Inspection on 26/10/05 for Ashwood Court Unit 1

This inspection was carried out on 26th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found no outstanding requirements from the previous inspection report, but made 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashwood Court Unit 1 07/06/07

Ashwood Court Unit 1 02/02/06

Ashwood Court Unit 1 07/02/05

Ashwood Court Unit 1 20/09/04

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Sunny Bank (P.R.S.) Ltd

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

CARE HOME MIXED CATEGORY MAJORITY ADULTS 18-65 Ashwood Court Unit 1 Woodford Avenue Lowton Warrington Cheshire WA3 2RB Lead Inspector Bernard Tracey Announced Inspection 26th October 2005 09:30 Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 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 Ashwood Court Unit 1 DS0000005723.V263397.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 and Care Homes for Adults 18 – 65*. 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 Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Ashwood Court Unit 1 Address Woodford Avenue Lowton Warrington Cheshire WA3 2RB 01942 275758 01942 722835 makingspace.ashwoodcourt1@virgin.net 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) Making Space Care Home 17 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (9), Mental Disorder, excluding of places learning disability or dementia - over 65 years of age (8) Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. The home is registered for a maximum of 17 service users to include: up to 8 service users in the category of MD(E) (Mental Disorder over 65 years of age) up to 9 service users in the category of MD (Mental Disorder over 45 years of age) The service should employ suitably qualified and experienced Manager who is registered with the CSCI. 7th February 2005 2. Date of last inspection Brief Description of the Service: Ashwood Court Care Home is privately owned by the company Making Space. The Home is a purpose built and provides accommodation and personal care and support for up to 17 adults whom suffer from an enduring mental illness. The Home is set in its own grounds in a residential area of Lowton. The Home provides all single accommodation, no rooms offer en suite facilities.There is car parking to the front of the Home and enclosed, private gardens to the rear. The external areas of the Home are well maintained and well presented. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection, which meant that the residents and staff were told beforehand when the inspector would be arriving. The inspection took place over5 hours on one day. At the time there were 17 residents accommodated in the home. Several weeks before the inspection questionnaires were sent out to doctors, social workers and district nurses, as well as to the residents of the home and their relatives. The questionnaires asked what people thought of the care and services provided by the home. 18 of these questionnaires were returned all with positive comments. The inspector met with 5 residents. Wherever possible they were asked about their views and experiences of living at Ashwood Court and some of their comments are quoted in this report. During the course of the inspection discussions were held with the new manager, three other members of the management team and 3 support staff. A tour of the premises took place and a number of documents and records were viewed. Detailed notes were taken, which have been retained as evidence of the inspection findings. What the service does well: Staff made sure they had the information necessary, to make a decision about whether or not they could provide the care needed, prior to someone moving into the home. Detailed care plans were in place, which clearly stated residents needs and what action staff needed to take to meet individual need. There was a system in place for the safe administration of medication. Residents said they were treated with respect and their right to privacy was respected. They were able to keep in contact with family, friends and members of the local community if they wanted to. Residents said, “ I can please myself what I do, within reason” “how I spend my time is up to me”. This showed that residents were helped to make choices and have control over their lives. On the whole residents were satisfied with the food provided. They said “ there is always plenty of food and most of the time it is very nice” “There is always a choice”. The home is run in a way that protects residents from abuse or harm. All of the staff spoken to knew what to do if they were concerned. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 6 Residents and staff got on well together. Comments about the staff included “they’re brilliant”, “really supportive”, “they always know what to do to help” and “staff are friendly and helpful.” All areas were well decorated, clean, fresh airy and homely. Staffing levels met the needs of the residents, and training for staff was ongoing. 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. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home Individual Needs and Choices Lifestyle Personal and Healthcare Support Concerns, Complaints and Protection Environment Staffing Conduct of Management of the Home Scoring of Outcomes Statutory Requirements Identified During the Inspection Adults 18 – 65 (Standards 1–5) (Standards 6-10) (Standards 11–17) (Standards 18-21) (Standards 22–23) (Standards 24–30) (Standards 31–36) (Standards 37-43) Older People (Standards 1–5) (Standards 7, 14, 33 & 37) (Standards 10, 12, 13 & 15) (Standards 8-11) (Standards 16-18 & 35) (Standards 19-26) (Standards 27-30 & 36) (Standards 31-34, 37 & 38) Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 (Adults 18 – 65) and Standards 1 – 5 (Older People) are: 1. 