Inspection on 07/06/07 for Ashwood Court Unit 1

This inspection was carried out on 7th June 2007.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Excellent. 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 Court Unit 1 02/02/06

Ashwood Court Unit 1 26/10/05

Ashwood Court Unit 1 07/02/05

Ashwood Court Unit 1 20/09/04

Similar services:

Sunny Bank (P.R.S.) Ltd

Thornton Lodge

Alfred House Residential Care Home

Barkerhouse Road (123)

Fernhaven

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 Judith Stanley Unannounced Inspection 7th June 2007 09:15 Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 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.V320017.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People 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.V320017.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashwood Court Unit 1 Address Woodford Avenue Lowton Warrington Cheshire WA3 2RB 01942 275758 01942 722835 res.ashwoodcourt@makingspace.co.uk 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 Karen Daly 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.V320017.R01.S.doc Version 5.2 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 a suitably qualified and experienced Manager who is registered with the Commission for Social Care Inspection 2nd February 2006 2. Date of last inspection Brief Description of the Service: The company Making Space owns Ashwood Court Care Home, providing care and support for up to 17 people with mental health needs. An active rehabilitation approach is taken, with each resident supported to maintain and develop personal and practical life skills. The Home is set in its own grounds in a residential area of Lowton. It is built in a similar style to other properties and is not distinguishable as a care home. The Home provides single accommodation; no rooms offer en suite facilities, however bathrooms and toilets are in close proximity to resident’s rooms and communal areas. The home has two self -contained living areas, Beech Unit and Ash Unit which radiate from the central core unit. 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. The current fee charge is £371.37 per week. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This key inspection which included a site visit took place on 7 June 2007. The home was not told that this inspection was to take place. The inspection was conducted over one day from 09.15 am until 15.15 pm. The inspector looked at records the home holds on residents (care plans) and other records the home needs to keep to ensure that the home is being run properly. The inspector looked around the building alone and with a member of staff. The manager of the home was spoken with at length and the inspector spent time talking with three residents and other members of staff. Comment cards, asking residents and relatives and other people who visit the home what they thought about the care provided were sent out prior to the inspection. Twelve residents, four Health Care professionals and four relatives returned comment cards. One resident said, “ I am very happy with the staff and all my meals”. Another said, “ It’s very clean and organised. I go to the shops myself and have a walk around”. All resident’s questionnaires indicated that the residents were very happy living at the home and that the staff care supported them exceptionally well. The relative’s comments were also very positive, one said, “Ashwood is an excellent care home offering excellent care”. Another said, “ In my experience, during my daughters care at Ashwood Court the staff are doing an excellent job of her care. Staff are very caring, always patient and welcoming to myself and family when we visit. A high standard of cleanliness is also in evidence”. Health care visitors to the home said, “The staff are motivated and caring”. Another said, “ It’s always a pleasure to visit, staff communicate very well and the residents seem happy with the environment”. One of the social workers who visits said, “Ashwood Court always communicate and inform me of any issues with my clients – I have nothing but praise for the high standard of care they deliver there”. There have been no serious complaints made to the home since the last inspection. Some minor concerns/queries have been discussed and suitably dealt with. The home has a procedure in place for the recording of any complaints and the outcome and if action is required. No complaints have been brought to the attention of CSCI. What the service does well: Ashwood Court is a well run and well managed home. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 6 Residents have access to everything they might need to live a comfortable life. If something is needed, relevant to a person’s health and well-being, arrangements are made for it to be obtained. The premises are clean and safe and the standard of accommodation is very good, there are effective systems for keeping the home maintained to a good standard. There are few staff changes, so residents are looked after by people they know and can trust. Staff are well trained and show commitment towards giving good care to the residents. The staff group views training and development positively, and there is general willingness to learn. Each member of staff has a training and development file, which helps them to achieve to their full potential. Records are kept to a very good standard, the office is well organised and everything to hand. There are additional checks and procedures in place to ensure everything is properly accounted for. The home is good at seeking the views of residents, staff and others so that the service can be further improved. The service is not complacent and looks to continually improve. Relatives are made welcome and involved in the running of the home where possible. There are both younger and older adults living at the home, the inspector observed that residents of all ages integrate well together and good relationships had been formed. The home provides different communal areas for residents to have a choice as to where they sit and with whom they choose to spend time with. Visitors are made welcome at any by staff, when visiting relatives or friends. What has improved since the last inspection? Policies and procedures have been reviewed and updated as required. More information has been included in the care plans to ensure that staff can continue to offer a high standard of care to residents. There was evidence of some refurbishment, with the decoration of some bedrooms, new carpets and blinds, new furniture and some new laundry equipment. