Inspection on 02/06/05 for Ashwood

This inspection was carried out on 2nd June 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

Ashwood 21/10/08

Ashwood 15/01/08

Ashwood 19/07/06

Ashwood 23/01/06

Ashwood 28/10/04

Ashwood 02/04/04

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

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

CARE HOMES FOR OLDER PEOPLE ASHWOOD 1 LIVERPOOL ROAD ASHTON-IN-MAKERFIELD WIGAN WN4 9LH Lead Inspector Judith Stanley Announced 2 June 2005 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. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 3 SERVICE INFORMATION Name of service Ashwood Address 1 Liverpool Road Ashton-in-Makerfield Wigan WN4 9LH 01942 722553 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) Mr Serge Pascau Mr Dennis Pugh Mrs Sandra Shepherd CRH Care Home only 36 Category(ies) of DE(E) Dementia over 65 (3) registration, with number OP Old Age (36) of places PD Physical Disability (2) PD(E) Physical Disability over 65 (8) ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 36 service users to include:up to 36 service users in the category of OP (Older People) up to 2 service users in the category of PD (Adults with Physical Disabilities) up to 8 service users in the category of PD(E) (Adults with Physical Disabilities over 65) up to 3 service users in the category of DE(E) Adults with Dementia over 65 years) 2. The 2 PD places are only to be used for service users over the age of 60. 3. The service should at all times employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection. 4. Three named service users (ER, CG and EN) in the category of DE(E) (Adults with Dementia over 65 years) may be admitted within the overall number of registered places. Date of last inspection 28 October 2004 Brief Description of the Service: Ashwood is a private residential care home registered for up to 36 adults of either sex who are elderly. It is situated in the centre of Ashton-in- Makerfield close to all local amenities including shops and bus routes. Currently all bedrooms have single occupancy. The Home is registered for 36 so there is a possibility some rooms could be used as doubles. The manager advised that there are currently no plans to have shared rooms. Only one room offers an en suite facility, however, all rooms have a hand basin and there are toilets and bathrooms on both floors. The premisies are well maintianed both inside and outside. Car parking is available to the rear of the Home. Level access to the Home is provided and a passenger lift ensures access is available to both floors. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This announced inspection took place over a period of five hours on one day. The first part of the day was spent in the office talking with the manager and looking at care plans and other records. The remainder of the day was spent speaking at length to four residents, two visitors, three members of staff, the cook, and a domestic, as well as making a tour of the premises. Other staff and residents were spoken with over the course of the day. In order to obtain further information comment cards were sent to some relatives, GPs, care managers and other health professionals e.g. district nurses. What the service does well: What has improved since the last inspection? Requirements previously made had been implemented with regard to activities and decoration. There was evidence to show several bedrooms had been decorated and new carpets had been fitted. There is also an additional shower room downstairs and residents said they found it easier to use than the bath. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 6 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. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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 ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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. Standard 6 does not apply as Ashwood does not offer an intermediate care service. Terms and conditions of residence/contracts were in place on the files inspected, which ensured residents were clear about their rights. A good assessment process was in place in order to ensure that those admitted were able to be adequately cared for and the manager and staff demonstrated a high level of commitment to ensuring the needs of the residents were being met. EVIDENCE: All residents receive a statement of terms and conditions/contract whether they are paid for by the local authority or are self-funding at the point of moving into the Home. Contracts were observed on the residents files inspected. There is a good assessment system in place. The manager or deputy visited each person either at home or in hospital. The assessment document was detailed and included all the necessary areas; a copy of the assessment is kept on file. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 9 All residents spoken with felt their needs were being met by the staff. One resident said, “it’s not like being in your own home, but the care is good and we are well looked after”. Throughout the inspection, the staff were seen to be attentive to the needs of the residents. There was evidence to demonstrate that if it was found that residents had specialist needs, health care professionals were involved as necessary for example the district nurse and the occupational therapist. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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, 8 & 10 The standard of care planning and review was good, providing staff with the information they needed to meet the resident’s needs. The health needs of the resident’s were met, with evidence of inter-agency working, as needed. Staff work to hard to ensure that residents were treated with dignity and that their privacy was maintained. EVIDENCE: Three care plans were looked at including one resident who had recently been admitted to the Home. Each record set out in detail the aspects of health, personal and social care needs of the resident, and showed amendments had been made as necessary, but at least once a month. One resident spoken with was aware of his care plan, and that he could read the plan if he wanted to. Risk assessments had been completed for all residents, for example risk of falls and moving and handling. Other risks were identified in connection with daily living activities and it was evident that responsible risk taking was regarded as part of the normal expression of peoples’ independence by the staff team. Entries in the care plans were clearly written and evidence was available to show that residents/supporters had been consulted about the content of the care plan. Staff spoken with were knowledgeable about the needs and preferences of the residents. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 11 The health needs of the residents were being well met with evidence of good multi-disciplinary working taking place on a regular basis. Feedback from one care manager indicated that she was satisfied with the overall care of residents she had placed at Ashwood. She added that staff have always been helpful and approachable and that she kept informed of significant events affecting her clients well being. Adequate equipment was available for the treatment and prevention of pressure areas and sores. The Home works closely with the district nurse team and acts on their advice and instruction. Residents said staff respected their privacy and dignity, one resident made comment that staff always knocked on her door before entering. Another commented that she needed help with personal care, but said the staff were very good and helped her in a nice way. Throughout the inspection staff were observed interacting with residents in a friendly and respectful manner. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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 & 15 Social activities and meals were both well managed, providing daily variation and interest for people living at the Home. EVIDENCE: A wide range of activities was planned; they are appropriate to the resident group and catered for individual tastes and capacities. Several residents confirmed they liked playing bingo and board games and enjoyed shopping. Residents were encouraged to pursue their own interests and hobbies. One resident told the Inspector that he goes out most days to the shops or with a friend to enjoy a game of bowls. It was observed that a member of staff was showing residents the range of videos the Home had available and residents selected a video of their choice for their afternoons viewing. Residents wishing to maintain their religious links were encouraged and enabled to do so. The dietary needs of the residents were well catered for with a balanced and varied selection of foods available. The menu was displayed in lounge/dining rooms to allow residents to make a choice of what they would like for each meal. Breakfast is served on a flexible basis to allow residents to get up when they are ready. Lunch is the main meal of the day, and a lighter afternoon tea is served late afternoon, suppers are available. A choice of hot and cold drinks are served during the day. The Inspector observed lunch being served, most ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 13 residents had the main choice, which was roast lamb, creamed potatoes, carrots and gravy, followed by chocolate sponge with white sauce or yoghurt or fresh fruit. Positive comments were made during the lunch, one resident commented on the tenderness of the meat, saying, “ this lamb is delicious, it just melts in your mouth”. Another resident said that the food was always good, and she enjoyed every meal. Staff were observed offering large or smaller portions to residents as not to over face those with smaller appetites. Staff were seen to be assisting some residents that required help with their lunch, this was done in a discreet and sensitive manner. Discussion with a member of the kitchen staff indicated that she had as good insight in to residents likes and dislikes and catered for special dietary requirements, for example soft or pureed food and diabetic diets. The Home has a lounge/dining room on each floor, the residents confirmed that they could use either, but the residents that smoke all tend to use the downstairs dining area. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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 & 18 Systems were in place with regard to the investigation of complaints and adult protection issues, ensuring that residents were listened to and protected. EVIDENCE: A complaints procedure was in place. Feedback from relatives indicated that they knew how to complain and who to complain to. One resident spoken with said if she had any complaints about anything she would tell Sandra (manager) or Lorraine (deputy) and they would see to it. The Home has a system for recording details and outcomes of complaints/concerns of those who do not wish to make a formal complaint. There have been no formal complaints made since the last inspection and the CSCI have not been contacted with any issues. A procedure for responding to allegations of abuse was available. Staff were knowledge about the protection of vulnerable adults and confirmed that they had received appropriate training through NVQs and in house training. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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, 24 & 26 The standard of the environment at Ashwood is good, providing residents with a safe, clean, pleasant and comfortable place to live. EVIDENCE: From a tour of the building, it was seen that the premises were being maintained to a good standard, both inside and out. There was evidence of redecoration and the renewal of fabric and furnishing. Management identified that the bathroom downstairs was in need of refurbishment and this is planned for the near future. The premises were clean and free from offensive odours throughout. One resident spoken with was pleased with her bedroom she said it was comfortable and she had everything she needed, including personal items brought in from home, a TV and her choice of music. Those bedrooms seen were clean and tidy – according to the wish of the residents – with furniture and fittings that were maintained to a good standard. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 16 Systems were in place to control the spread of infection. Staff were knowledgeable about infection control procedures and were observed using protective aprons for different tasks and gloves as required. The Home has suitable laundry facilities and the manager confirmed that all equipment was in good working order. Resident’s clothes were observed to be nicely washed, ironed and returned and hung up in the resident’s wardrobe. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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) 27,29 & 30 Staff morale is good, with low levels of staff turnover. This ensures that residents are provided with care by people they know and are familiar with. The recruitment and selection procedures are robust and staff are properly trained to deliver the care that residents need. EVIDENCE: The staff team have worked at the Home for some considerable time. This helps provide continuity and a high standard of care for the residents. Staff help create a friendly and relaxed atmosphere, which was evident from observing the interaction between staff and the residents. One resident spoke very highly of both the manager and staff, describing them as “brilliant”. On inspection of some staff files evidence was available to demonstrate that all the necessary checks have been undertaken to ensure the protection of the residents. Criminal Records Bureau checks (CRB) are obtained prior to commencing work and two suitable references sought. The manager ensures that enough staff are on duty at all times to meet the assessed needs of the residents. Staff were observed carrying out daily tasks but still had time to sit and talk with the residents. One member of staff was heard telling a resident about something she had enjoyed on TV the night before and wondered if the resident had also seen it. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 18 To ensure that staff are trained and competent to do their jobs, a comprehensive training programme is available. Staff spoken with confirmed they felt the training was relevant to their jobs and helped them understand the varying needs of the residents they provided care for. Training courses offered covered Alcohol Awareness, Dementia Care, Medication Awareness and most staff have achieved in NVQs. The kitchen staff spoken with said that ancillary staff were always included in any relevant training which she found beneficial. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 19 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 & 38 The Home is being well managed resulting in a consistent and reliable service for people using it Procedures and procedures operating within the Home promote and safeguard the health, safety and welfare of the people living and working in the Home. EVIDENCE: The manager has worked at the Home for some considerable time and is experienced and competent in her managerial role. The manager is well supported by the deputy manager, who also is experienced and can deal with the day to day running of the Home in the absence of the manager. The manager was observed to have good understanding of the care needs of the residents and staff described her as approachable and understanding. Throughout the course of the day several residents and relatives were seen to go in to the managers offices to sit and chat with her. The manager has attained the NVQ level 4 registered managers awards and is an NVQ assessor. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 20 In the main, health and safety issues were good with regular maintenance checks of equipment being undertaken. All accidents and incidents were being correctly recorded and reported. From checking staff training records, it was clear that staff have completed mandatory training for example moving and handing, first aid, food hygiene and protection of vulnerable adults. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 21 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 x N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 x 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 x 14 x 15 3 COMPLAINTS AND PROTECTION 3 x x x x 3 x 3 STAFFING Standard No Score 27 3 28 x 29 3 30 3 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 x x x x x 3 ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 22 NO 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 Regulation None 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. 1. Refer to Standard 20 Good Practice Recommendations The manager is asked obtain the views of service users with regard to brighter lighting in the downstairs lounge and if they feel an air purifier/filter would be benefical. ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 Page 23 Commission for Social Care Inspection Turton Suite, Paragon Business Park Chorley New Road Horwich, Bolton BL6 6HG 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 ASHWOOD F56 F06 S5722 Ashwood V217279 020605 Stage 4.doc Version 1.30 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. 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