2. 3. Prospective service users have the information they need to make an informed choice about where to live. (OP NMS 1) Prospective users’ individual aspirations and needs are assessed. No service user moves into the home without having been assured that these will be met. (OP NMS 3) Prospective service users’ know that the home that they choose will meet their needs and aspirations. Service Users and their representatives know that the home they enter will meet their needs. (OP NMS 4) Prospective service users’ have an opportunity to visit and “test drive” the home. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. (OP NMS 5) Each service user has an individual written contract or statement of terms and conditions with the home. Each service user has a written contract/statement of terms and conditions with the home. (OP NMS 2) 4. 5. The Commission considers Standard 2 (Adults 18-65) and Standards 3 and 6 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 2 (Younger Adults) and 3 (Older People) There is a detailed admission procedure, which ensures that staff have a clear understanding of the residents’ needs and how they were to be met. Prospective residents have ample opportunities to visit the home, which helps them to make a decision about whether the placement is suitable for them. EVIDENCE: There is an extensive pre-admission assessment process, which often takes several weeks to complete. Assessment information was obtained from all appropriate sources and communicated to the staff team before the resident was admitted. The resident, their family and health care professionals were fully involved in the process. A trial period care plan was drawn up on admission. Prospective residents made the decision to move to the home only after a Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 9 series of visits and short stays. Two residents, who had recently been admitted talked about their experiences of moving into Ashwood Court and said that being able to talk to other residents and meet staff had helped them to make a decision. All files seen contained a statement of the terms and conditions of residency, which included signed agreement from the resident. The home have updated the information in the service user guide since the last inspection. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 10 Individual Needs and Choices The intended outcomes for Standards 6-10 (Adults 18-65) and Standards 7, 14, 33 & 37 (Older People) are: 6. Service users know their assessed and changing needs and personal goals are reflected in their Individual Plan. The Service Users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users make decisions about their lives with assistance as needed. Service Users are helped to exercise choice and control over their lives. (OP NMS 14) Service users are consulted on, and participate in, all aspects of life at the home. The home is run in the best interests of service users. (OP NMS 33) Service users are supported to take risks as part of an independent lifestyle. The service users health, personal and social care needs are set out in an individual plan of care. (OP NMS 7) Service users know that the information about them is handled appropriately and that their confidences are kept. Service Users rights and best interests are safeguarded by the home’s record keeping, policies and procedures. (OP NMS 37) 7. 8. 9. 10. The Commission considers Standards 6, 7 and 9 (Adults 18-65) and Standards 7, 14, and 33 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 6 7 9 (Younger Adults ) 7 14 33 ( Older People) There is a clear and detailed care planning system in place that includes residents’ involvement and provides the staff with the information needed to meet the needs of the residents. The risk assessment and management framework supported residents to take responsible risks. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 11 EVIDENCE: All prospective residents receive a formal assessment from a qualified member of staff, usually the home manager, using a detailed assessment format. The care management assessments and the hospital care plans are obtained prior to admission to the home, and a copy was seen in the residents’ notes that were examined during the inspection. Any potential restrictions on choice, freedom, services or facilities that become part of the residents’ daily life, had been discussed and agreed with the resident during assessment, and recorded in the care plan. Two residents spoken with confirmed that they had been given “good information about how the home is run before coming here.” The care plan is generated from the single care management assessment and the assessment provided by the home. The plan sets out how the current and anticipated needs are to be met. There is evidence that the resident together with family, friends or advocate are involved in the drawing up of the plan. Care plans examined had been reviewed on a monthly basis, which is above the necessary requirement of this standard. The review of care is conducted on a group basis that involves the resident, the key worker and the social worker or advocate, if