activities provided offer mental and physical stimulation. A number of visitors came in and out during the inspection, many being very regular visitors and known to the resident group. Visitors spoke of being welcomed to the home and were able to be a part of their relative’s daily lives. One visitor is taking a key role in the Christmas entertainment, running the raffle and making a cake for the ‘guess the weight of the cake’ competition. Two relatives said they quite often came to the home ‘unannounced’ and were always made welcome and found their father well dressed, the room clean and tidy and generally everything was very satisfactory. A visitors book confirmed that family, friends and social contacts visit the home. Preparations for Christmas are just beginning. Staff will be putting on a panto with the assistance of relatives and friends. A group of residents are going with staff to Tunbridge Wells to do some shopping. Staff were going round asking residents whether they needed help in purchasing or writing Christmas cards. Residents spoke very well of the food, being largely home cooked with a menu on display and further options available on request. One resident said she hadn’t fancied the main meal, which was liver and bacon, so had corned beef sandwiches with salad which she liked. As a resident settles in, staff record further evidence of likes and dislikes. A birthday cake had been made for afternoon tea to go with the drinks and biscuits. Residents said they could have a drink on request at any time. Residents mainly eat in the dining room, trays are taken to residents wishing to eat in their rooms. One resident said she liked to have her tea on tray but made the effort to go down for lunch so she could have a chat with her table companions. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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 the following standard(s): 16,17 & 18 Residents are protected from the risks of abuse, are able to complain and be listened to, with appropriate action taken. EVIDENCE: These standards were not assessed in detail as they were fully met at the last inspection. Residents and relatives again said they hadn’t had to make a complaint but knew they could if they needed to. At the last inspection the assessment made recorded: ‘Residents were amazed that the inspector might consider they needed to make a complaint. Those spoken to all said that they had no reason to complain, in fact the opposite, but if they ever needed to (which they thought was highly unlikely) they always had the manager or staff who they could talk to. A formal complaint procedure is posted in the entrance hall giving contact addresses. A complaint recording format is available if required. Residents spoken to said they had the option of a postal vote but had chosen not to this year. Assistance was provided to place a vote in person. Staff on duty had a sound awareness of how abuse might present, referring to learning gained from covering this area in their NVQ Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 15 training. Residents felt they were safe in the home and any risks were well managed.’ Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 16 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): 19,20,21,22,23,24,25 & 26 Residents have a homely, comfortable, safe and well maintained environment in which to live. EVIDENCE: Ashurst Place is a large country house converted to meet the needs of caring for older people. It is located in a quiet country area where residents can walk around the grounds safe from road hazards, with access from both the conservatory and main doors. Many residents said how much they appreciated the country setting. One said the area round the home was ‘beautiful’. Rooms, both personal and communal, are of good size, bright and homely. A foyer leads to a very large hall with a sweeping staircase to the upper floors. Off the hallway is good sized lounge which leads into a large conservatory overlooking the gardens. Both rooms have a TV in. There is a good sized dining room on the ground floor and a small ‘quiet’ room. Residents said they were always warm enough. One resident had been given a little velour blanket for her knees. She had thought she wouldn’t need it as she was always warm, Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 17 but liked the comfort. There is a maintenance person employed and the manager is a very capable handyman, providing a quick response to any maintenance requests. A book is held for staff to log any request. There is ongoing upgrading of the premises. Areas of the home had been recarpted, a vacant room was being redecorated to the incoming residents choice of colour. The resident was moving from an upper floor room at her request. Such requests will be met where possible. Residents’ safety is promoted by good health and safety including the Environmental Health ‘Gold Award’ for kitchen standards. A fire risk assessment has been carried out and sent to the local Fire Safety Officer, the manager is waiting for a response. Waste is disposed of via a contract. Water services are recorded as being safe from the risks of scalding or Legionella, and with fittings to meet water safety requirements. Toilets are provided close to residents’ rooms and communal areas. A range of bath and showers are provided, suitably adapted to meet residents’ needs and regularly serviced. A resident said she liked her bath and used the chair hoist to get in and out. The laundry is sited to the rear of the property. A designated laundry person is available 7 days a week. Clean clothing was being taken round to residents rooms during the afternoon, clothes were being put away tidily in a resident’s room for him. At the last inspection a resident commented that she put clothes out in the morning and they would be returned by the afternoon. Aids and equipment assessed as required are provided, including grab rails and a call system. There is a shaft lift which gives access to floors used by residents. The lift has recently been upgraded to meet required lift safety standards. Staff said it was much better now the lift could be called from either floor. Residents only use the lift accompanied by staff to promote safe practice. Residents spoken to were quite happy with this system. Residents’ rooms were seen to be very well personalised to the occupants choosing. One resident had brought with her her favourite electric chair, chest of drawers and TV. Another loved his photo boards and pictures. There are some shared rooms but these are generally used for single occupancy unless a specific request is made to share. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 18 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 Residents’ care, social and emotional needs are promoted by the employment of caring and experienced staff. Small adjustments to the recruitment process would further protect residents. EVIDENCE: As mentioned throughout the report, residents and visitors thought the staff were ‘superb’, ‘kind and caring’, ‘thoughtful’. Staff are very good in working with residents who need extra care and support. Most people considered there were enough staff to provide care yet still have time for one to one chats. Staff also believe there are sufficient staff on duty, they will work additional hours to cover absences and to act as escort for residents. Staff are happy to work extra hours to ensure the home is fully staffed, as neither they nor the residents like having agency staff who often didn’t know the home or residents. A roster is held of planned and actual hours. There are two waking staff on duty at night. Management or senior staff are available on call. Additional staff carry out catering, laundry and domestic duties. 60 of care staff hold NVQ level 2 or above in care. Due to one provider ceasing trading, there is a delay in trying to find another suitable organisation and funding. The owner, manager and head of care have all recently qualified as NVQ assessors. The majority of training is done in house by way of videos Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 19 and associated workbooks. Certain training such as fire safety and first aid are sourced from external trainers. Each member of staff has a training record with copies of certificates and a training matrix. The manager can therefore easily identify when staff need updates to training. Staff respond well to training offered and records indicated they had attended a good range of training. Newly recruited staff work through induction workbooks which the owner said are under review in line with Skills for Care guidelines. Residents are protected through generally sound recruitment procedures. Staff complete an application form and attend for a interview with notes held of questions and responses. The system should ensure that the employment history is thoroughly checked with written confirmation of the reason for leaving any previous work with vulnerable people. All staff are required to complete a full rehabilitation of offenders declaration and have a criminal records bureau certificate. Copies of documentation such as passport, photo and birth certificate are held. Staff receive a statement of terms and conditions. As part of the recruitment process staff must provide two written references which are taken up. The reference request form should ensure that the name, including signature, position and organisation of the referee are recorded. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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): 31,32,33,34,35,36,37 & 38 Residents are confident that the home is well managed and safe. EVIDENCE: Both the owner and manager are regularly available in the home. They have many years experience in the running of a service for older people. Residents spoke very highly of both, saying that nothing was too much trouble for them. Many times during this and previous inspections residents were seen to talk in a friendly and relaxed manner with the manager showing a genuine liking for him. He is looking at suitable management courses as part of his career development. The service is observably run in the best interests of older people. The manager has an excellent understanding of behaviours of older people, especially when their mental abilities aren’t so agile. Residents understood the Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 21 ‘hierarchy’ of the home as did staff on duty. Staff are encouraged to make their own decisions but know when to refer issues to more senior staff. Residents and staff considered the manager and seniors to be both competent and approachable. Reference was made to having meetings occasionally but to find one to one chats more useful. The manager said that residents’ views would always be taken into account when making any decisions about the running of the service. Questionnaires are sent out to residents and relatives, including a questionnaire asking for views on the admission process. Visitors said they are asked for their opinion of the home and felt that any comments they made were listened to and feedback given. Money is invested in the service such as the recent lift upgrade. Suitable insurance is in place. The home has limited involvement in residents finances and do not act as appointee or agent for anyone. Where Kent County Council pay benefits by cheque direct to the home, records show that the resident receives their due amount each week. Staff are regularly supervised with records held of each session. Staff who give supervision have had video and workbook training in giving and receiving supervision. Records required by regulation and as good practice are held, are regularly updated and stored securely. Staff practices protect residents. Staff have updated moving and handling, fire safety, first aid and COSHH training. Fire safety is taken seriously with weekly recorded testing of equipment and regular fire drills and practices. A file of servicing and maintenance of equipment indicates that safety of supplies and equipment is maintained. An accident book is held which complies with Data Protection. Staff have policy documents, including health and safety, to refer to. Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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 3 2 3 4 3 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 3 3 3 3 3 3 3 3 STAFFING Standard No Score 27 3 28 3 29 1 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 3 3 3 Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 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. 1 Standard OP2929.1 Regulation 19 Requirement When recruiting staff, as far as practicable, written verification of the reason for leaving any previous work with vulnerable people must be obtained. Timescale for action 31/12/05 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 OP2929.1 4 OP2929.2 Ashurst Place Refer to Standard OP22.1 OP99.4 Good Practice Recommendations The revised statement of terms and conditions should be used routinely. Handwritten medication directions should be witnessed to evidence accurate transcription. The reference request form should ensure that the name, including signature, position and organisation of the referee are recorded. The employment history of a prospective member of staff should be checked and any gaps or inconsistencies explored. DS0000023924.V256871.R01.S.doc Version 5.0 Page 24 Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 25 Commission for Social Care Inspection Maidstone Local Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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 Ashurst Place DS0000023924.V256871.R01.S.doc Version 5.0 Page 26 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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