Inspection on 08/02/06 for Ashwood House

This inspection was carried out on 8th February 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 1 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Ashwood House 29/03/07

Ashwood House 17/08/05

Ashwood House 24/02/05

Ashwood House 15/06/04

Ashwood House 03/03/04

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Dalewood Respite Care

Orchard,The

REACH Upton Court Road

Fairways

Treloar College

Kestrel House, St Anne`s Opportunity Centre,

Pinta

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

CARE HOME ADULTS 18-65 Ashwood House 217 Winchester Road Southampton Hampshire SO16 6UA Lead Inspector Janet Shipman Unannounced Inspection 8 February 2006 10:00 Ashwood House DS0000036881.V258170.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 DS0000036881.V258170.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 DS0000036881.V258170.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Ashwood House Address 217 Winchester Road Southampton Hampshire SO16 6UA 023 8077 7451 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) ashwood.house@tiscali.co.uk Wessex Regional Care Limited Miss Zoe Coral Russell Care Home 5 Category(ies) of Learning disability (5) registration, with number of places Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 17th August 2005 Brief Description of the Service: Ashwood House is located on the outskirts of Southampton on a busy main road. The home provides care and support for up to five people who have a learning disability. Currently all the service users are male. The aim of the home is to support residents to develop social, daily living and independence skills to become integrated into the community. Twenty-four hour staff support is provided. The house is detached and it has a sitting room, dining room, spacious kitchen and bathroom on the ground floor. Bedrooms are situated on the first floor and are single rooms, which are spacious and have been personalised to each service users own preference. There are no en-suite facilities, however there is a bathroom on the first floor, which is accessible from all the bedrooms. Car parking is available to the side of the house and there is a large well-maintained garden to the rear, which offers privacy. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was the second unannounced inspection of Ashwood House for the year 2005/2006. The manager of the home assisted the inspector throughout the inspection. Three service users were out of the time of the inspection. Two service users had gone to college and one service user was attending a day service. The inspector spent sometime with two service users having a cup of coffee and was then shown round the home, including being shown both the service users bedrooms. Two members of staff were on duty in the morning one was supporting service users at college and the other was working in the home. The inspector was able to have an informal discussion with the member of staff on duty in the home as she was carrying out daily tasks. Full access to any information requested was provided with records and documentation identified in the report being viewed. What the service does well: What has improved since the last inspection? Parts of the home have been redecorated and some of the carpets have been replaced. Further improvements are planned. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 7 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 DS0000036881.V258170.R01.S.doc Version 5.1 Page 8 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): 5 Standards 1, 2, 3 & 4 were assessed at the last inspection. Each service user has a written contract stating the terms and conditions of their stay. EVIDENCE: All Service users have a written contract stating the terms and conditions of their stay. The manager informed the inspector that staff go through the contract verbally with service users to ensure their understanding. The requirement to ensure that the service user guide contains all the appropriate information has now been completed. The document was viewed by the inspector and found to meet the required standard. Photographs have been taken to assist service users understanding which are due to be added to the document shortly. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 9 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 & 10 Standards 7, 8 & 9 were assessed at the last inspection. Person centred care planning information is thorough and produced in an accessible format. The plans clearly outline how individual service users need to be supported on a day to day basis as well as identifying their hopes, dreams and aspirations for the future. Confidentiality is respected and promoted within the home. EVIDENCE: The manager has developed the care planning system into a person centred format. Care plans are being produced with the aid of photographs and simple statements. Both service users and their key workers have been putting the plans together. Service users spoken with were able to confirm that they had been involved. Person centred planning meetings are held three monthly involving service users, their family and any relevant professionals. Minutes are taken and circulated to the people who attended the meetings for them to sign and agree that the minutes reflect what was discussed and agreed. One service user told the inspector that he just had his review and said ‘ it was really good’ and that he was able to say what he wanted. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 10 In addition to the three monthly reviews, meetings between service users and their keyworkers are held on a three weekly basis to review their plans and make adjustments where necessary. The manager has also developed a life skill sheet that is completed after each activity undertaken by service users to give a clear picture of the skills that service users need to develop. The inspector was shown examples of the life skill sheets in service users files. The sheet has a scoring from the service user being able to undertake the task independently to the staff undertaking the task whilst the service user watched. Health care plans are comprehensive and records of appointments with health professionals are made as well as details of the outcome. Care plans for the management of behaviour are drawn up and interventions are planned with the relevant health professional from the community specialist team. Plans are based on an individual approach to meet the specific needs of the service user rather than using a blanket behavioural approach for all service users who present challenging needs. The home has a written policy on the confidentiality of service user information. Service user files are kept in a lockable filing cabinet in the office. All staff receive training in confidentiality through their induction. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 11 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): 12, 13 & 16 The home supports service users to meet their goals and wishes through providing different opportunities and experiences. The activities undertaken are full and varied. Service users participate in the local community and have good relationships within the local neighbourhood. Service users are supported to maintain and make new friendships and family links. Service users were seen to be treated with respect and have their privacy protected. EVIDENCE: The ethos of the home is to promote and develop daily living skills and independent skills to enable service users to integrate within the community. The home is located with easy access to Shirley shopping area on foot or by bus/car. The home has a ‘UKAN’ activity centre in the back garden. It provides a bright, welcoming and spacious area for creative and educational activity. Evidence from service users and documentation demonstrate that service users are supported by staff to use the local swimming pool, visit the pub, go to the cinema, go bowling and use the library. Despite being short staffed the Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 12 manager informed the inspector that through the use of regular bank/agency they have been able to support service users to go out on a regular basis. The home promotes links with family and friends. However, visits are subject to risk assessments, to the wishes of the service user and to the legal situation. Service users are able to visit their families and friends and invite them into the home. Service users are able to use the lounge and their own rooms to entertain their guests. One service user is supported to visit the place where he used to work on a regular basis. Another service user showed the inspector pictures of the friends that he visits on a regular basis and told the inspector that he looks forward to seeing his friends. Routines in the home are very flexible and are tailored to meet the individual needs and preferences of service users. Service users have the opportunity to spend time in their own company. One service user showed the inspector his bedroom. In his room he had an armchair, television and hi-fi equipment as well as a little fridge, kettle and tea/coffee making equipment. The service user told the inspector that he liked spending time in his room because he has all that he needs. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 13 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): 21 Standards 18, 19 & 20 were assessed at the last inspection. The home has policies and procedures in place for covering the event of a service user dying. The home ensures that service users wishes in the event of death are documented in their care plans. EVIDENCE: The home has policies and procedures in place for covering the care of the dying and instructing staff what to do after a service user’s death. The home through service user reviews has clearly identified service users wishes and instructions in the event of their death. A form has been completed which includes information of a further next of kin in the event of their parents/relative death. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 14 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): 23 Standard 22 was assessed at the last inspection. Service users are safeguarded from abuse, neglect and self-harm. EVIDENCE: The home has appropriate polices and procedures which includes, whistle blowing, financial procedures and adult protection policy that links to the locally agreed procedures. The manager and staff confirmed that they have training in adult protection through their organisation on a six monthly basis and this area is also covered in induction and NVQ training. The manager was clear about what constitutes abuse and the procedures that would need to be followed if an allegation of abuse occurred. There has been one allegation of adult protection since the last inspection. Social Services undertook the adult protection investigation, which has now been concluded, and the member of staff involved has been re-trained and their practice supervised by the manager. Management guidelines are in place for service users who may present inappropriate behaviours based on individuals needs. Policies and procedures are in place to protect service users finances. The manager went through the processes the home follows. The organisation recruitment and employment procedures are designed to ensure that unsuitable people are not employed to work within the home. Interactions between service users and the member of staff on duty observed during the inspection were warm and friendly. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 15 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 & 29 Standards 25, 26, 27, 28 & 30 were assessed at the previous inspection. The home provides safe and homely and comfortable accommodation. Service user bedrooms provide the appropriate equipment to meet their needs. However, the bathroom areas need to be re-decorated and updated. EVIDENCE: Since the last inspection further decorating of the home has taken place. The lounge and dining room have been redecorated and new flooring put down. Some of the carpets in the home need to be replaced and this has been included on the homes renovation plans. One area that needs attention is the bathrooms, which need to be re-decorated, and the bathroom suites updated. From the last inspection a requirement was made to replace the settees in the lounge. Both service users and staff felt that the settees were comfortable and did not want to replace them. The manager has bought throws to put over the settees. It was agreed that the bathrooms were more of priority than replacing the settees and that the money allocated could go towards updating both bathrooms. All service users have their own bedrooms, which are decorated and furnished to their own tastes. Currently service users do not require any specialist equipment. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 16 Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 17 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): 32, 34 & 35 The home is currently recruiting staff and are currently making up the shortfall buy using regular bank/agency staff. The home ensures that staff are trained, competent and supervised. The recruitment of staff is safe and places the protection of service users first. EVIDENCE: The home is currently recruiting to three full time care staff posts. This has put pressure on the existing staff that are working extra hours and the short fall is made up from using regular bank/agency staff. However, the manager has been able to ensure that service users are maintaining their community activities. The home has a detailed and comprehensive staff recruitment policy. Staff files viewed verified that they contain proof of identity, application form, written references, CRB checks have been completed and the files are stored securely in the office. Service users are encouraged to take part in the interview process by asking questions. Some examples given to the inspector of questions asked are “do you like swimming” and “will you support me and take me out”. The manager has developed a training and development plan to meet the individual staff members training and personal development needs. The manager has also been developing a new comprehensive induction programme Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 18 that is designed to incorporate both practice base learning and written assignments to ensure understanding of the units covered. The induction pack is going to be implemented in March and all staff will be expected to complete it. The pack is linked to NVQ units and will take three months to complete. The induction process is designed to ensure the staff are provided with the skills to meet the assessed needs of the service users. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 19 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, 39 & 42 The management arrangements within the home ensure that service users needs continue to be met and creates a homely atmosphere in which service users feel valued and supported. The homes quality assurance systems ensure that service users and their relative’s views underpin the development of the home. The home’s policies, procedures and work practices are designed to ensure, as far as practicable, that service users and staff’s health, safety and welfare is safeguarded. EVIDENCE: The registered manager has completed her NVQ 4 and Registered Manager’s Award. The manager is responsible for the budget of the home. During the inspection the manager demonstrated a clear understanding of the needs of service users living within the home. The manager stated that her line managers are supportive and enable her to manage the home effectively. The home has a number of quality assurance systems, which have been developed by the organisation. These include a six monthly quality audits carried out by one of the directors of the company. The manager has four weekly evaluation meetings, which includes discussing budget/finances, and practice issues of the home. Other quality systems include staff meetings, three monthly person centred planning meetings, two weekly service user Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 20 meetings which are minuted, team meetings held with both staff and service users. All documents were available within the home and were viewed by the inspector. The home is a safe place for service users, visitors and staff. Health and safety audits are carried out. Weekly checks on fire equipment are undertaken. All staff are given mandatory training across the year. A variety of records were seen during the inspection, which include fire safety records, maintenance and insurance certificates, care plans and staff records. These were found to be appropriately stored, well maintained and up to date. Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 21 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 X 3 X 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 X 23 3 ENVIRONMENT Standard No Score 24 2 25 X 26 X 27 X 28 X 29 3 30 X STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 X X X 3 LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 X 16 3 17 X PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score X X X 3 3 X 3 X X 3 X Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 22 No Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA24 Regulation 23 (2) (b, d) Requirement The registered manager is required to update and redecorate the bathrooms within the home. Timescale for action 30/05/06 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashwood House DS0000036881.V258170.R01.S.doc Version 5.1 Page 23 Commission for Social Care Inspection Hampshire Office 4th Floor Overline House Blechynden Terrace Southampton SO15 1GW 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 DS0000036881.V258170.R01.S.doc Version 5.1 Page 24 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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