appropriate. All of the reviews are recorded and signed by the participants. Two residents said they were aware of their own care plans and had been into the reviews with the staff. They were able to explain to the Inspector that the care plan set out “ important things about our care”. There was a policy on risk taking and risk management. All files contained risk assessments and detailed risk management strategies specific to the resident. Staff gave examples of how residents were supported to take risks, usually by gradual exposure to risk situations and continual re-assessment. One resident talked about how the staff helped them to move on by taking every day risks and another said, “we are not wrapped in cotton wool.” Information in respect of residents is shared within the home team and visiting professionals in the interests of the resident. In this respect it also necessary for the home to share personal identification and some medical detail with the local police when concern surrounds an individual who is absent from the home without prior arrangement and the home feels that the person may be at risk. Procedures for responding to unexplained absences and who should be notified are confirmed in a written policy. Wherever possible residents are encouraged to manage their own finances, but where the home does manage the finances for individuals, records are maintained and a recognised tool for audit is incorporated in the monthly review of finance. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 12 In a group discussion with three residents all agreed that staff cared very well for the residents and they felt they were consulted in regards to how the home was run. Observations made during the inspection indicated that staff had developed a good rapport with residents. A relative of one resident wrote: “ I am delighted with the level of care afforded to my brother. “All members of staff are cheerful and create a family atmosphere in which my brother thrives.” A social worker wrote to say “Ashwood Court always provide a high level of care to meet the often demanding needs of my clients” Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 (Adults 18-65) and Standards 10, 12, 13 & 15 (Older People) are: 11. Service users have opportunities for personal development. 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. (OP NMS 12) Service users are able to take part in age, peer and culturally appropriate activities. 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. (OP NMS 12) Service users are part of the local community. Service users maintain contact with family/ friends/ representatives and the local community as they wish. (OP NMS 13) Service users engage in appropriate leisure activities. 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. (OP NMS 12) Service users have appropriate personal, family and sexual relationships and maintain contact with family/friends/representatives and the local community as they wish. (OP NMS 13) Service users’ rights are respected and responsibilities recognised in their daily lives. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users are offered a (wholesome appealing balanced) healthy diet and enjoy their meals and mealtimes. Service users receive a wholesome appeaing balanced diet in pleasing surroundings at times convenient to them. (OP NMS 15) 12. 13. 14. 15. 16. 17. The Commission considers standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 10, 12, 13 and 15 (Older People) the 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 15 16 17 ( Younger adults ) 10 12 13 15 ( Older People) Residents were provided with very good opportunities to engage in a wide range of appropriate activities and were supported to use community facilities. The home’s policies and staff practice ensured residents’ rights were upheld. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 14 EVIDENCE: The inspector spoke with residents in small groups and on a one to one basis. The residents told the inspector that they were satisfied with the staff and care provided, they also said the food was very good and that they were satisfied with their rooms All of the residents spoken with during the inspection said that they were satisfied with day-to-day life in the home. Activities are discussed at a monthly meeting with residents. An example of this discussion was seen in the notes for the October meeting where subjects discussed included: Bonfire Night, Xmas activities, Trips for 2006 and suggestions for the annual holiday from the home in 2006. Residents said that routines were flexible. Residents said there was an expectation to be up by a certain time and to join any groups or activities they had agreed to. Two residents said there were some house rules but they were not “unreasonable.” Staff spoke about residents respectfully. They were very aware of residents’ rights and said that part of their role was to ensure that these rights were upheld. Residents all said that staff treated them with respect. A residents’ committee is being established. The aim of the group was to participate in some management decisions and take a role in the development of the service. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 – 21 (Adults 18-65) and Standards 8 – 11 (Older People) are: 18. 19. 