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Inspection on 25/08/05 for Ashwood Nursing Home

Also see our care home review for Ashwood Nursing Home for more information

This inspection was carried out on 25th August 2005.

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.

What follows are excerpts from this inspection report. For more information read the full report on the next tab.

What the care home does well

People living in this home are well cared for by a well managed, educated, committed and competent care team. Those residents and 4 visitors who were spoken too expressed satisfaction with the care and service provided by the home. More than one resident commented, "it`s nice here" and "the staff are kind". All residents are assessed before entering the home and there is a recreational and activity programme provided which provides stimulation. There is a thorough assessment and review of care with wherever possible resident and relative/family involvement. There is a comprehensive programme of education provided which ensures that staff know how to care and support people living in the home. People living in the home live in clean, well decorated, attractive accommodation.

What has improved since the last inspection?

Decoration is taking place to renew the wallpaper and paintwork in the ground floor corridor. New bedding has been provided and carpets have been steam cleaned. A garden with water feature has been provided to the front of the home with access for residents. The home received an Investors in People award in April 2005 in recognition of their commitment to the education and development of staff in the home.

What the care home could do better:

The owners must remember to send a copy of the reports of their monthly monitoring visits to the CSCI.

CARE HOMES FOR OLDER PEOPLE Ashwood Nursing Home 43 Spalding Common Spalding Lincs PE11 3JZ Lead Inspector Toby Payne Unannounced 25 August 2005 8:30am 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 Older People. 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 Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 3 SERVICE INFORMATION Name of service Ashwood Nursing Home Address 43 Spalding Common Spalding Lincs PE11 3JZ 01775 723223 01775 713763 amar@broadleighcare.co.uk St Christophers Limited 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) Mrs S K Webb Care Home with nursing 31 Category(ies) of OP Old age (30) registration, with number of places Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 4 SERVICE INFORMATION Conditions of registration: A condition of registration is that the maximum number of service users in the home with nursing needs does not exceed 23 and the maximum number of service users with personal care only does not exceed 8. Date of last inspection 24th February 2005 Brief Description of the Service: Ashwood Nursing Home is a care home registered to provide nursing and personal care to 31 elderly people. The home is situated on the outskirts of the town of Spalding approximately 1½ miles from the centre of the town. The building was converted for its current use in 1997 and accommodation is on the ground and first floors. The first floor is served by a stair lift. Most of the accommodation is provided in single bedrooms with one shared bedroom on the first floor. All bedrooms have en-suite facilities. The 5 bedrooms on the first floor are registered for personal care only as this accommodation is served by a stair lift. There is limited car parking to the front of the home. The home has gardens and lawns to the front and rear of the property. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an unannounced inspection and started at 11.20 hours. It took place over 5 hours. The inspector spoke to 7 residents, 4 visitors, 6 staff and the manager. The main method of the inspection was called “case tracking”. This involved selecting 2 residents and tracking the care they received through the checking of records, discussion with them, the care staff and observation of how care was delivered. The inspector also observed how care was delivered and how staff responded to other residents living in the home. The inspector also examined a pre-inspection questionnaire, which had been completed by the manager and comment cards from 2 residents and 2 relatives. There were no adverse comments. What the service does well: What has improved since the last inspection? Decoration is taking place to renew the wallpaper and paintwork in the ground floor corridor. New bedding has been provided and carpets have been steam cleaned. A garden with water feature has been provided to the front of the home with access for residents. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 6 The home received an Investors in People award in April 2005 in recognition of their commitment to the education and development of staff in the home. 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 Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Standards Statutory Requirements Identified During the Inspection Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 2, 3 and 5 All residents are involved in their admission to this home. They make an informed decision about where to live. A detailed assessment results in their needs being met. EVIDENCE: There was detailed correspondence showing that the way admissions take place is taken very seriously with the emphasis being on ensuring that all involved are kept fully informed. Trial visits can also be arranged. Written confirmation is sent to the resident to confirm that the home is able to meet their needs based on this assessment. Detailed records are kept for each resident and inspection of records for 2 most recent admissions showed evidence of a detailed assessment. There is a comprehensive statement of purpose and service user’s guide. Each resident receives a copy of the service user’s guide. There was also evidence to show that each resident receives a contract/statement of terms and conditions. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 9 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 7 and 9 Resident’s care, health and welfare needs are met. Medication is also administered safely EVIDENCE: All residents had detailed and up to date care plans. These described their health and welfare needs. Records outlined medication, diet. weight, communication, mobility, social interests and their daily routine. There was also a life history, which allowed staff to be aware of the resident’s interests and background. Where required these also included moving and handling and risk assessments. Care plans showed evidence of promoting resident’s independence, respect, dignity and choice. Visitors commented, “staff know what they are doing”. There were also clear directions concerning the administration of medication. Staff responsible for the administration of medication had received training. There was also evidence to show that residents/relatives had been involved in their care planning. This was shown by their signatures. Staff were observed to attend to residents in a kind and courteous manner giving time to talk and laugh with them. Residents commented, “staff are very kind and attentive” Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 10 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. 