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 7 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. The summary of this inspection report can be made available in other formats on request. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 8 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.V320017.R01.S.doc Version 5.2 Page 9 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. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 (Adults under 65) and 1 and 3 (Older People) Standard 6 (Older People) does not apply at Ashwood Court. Quality in this outcome area is excellent. There is clear and concise information available to prospective residents and their supporters to help them make an informed decision about moving into the home. An excellent assessment process ensures referrals are given careful consideration and staff receive comprehensive information about residents’ goals and support needs. This judgement has been made using available evidence including a visit to this service. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 10 EVIDENCE: A service user guide and statement of purpose was available for inspection. The service user guide gives an introduction to Ashwood Court, the aims and objectives of the home, the environment and what each unit contains and about the communal areas. The information includes a care programme and states, “The primary objective of Ashwood Court’s highly experienced and dedicated care team is to provide a consistently high standard of care and quality of life for all the people who live at Ashwood Court, in addition to actively promoting independence, dignity, self esteem, choice and personal empowerment”. The guide is detailed and gives clear information to residents and their supporters about the day-to-day running of the home, the complaints procedure, the address of the Commission for Social Care Inspection, the management and staffing structure of the home including relevant qualifications, a sample of the activities provided and the results of the latest residents, relatives and professional surveys undertaken as part of the homes commitment to providing a quality service. The statement of purpose is a detailed document that is readily available and provides all the necessary information required and ensures that people and their supporters who wish to use the services are informed with current and factual information. Good practice was noted, as the home continued to undertake a very thorough assessment of all suitable referrals. This included significant information from the referring agency and considerable time provided for the prospective resident to ‘test drive’ the home and for the staff to assess their suitability. On the two care plans examined (one under 65 years of age and one over 65 years of age) there was evidence to show that a detailed assessment had been carried out and information from other agencies included to ensure that the residents’ specialist mental health needs could be met. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 11 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. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 and 9 (Adults under 65) and 7,14 and 33 (Older People) Quality in this outcome area is excellent. The care plans provide staff with excellent information that includes residents’ involvement and agreement about their support needs and personal goals. Consequently, residents are kept safe (with the risk of harm reduced or well managed) and treated as responsible individuals. This judgement has been made using available evidence including a visit to this service. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 12 EVIDENCE: Two care plans were chosen for inspection, all the information had been updated as required. Good practice was noted, as these contained an extensive amount of personalised and very detailed information about the residents’ goals and their care needs. Information in both care plans included the name of the designated key worker, medication, current risk assessment, monitoring sheets, hygiene records, appointment information, dietary needs, a personal inventory and name of consultant. A mental health assessment is included that gave details of the reasons for admission and the psychological systems and the actions and approach taken by staff. The information is in different sections under physical health, domestic skills, activities, education, social skills, personal relationships and medication. Detailed risk assessed are completed and regularly reviewed, these include risks of falls, mobility inside and outside the home, fire safety, hot water, travelling, nutritional needs, keeping own keys, self harm, moving and handling, community activities, smoking, violence to others and outdoor activities, risk of exploitation from others outside the home. A preferred daily routine is included, for example, ‘I like to get up in the morning at, in the afternoon I like to help the staff and in the evening I like to watch television and read’. One file has a detailed weekly programme the residents chooses to do for example, attends college, visits Creative Support, laundry and cleaning, general activities within the home and attend church services. Other information details a plan of what the resident is encouraged to do for example, eat more healthily, attention to personal care and grooming, make drinks, help with own laundry and changing bedding and keeping her room tidy. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 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. JUDGEMENT – we looked at outcomes for the following standard(s): Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 14 12,13, 15, 16 and 17 (Adults under 65) and 10, 12, 13, 15 (Older People) Quality in this outcome area is excellent. Through the provision of an excellent and innovative range of educational, occupational and social activities, residents were actively supported to live ordinary and meaningful lives. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A wide range of activities and social events were available, both in the home and out in the local community. By accessing local colleges, community and leisure centres, activities currently included flower arranging, swimming, painting and attending Creative Support. Plus there are numerous leisure activities including, hair and grooming, which also includes any kind of beauty activity including manicures, pedicures, hair and makeup, aromatherapy and massage, face packs and facials. Art activities include: art and craft, drawing, painting, clay work, design, computer art work, 3D design woodwork, sculpture, collage and decoupage. A range of games are available consisting of pool, carpet bowls, board games, cards and quizzes. Movement to music maybe gentle keep fit or yoga. Weekends are a little more relaxed and include weekend sport and film show afternoon. The home plans a monthly event. The programme for 2007 shows that so far this year residents have been to two pantomimes, bowling, Easter party, 50th birthday, had a take away and attended the musical Chicago. In June some residents are going on holiday to Scarborough. Future events include a trip to Chester Zoo, Walton Hall, Liverpool Dock, another holiday, National History museum, Blackpool illuminations and Christmas shopping and Christmas Lunch. Good practice was noted, as supporting residents outside the home continued to be seen as an integral part of the staff role with staffing levels and staff rotas providing the time to do so including evenings and weekends. Residents spoken with confirmed that there was always something going on and that they had enjoyed the trips they had been on. Residents where possible are encouraged and supported to participate in some domestic tasks around the home, with a range of opportunities to maintain and develop practical life skills. Some residents take charge of their own laundry, Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 15 some help with cleaning their room and changing and making their bed. Another resident helps with the vacuuming. One area discussed with the manager was that some residents might benefit from the use of an independent kitchen. Some residents, with the help and support from staff may enjoy planning, shopping for and preparing a meal for themselves. Residents spoken with confirmed they were satisfied with the food and range of meals served. One resident who was dieting said that the cooks were helping her and providing what food she was able to have on certain days. The menus were provided to CSCI prior to inspection. These need to be more detailed with what food is available to residents, for example, it shows cereal and toast every morning for breakfast. The cook and residents both confirmed that there was other choices such as bacon and eggs. The vegetables served with the meals need to be included on menus to show that residents are being offered them. The inspector does not question availability of the food but recommends more information be documented on the menus. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 16 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. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 (Adults under 65) and 8,9 and 10 (Older People) Quality in this outcome area is excellent. Resident’s individual physical and emotional health needs were well met, promoting good health and responsive, person centred care. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Relationships between staff and residents appeared warm, friendly, caring and respectful. From the inspectors observations staff treated residents with courtesy and supported them to make choices. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 17 Both male and female staff worked at the home. The staff team were very knowledgeable about and were very sensitive to each resident’s individual personal support needs. Support provided was flexible and age appropriate, with younger residents being supported and encouraged to access community based services. Files continued to show residents’ physical and mental health were being closely monitored, with regular health care checks undertaken. Good practice was noted, as staff were alert to changes in residents’ health and wellbeing, (signs and symptoms of relapse were recorded for use as a reference point in case of future mental ill health). Prompt and appropriate specialist healthcare advice had been sought when residents had become unwell, particularly for those with more complex health problems. Staff at the home went to exceptional lengths to ensure all residents received the proper care they needed (from the community teams) and that the changing needs (e.g. for older residents) or a presentation of a potentially serious risk issues were promptly acted upon, enabling residents to remain safely living at Ashwood Court. Medicines were safely stored, with a clear audit trail of them entering the home, being administered to residents and any that were later returned to the pharmacist. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 18 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 22-23 (Adults 18-65) and Standards 16-18 and 35 (Older People) the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 and 23 (Adults under 65) and 16,18 and 35 (Older People) Quality in this outcome are is excellent Arrangements for protecting residents from abuse or harm and for taking any concerns or complaints seriously were in place. This judgement has been made using available evidence including a visit to this service. EVIDENCE: A clear detailed complaints procedure was in place and is supported by the home’s open culture where residents were encouraged to express their views whenever a situation arises or at the residents meetings. Residents spoken with felt that staff listened to them and they were clear who to speak to if they were unhappy or worried about anything. Good practice was noted, as abuse training was provided to all staff, with regular updates. Staff had a good understanding of the importance of listening to residents concerns and how to respond to any issues raised. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 19 The home has written policies on Adult Protection and Whistle blowing, which staff were aware of and a copy of the Local Authorities Vulnerable Adults Procedure was in place. The home holds on behalf of resident’s small amounts of cash. Clear records are kept regarding any transactions made. The records of two residents were checked and found to be correct. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 20 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. JUDGEMENT – we looked at outcomes for the following standard(s): 24 and 30 (Adults under 65) and 19 and 26 (Older People) Quality in this outcome are is excellent The high standard of furnishings and fittings within the home ensures that residents live in a clean, homely, safe and comfortable environment. This judgement has been made using available evidence including a visit to this service. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 21 EVIDENCE: On entering the home the atmosphere was warm and welcoming. Ashwood Court is bright and comfortable. There is an ongoing programme of renewal and maintenance which maintains this standard. On the day of the inspection the painters were working at the home and some new furniture was being delivered. Some of the bedrooms were inspected and it was evident that residents had been encouraged to personalise their rooms with their own belongings. Bedrooms were warm and comfortable. The home was very clean and from discussion with domestic staff they took pride in their work and in maintaining standards within the home. It was noted in one resident’s bedroom that there was an odour problem; this was discussed with the manager who was fully aware of the situation and was dealing with this. The resident was experiencing some added personal problems at this time, which was upsetting for the resident. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 22 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. JUDGEMENT – we looked at outcomes for the following standard(s): 32,34 and 35 (Adults under 65) and 27,28,29, 30 and 36(Older People) Quality in this outcome are is excellent Residents benefited from a rigorously recruited, well supported, enthusiastic and knowledgeable staff team. This judgement has been made using available evidence including a visit to this service. EVIDENCE: Good practice was noted, as the home continued to be staffed by a stable team, who knew the resident’s individual needs exceptionally well. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 23 The home has a comprehensive recruitment policy and procedure and when two staff files were looked at both contained a written application form, two written references, a job description, other proof of identity and a Criminal Records Bureau check. New staff continued to receive an excellent induction package, completing both an in-house induction/foundation programme and an extensive range of mandatory training that includes, induction 1 and 2, health and safety and food hygiene, moving and handling, emergency first aid, equality and diversity, risk management and foundation 1 and 2. Protection of Vulnerable Adults training is covered in foundation 1. Training is ongoing with regular refresher and updates for all staff. Staffing levels at the home were good and staff spoken with said they enjoyed working at the home, the training was excellent and that they felt valued and supported by the manager. With regard to NVQ qualifications, 55 of staff had completed training at level 2 or above. In addition to annual appraisals, staff received regular supervision and further good practice was noted as regular staff meetings were also held. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 24 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. JUDGEMENT – we looked at outcomes for the following standard(s): 37,39 and 42 (Adults under 65) and 31,33,35 and 38 ( Older People) Quality in this outcome area is excellent. Residents living at Ashwood Court benefit from an excellently managed home. This judgement has been made using available evidence including a visit to this service. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 25 EVIDENCE: The manager of the home is competent, suitably qualified and has the professional experience and ability to ensure that the home is run in the best interests of the resident’s. The manager is supported by the senior staff in providing clear leadership, with all staff demonstrating an awareness of their roles and responsibilities. The home was run in an open, inclusive way, with staff and residents involvement encouraged and facilitated through staff and residents meetings, (residents meeting are available on audio tapes) and involvement with residents relatives or supporters. The home regularly seeks the views of residents, relatives and other people who visit the home through satisfaction questionnaires, of which the results are made public to interested parties. A member of the company visits the home monthly and completes a written report as required. These reports must be on site for inspection. The inspector noted that although the visits had been carried out there were gaps where the report had not been sent to the home. The manager discussed this with head office during the inspection. The home has been awarded 5 stars by the Residential and Domiciliary Benchmarking (RDB), an external quality monitoring service. Record keeping was of a high standard and records were up to date and kept securely, with residents having full access (where appropriate) to their files. The home had a consistent record of meeting health and safety requirements and monitoring its own practice. The home confirmed that up to date safety checks had been carried out on all fire safety, gas and electrical equipment. Certificates checked verified that: the electrics were inspected on 26 September 2002, gas 12 April 2007, bath hoists 10 May 2007, other hoists 4 April 2007. The Legionella test is valid until 31 August 2007 and testing for portable appliances is due 17 January 2008. All accidents, injuries and illness were suitably recorded and the CSCI informed as necessary. Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 26 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 4 2 4 3 4 4 x 5 x INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 4 23 4 ENVIRONMENT Standard No Score 24 4 25 x 26 x 27 x 28 x 29 x 30 3 STAFFING Standard No Score 31 x 32 4 33 4 34 4 35 4 36 4 CONDUCT AND MANAGEMENT Standard No Score 37 4 38 x 39 4 40 x 41 x 42 4 43 x 4 4 4 4 x LIFESTYLES Standard No Score 11 4 12 4 13 4 14 4 15 4 16 4 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashwood Court Unit 1 Score 4 4 3 x DS0000005723.V320017.R01.S.doc Version 5.2 Page 27 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. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashwood Court Unit 1 DS0000005723.V320017.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Manchester Local office 11th Floor West Point 501 Chester Road Manchester M16 9HU National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 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.V320017.R01.S.doc Version 5.2 Page 29 - 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. 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