20. Service users receive personal support in the way they prefer and require. Service users feel they are treated with respect and their right to privacy is upheld. (OP NMS 10) Service users’ physical and emotional health needs are met. Service users’ health care needs are fully met. (OP NMS 8) Service users retain, administer and control their own medication where appropriate and are protected by the home’s policies and procedures for dealing with medicines. Service users, where appropriate, are responsible for their own medication and are protected by the home’s policies and procedures for dealing with medicines. (OP NMS 9) The ageing, illness and death of a service user are handled with respect and as the individual would wish. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. (OP NMS 11) 21. The Commission considers Standards 18, 19 and 20 (Adults 18-65) and Standards 8, 9 and 10 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 19 20 (Younger Adults) and 8 9 10 (Older people) Residents’ personal and healthcare needs were clearly identified and met by staff, with support from the multi-disciplinary team. Staff handled and administered medication in accordance with robust policies and procedures. EVIDENCE: Individual care plans are in place for each resident. Three care plans examined were well written, with evidence of resident involvement in formulation of the plan and the review of care. Access to all NHS services is upheld and documented within the care plan. Residents are registered with a local medical practice. For all other healthcare needs residents are supported in accessing relevant community facilities such as community psychiatric nurses, dentists and opticians. Additionally where Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 16 necessary, referrals would be made to specialist medical services. Care staff also provide residents with information regarding general healthcare and specific issues relating to their lifestyles and needs. The manager has policies and procedures in place for the receipt, recording, storage, handling and disposal of medicines. Currently there are no service users who self administer their own medication. All staff members that administer medication have received appropriate training. Each resident’s personal privacy is maintained. One resident said that staff members “always knock on your door and wait”. This was confirmed when the inspector toured the building with the deputy manager. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22-23 (Adults 18-65) and Standards 16, 18 & 35 (Older People) are: 22. 23. Service users feel their views are listened to and acted on. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted on. (OP NMS 16) Service users’ are protected from abuse, neglect and self-harm. Service users legal rights are protected. (OP NMS 17) Also Service users are protected from abuse. (OP NMS 18) Also Service users financial interests are safeguarded. (OP NMS 35) The Commission considers Standards 12, 13, 15, 16 and 17 (Adults 1865) and Standards 16, 18 and 35 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were not examined on this occasion. EVIDENCE: The key standards were not inspected on this occasion, but they will be inspected at the next inspection. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 18 Environment The intended outcomes for Standards 24 – 30 (Adults 18-65) and Standards 19-26 (Older People) are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users live in a safe, well-maintained environment (OP NMS 19) Also Service users live in safe, comfortable surroundings. (OP NMS 25) Service users’ bedrooms suit their needs and lifestyles. Service users own rooms suit their needs. (OP NMS 23) Service users’ bedrooms promote their independence. Service users live in safe, comfortable bedrooms with their own possessions around them. (OP NMS 24) Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Service users have sufficient and suitable lavatories and washing facilities. (OP NMS 21) Shared spaces complement and supplement service users’ individual rooms. Service users have access to safe and comfortable indoor and outdoor communal facilities. (OP NMS 20) Service users have the specialist equipment they require to maximise their independence. Service users have the specialist equipment they require to maximise their independence. (OP NMS 22) The home is clean and hygienic. The home is clean, pleasant and hygienic. (OP NMS 26) The Commission considers Standards 24 and 30 (Adults 18-65) and Standards 19 and 26 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 24 30 19 26 The standard of furnishing and fittings within the home was good providing a homely, safe, well adapted, clean and comfortable environment for residents. Residents were satisfied with the furnishings in their bedrooms, which reflected their individual tastes. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 19 EVIDENCE: The home is a ground floor purpose built property, the location and layout are suitable for its stated purpose. The lay out of the home meets the individual and collective needs of the residents. The home is pleasantly decorated and furnished and is well maintained, it is comfortable and homely. TV’s are provided in all three lounge areas, and all bedrooms have a TV. The home also has pleasant garden areas that have garden furniture; the gardens are well maintained and there are flower tubs and plants which are cared for by the service users and visiting gardening service. Residents said the home was always clean, “my room is cleaned and Vacuumed regularly” “bedding is changed each time I have a bath, it’s always nice and clean” “the domestic staff are really good”. