Inspection on 12/07/05 for Ashwood House

This inspection was carried out on 12th July 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 House 22/01/08

Ashwood House 29/08/06

Ashwood House 17/01/06

Ashwood House 11/01/05

Ashwood House 13/07/04

Ashwood House 09/01/04

Similar services:

Ashlong House

Norbury Crescent (30)

Edenvale

Wadham Avenue

Chatsworth Care - Dawson House

Cowden Road, 52 - 54

Chatsworth Care - Tudor Lodge

Foxley Lane (121a)

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

CARE HOME ADULTS 18-65 Ashwood House 51 Foxhill Norwood London SE19 2XE Lead Inspector Cheryl Carter Announced 12 July 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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationary 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 House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashwood House Address 51 Foxhill, Norwood, London SE19 2XE 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) 01491-57920 Mr Lee Elkin Care Home Only 12 Category(ies) of Learning disability 12 registration, with number of places Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: 12 adults of either sex with a learning disability. 3 of whom may be wheelchair users - imposed 1 April 2002. Date of last inspection 12th July 2005 Brief Description of the Service: Ashwood House is a large detached three/four storey converted house set in a residential area of Upper Norwood. Beacon Care owns the roperty. The home is located within a short walking distance of Upper Norwood town centre and Crystal Palace Park and therefore has excellent bus and rail links. The home is registered to care for twelve younger adults with learning disabilities, three of whom are registered as wheelchair users. The premises are accessed externally by a ramp that leads from the side of the front of the house. The service users have access to a small garden at the rear of the property. The communal areas, bathrooms and toilets are easily accessible and there is a lift to access the other floors of the house. The staff team support and encourage the service users to lead individual and independent lives within the home. Service users are encouraged and supported in undertaking employment, educational and leisure activities both within the home and the local community. The home supposrts service users to maintain indepndence in all areas of dailly living. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The inspection was carried out over six hours in the presence of the Registered Manager. The Inspector spoke with two service users and three members of staff. There are currently twelve service users 3 male and 9 female service users resident at the home. Some service users were attending their daily activities. The inspector met with the staff available on duty to gain insight into staff understanding of the care needs of service users, and to assess the level of competency of the staff team in ensuring the welfare of service users. What the service does well: 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 House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 6 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Standards Statutory Requirements Identified During the Inspection Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 7 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users’ know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 1, 2, 3, 4, 5 A Service User Guide and Statement of Purpose is available to prospective service users and care managers. There are systems in place to provide a secure and safe environment for service users. EVIDENCE: The Home has a Statement of Purpose and A Service User’s Guide. Senior staff and the manager undertake assessments. The Inspector viewed the file of two of the service users. The organisation and the placing authority’s assessments were in place. The inspector received feedback and comment cards from a number of individuals including relatives and health professionals. These comments were positive. Staff spoken to also appeared to have satisfactory knowledge of the needs of the client group. Whenever possible, service users are invited to visit the home with family members, care managers or other representatives. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 8 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate, in all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept The Commission considers Standards 6, 7 and 9 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 6, 7, 8, 9, 10 Service users have care plans that set out their individual needs. Service users are consulted about life in the home. EVIDENCE: Service users admitted to the home are provided with a placement agreement and a residency agreement between the Home and the service user. The residency agreements are comprehensive and cover the areas required by the Regulations and other areas detailed in the standard. Service Users spoken to feel that they are able to make choices about issues in the home and how they wish to spend their time. There were risk assessments in relation to some identified risks on file. Records are kept secure within the home in a locked cabinet. Weekly meetings are held and this gives the service users the opportunity to plan menus and arrange the activities for the following week. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 9 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 11, 12, 13, 14, 15, 16, 17 Service users have opportunities for personal development, meal planning shopping and encouragement to maintain links with the local community. EVIDENCE: There are a range of activities on offer at the home, which the service could access either individually or as part of the group. Some service users attend day centres undertaking a variety of activities. Service users have the opportunity to attend the church of their choice. Contact with family is supported and families are allowed to visit at reasonable times or as arranged with the service users. Service users are supported to spend time at home with their families. Keys to individual rooms are available to all service users. Service users are involved in preparing the menus, shopping and preparing meals. Service users spoken to say that they were happy with the food. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 10 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. 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. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 18,19,20 Service users receive support in the way they prefer and require. EVIDENCE: From my observations throughout the inspection and discussion with service users it was evident that the home offers support flexibly to service users, in ensuring personal care needs are met. The home maintains good records of service users appointments with health professionals that provide evidence of the home meeting service users health needs. Medication charts were viewed and were found to be satisfactory. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 11 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 22, 23 The home has adequate systems in place to manage complaints and adult protection. Details and outcomes of complaints are recorded. EVIDENCE: The home has a written complaints procedure. There is in house training for staff and service users on the protection of vulnerable adults. The home has a whistle blowing policy. There were no recorded complaints. All complaints regardless of how trivial must be investigated, and outcomes recorded. The home must provide training on complaints for staff. Requirement 1 Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 24, 25, 26, 27, The standard of the environment within this home is good providing service users with an attractive and homely place to live. Ashwood Road is furnished to a good standard and meets the needs of the service users. EVIDENCE: There are no shared rooms and there is some improvement to the home since the last inspection. There was evidence that some internal decoration of the home has taken place. The second lounge area was viewed and this has been redecorated. The home was very clean and free from odours. Rooms are personalised to meet the needs and likes of the individual service users. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 35 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 32, 34, 35, 36 Staff with appropriate qualities are recruited to the home and training provided to ensure that they have appropriate skills to do the job. EVIDENCE: Care staff has a good understanding of the needs of the service users. This is evident from the positive relationships, which have been formed between the staff and service users. In speaking to the staff they appeared supportive of each other, and keen to ensure service users needs were met to a high standard. Staff confirmed supervision are being carried out regularly. Some staff are about to commence the NVQ 2 training. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 14 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. 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 home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 37, 39, 40, 42 The manager runs the Home with the safety and interests of the residents as a paramount consideration. The performance of the home is reviewed monthly. EVIDENCE: Recruitment of staff is done via the head office. Staff files seen had all the relevant documents on record. There were job descriptions, CRB checks and staff training programmes. The manager of the home is about to start the NVQ 4 and the Registered Manager’s award in September. Staff receives supervision every eight weeks. Monthly-unannounced regulation 26 visits are being carried out consistently. A sample of safety systems in place was assessed and found to be adequate. Staff receives training in health and safety, fire safety, and food hygiene. Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 15 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. 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 CONCERNS AND COMPLAINTS Standard No 1 2 3 4 5 Score 3 3 3 3 3 Standard No 22 23 ENVIRONMENT Score 2 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 LIFESTYLES Score 3 3 3 3 3 Score Standard No 24 25 26 27 28 29 30 STAFFING Score 3 3 3 3 x x x Standard No 11 12 13 14 15 16 17 3 3 3 3 3 3 3 Standard No 31 32 33 34 35 36 Score 3 3 x 3 3 3 CONDUCT AND MANAGEMENT OF THE HOME PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Ashwood House Score 3 3 3 x Standard No 37 38 39 40 41 42 43 Score 3 x 3 3 x 3 x G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 16 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 YA22 Regulation 22 Requirement The Registered Person must ensusre that all complaints are recorded and must include a response, the investigation and outcome of the investigation Timescale for action 15.09.05 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 Good Practice Recommendations Ashwood House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 17 Commission for Social Care Inspection Sidcup Area Office River House 1 Maidstone Road Sidcup Kent DA14 5RH 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 House G51-G01 S6880 Ashwood House V229415 12-0705 Stage 4.doc Version 1.40 Page 18 - 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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