Inspection on 17/01/06 for Ashwood House

This inspection was carried out on 17th January 2006.

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 2 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 12/07/05

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 Unannounced Inspection 17th January 2006 09:30 Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 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 House DS0000006880.V277912.R01.S.doc Version 5.1 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 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 House DS0000006880.V277912.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashwood House Address 51 Foxhill Norwood London SE19 2XE 020 8771 7742 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) Beacon Care Ltd Mr Lee Patrick Elkin Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 12 Adults of either sex with a learning disability 3 of whom may be wheelchair users. 12th July 2005 Date of last inspection 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 property. 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 supports service users to maintain independence in all areas of daily living. Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection that began at 1015 am and ended at 15.30 hours. This was the second inspection for the year 2005/2006. This report reflects the inspector’s findings on the day of the inspection. Two service users were spoken to and one member of staff,, a random sample of records, policies and procedures were inspected and a tour of the premises and the grounds took place. One service user spoken to confirmed that they were happy at the home, however one resident pointed out to the inspector that there were damp patches on the ceiling tiles and was anxious to have these changed. He also requested to have a fridge in his room and said that his requests for this had been turned down. The manager says that this will be risk assessed again and consideration given to buying him a small fridge for his room. A number of staff have undertaken level two NVQ but this progress has been hindered by staff having to fund part of the course themselves. 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 DS0000006880.V277912.R01.S.doc Version 5.1 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 Outcomes Statutory Requirements Identified During the Inspection Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 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 the following standard(s): 2,3, 5 There were good arrangements for assessing that the needs of prospective service users will be met. EVIDENCE: There are appropriate assessments of need in place to ensure that the needs of service users will be met when they move into the home. Each service user has a written contract and terms and conditions for the home. Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 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 the following standard(s): 6, 7, 8, 9, There are effective arrangements for drawing up care plans and revising them so that service users changing needs will be met. EVIDENCE: Care plans were seen on personal files. This reflected the knowledge that key workers have of the service users. The files are currently being updated and person centred planning approach to care is being introduced. The levels of disability means that some activities may pose a risk and there were associated risk assessments on file. Service users have their own computer but they do not have access to the Internet and no e-mailing services. The registered provider should consider supplying the service users with internet access. (Recommendation 1) Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 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 the following standard(s): 11, 12, 14, 15, 17 The home provides support and a variety of activities to ensure that the lives of those residing at the home are rich in experiences. EVIDENCE: Each service user has a routine within the home to provide structure to the day but these are flexible to allow people to make their own choices. Service users are generally encouraged to help with household tasks. Assessments identified areas where it might be possible to develop a person’s skills in ways that will allow them to extend the range of their activities and independence. Menus are agreed at house meetings and service users can assist with the preparation of the evening meal. One service user has a relationship and she is supported with this relationship by staff and the staff at the local family planning clinic. Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 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 the following standard(s): 18, 19, 20 The staff ensure that the complex care and health needs of the service users are met. EVIDENCE: The assessment information on file provides up to date information about care and the medical needs of the service user. The high levels of care provided by staff were observed throughout the inspection. The staff were observed to deal with the service users in a patient and caring manner. There are appropriate arrangements for managing medication. There are no service users who self medicate. Eight staff have received a certificate in the safe handling of medication and also training via Boots Chemist. Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 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 the following standard(s): 22 and 23 There are systems in place to deal effectively with concerns and complaints and for ensuring the safety of those living at the home. EVIDENCE: The manager confirmed that concerns and complaints received would be dealt with when appropriate within the context of the home. There are procedures in place for dealing with incidents of abuse against those living at the home. These procedures had been correctly followed in one recent situation that had called for them. Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 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 the following standard(s): 24, 25, 26, 29, 30 The staff is doing their best to ensure that the home is homely and comfortable. EVIDENCE: Both the public areas and bedrooms of two service users were seen. Although the staff work hard to maintain a high degree of cleanliness this is made difficult because there are a number of outstanding areas both inside and outside the home that need attention. Carpets on the top floor, the stairs and ground floor are worn and need to be changed. Ceiling tiles in the main lounge are and in one bedroom downstairs are stained and need to be replaced. The kitchen needs to be refurbished. The flooring is coming away from the skirting board. The downstairs bathroom needs to be changed the enamel is scratched and the flooring in that bathroom is also coming away from the skirting. From the outside of the building it is apparent that the windows are in need of attention with flaking paint and rotten frames. One service user said that he would like to have a fridge in his room. The manager said that this will be risk assess and a decision made. The same Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 13 service user pointed out that ceiling tiles in his room were stained and need to be changed. The registered provider must ensure that all parts of the home inside and outside are kept clean and reasonably maintained. (Req. 1) Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 14 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 32, 34 and 35 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 Residents benefit from a committed staff team that are keen on training. EVIDENCE: A number of staff has completed the level 2 NVQ. Staff records seen contained all the documentation required by regulation 17, schedule 4. Although supervision records were not seen staff confirmed that supervision sessions were held on a regular basis. The deputy manager has completed the level 2 NVQ. The registered provider must ensure that staff have the relevant qualifications and experience to undertake their role. (Req. 2) Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 15 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 37, 39, and 42 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 40, 42 Service users benefit from leadership and management that protects their rights and interests and safety. EVIDENCE: The fire logbook was examined at this inspection and found to be up to date with fire tests and evacuations. Records show that portable appliance testing takes place annually. Staff has received training in manual handling and first aid and this is evidenced on file. Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 16 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 Standard No Score 1 x 2 3 3 3 4 x 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 3 28 x 29 3 30 3 STAFFING Standard No Score 31 2 32 3 33 3 34 x 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 x LIFESTYLES Standard No Score 11 3 12 3 13 x 14 3 15 3 16 x 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 x x 3 x 3 x Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 17 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 YA24 Regulation 23.2d Requirement The registered provider must ensure that all parts of the home inside and outside are kept clean and reasonably maintained. ‘The registered provider must ensure that staff has the relevant qualifications and experience to undertake their role. Timescale for action 31/03/06 2 YA31 18.1a 31/03/06 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 YA9 Good Practice Recommendations The registered provider should consider supplying the service users with internet access. Ashwood House DS0000006880.V277912.R01.S.doc Version 5.1 Page 18 Commission for Social Care Inspection Sidcup Local Office River House 1 Maidstone Road Sidcup 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 DS0000006880.V277912.R01.S.doc Version 5.1 Page 19 - 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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