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 20 Staffing The intended outcomes for Standards 31 – 36 (Adults 18-65) and Standards 27 – 30 & 36 (Older People) are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users are supported by competent and qualified staff. Service users are in safe hands at all times. (OP NMS 28) Service users are supported by an effective staff team. Service users needs are met by the numbers and skill mix of staff. (OP NMS 27) Service users are supported and protected by the home’s recruitment policy and practices. Service users are supported and protected by the home’s recruitment policy and practices. (OP NMS 29) Service users’ individual and joint needs are met by appropriately trained staff. Staff are trained and competent to do their jobs. (OP NMS 30) Service users benefit from well supported and supervised staff. Staff are appropriately supervised. (OP NMS 36) The Commission considers Standards 32, 34 and 35 (Adults 18-65) and Standards 27, 28, 29 and 30 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27 30 The number and skill mix of staff meets Service users needs. Staff had access to a variety of training which increased their knowledge and understanding of the needs of the residents to assist them in fulfilling the responsibilities of their roles. EVIDENCE: Residents were very complimentary about the staff. Their comments included “the staff are great,” “very friendly and helpful,” “brilliant.” Staff rotas indicated that minimum staffing levels were being maintained. Staff said there was always enough staff on duty, ensuring that residents’ needs were being met. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 21 Staff said that the training they received was very useful and comments included; “very organised,” “very thorough,” and “the mentors are supportive and always available.” Staff also had access to a variety of in house and external courses relevant to the resident group. Staff said that training opportunities were “excellent” and said that they were encouraged to apply for any courses of interest. Residents said that they thought the staff were well trained. One said “the staff are very good, they know what they are doing.” Another said “staff are qualified, they always know what to do to help.” Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 22 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 (Adults 18-65) and Standards 31-34, 37 & 38 (Older People) are: 37. Service users benefit from a well run home. 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. (OP NMS 31) Service users benefit from the ethos, leadership and management approach of the home. Service users benefit from the ethos, leadership and management approach of the home. (OP NMS 32) Service users are confident their views underpin all self-monitoring, review and development by the home. The home is run in the best interests of service users. (OP NMS 33) Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping, policies and procedures. (OP NMS 37) Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. Service users rights and best interests are safeguarded by the homes record keeping policies and procedures. (OP NMS 37) The health, safety and welfare of service users are promoted and protected. The health, safety and welfare of service users and staff are promoted and protected. (OP NMS 38) Service users benefit from competent and accountable management of the service. Service users are safeguarded by the accounting and financial procedures of the home. (OP NMS 34) 38. 39. 40. 41. 42. 43. The Commission considers Standards 37, 39 and 42 (Adults 18-65) and Standards 31, 33, 35 and 38 (Older People) the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): The key standards were not examined on this occasion. EVIDENCE: The key standards were not inspected on this occasion, but they will be inspected at the next inspection. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 23 Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 24 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. Where there is no score against a standard it has not been looked at during this inspection. 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 X 2 3 3 3 4 X 5 X INDIVIDUAL NEEDS AND CHOICES CONCERNS AND COMPLAINTS Standard No Score 22 X 23 x ENVIRONMENT Standard No Score 24 3 25 X 26 3 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 X 33 3 34 X 35 X 36 X Standard No 6 7 8 9 10 LIFESTYLES 11 12 13 14 15 16 17 Score 3 3 X 3 3 X 3 3 X 3 3 3 X CONDUCT AND MANAGEMENT 37 X 38 X 39 X 40 X 41 X 42 X 43 x PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 25 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 YA37 Regulation 8 Requirement The manager must make an application to be registered with the Commission for Social Care Inspection. Timescale for action 30/11/05 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 Refer to Standard YA28 Good Practice Recommendations The training plan for 2006 and should include training to meet the needs of older people with enduring mental illness. Ashwood Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 26 Commission for Social Care Inspection Bolton, Bury, Rochdale and Wigan Office 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 Court Unit 1 DS0000005723.V263397.R01.S.doc Version 5.0 Page 27 - 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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