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. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 13 and 15 Social activities are well organised and provide stimulation for residents living in the home. Meals are nutritious and offer a healthy and varied diet. Visitors are welcome in the home. EVIDENCE: The home has an activities programme and newsletter, which gives details of activities in the home. Details are displayed on notice boards at the entrance to the home and in the lounge. Care staff provide activities, which included foot spa, manicure, massage, personal care, flower arranging, painting, handicrafts, card making, bingo and board games. A church service also takes place and birthdays are celebrated. The home also has meetings with residents. Residents told the inspector they enjoyed the food. Residents comment, “the food is superb”. Visitors commented, “staff are so kind and helpful”, “staff are very welcoming” and “I can’t fault anything Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 11 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 16 and 18 Residents know that any concerns are taken seriously and acted upon. Residents in this home are protected from abuse. EVIDENCE: All staff receive training in communications and how to deal with a complaint. No complaints have been received by the CSCI and the home since the last inspection. Each resident receives a detailed complaints procedure when they are admitted to the home. The complaints procedure is also clearly displayed with other pieces of information on the wall of the waiting area at the entrance to the home. None of the residents and visitors had any complaints about the home and felt they could discuss any concerns with the staff and manager. Staff also knew what to do if they received a complaint from a resident. Staff receive abuse training and knew what to do if abuse was suspected. There is also a detailed abuse procedure. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 12 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 19, 20, 21, 24 and 25 The home is well maintained and clean. Residents are provided with safe and comfortable surroundings in which to live. EVIDENCE: A programme of redecoration has started to replace the wallpaper on the ground floor corridor. There is also a new very attractive, colourful, accessible and comfortable garden area to the front of the home with a water feature. Residents spoke of how satisfied they were with the decoration and cleanliness in the home. They spoke of how much they liked their bedrooms. There are domestic and laundry staff and residents commented on how fast clothes were returned and how satisfied they were with the laundry. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 13 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission considers Standards 27, 29, and 30 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 27, 28 and 30 Staff are well trained and competent to deliver the care and support to the residents. Staff are correctly recruited. The number of staff was sufficient to meet the needs of the residents. All staff receive training to enable them to meet the needs of people living in the home. EVIDENCE: A new member of staff who had recently been recruited confirmed that they had been correctly recruited. Comments were “”this is the best home I have worked in and I received an induction which prepared me for caring for the residents” and “I was supported throughout my induction”. Residents and visitors were satisfied with the availability of staff. However staff did comment on the increasing dependency of the residents, which was evident during the inspection. The manager agreed with this and explained that efforts were taking place to recruit an additional member of staff. During the inspection staff were seen to attend to residents needs promptly. Visitors commented, “staff know what they are doing” and “are kind and attentive”. Staff also felt they had sufficient time to care and offer support to the residents. A member of staff commented, “I have enough time to do my work” and “I can spend time with the residents”. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 14 There is a comprehensive training programme for staff and the home provides training for nursing students and adaptation training for nurses from overseas in preparation for being registered as nurses in the UK. The home has achieved close to 100 of their care and nurses having received qualifications in care. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. 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. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for standard(s) 31, 32 and 36 There is a competent, well trained, experienced and committed manager. This in turn has given rise to a confident, supported and trained staff team. EVIDENCE: The registered manager who is a registered nurse has extensive nursing, teaching and management experience and has completed a recognised management qualification. She is also an assessor in teaching and clinical nursing practice. Staff felt safe working in the home and felt able to approach the manager if they had any concerns. One commented, “ the manager is approachable and knows what is going on in the home”. There were also regular staff meetings. Visitors commented, “I have total confidence in the home and its staff and manager”. The home had comprehensive policies and procedures. Staff also receive regular formal supervision. One new member of staff commented “I received a Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 16 warm welcome and received a detailed induction which prepared me for the work and felt supported”. Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 ENVIRONMENT Standard No 1 2 3 4 5 6 Score Standard No 19 20 21 22 23 24 25 26 Score x 3 3 x 3 x HEALTH AND PERSONAL CARE Standard No Score 7 4 8 x 9 3 10 x 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 x 13 3 14 x 15 3 COMPLAINTS AND PROTECTION 3 3 3 x x 3 3 3 STAFFING Standard No Score 27 3 28 3 29 x 30 4 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score Standard No 16 17 18 Score 3 x 3 4 4 x x x 3 x x Ashwood Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 18 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 33 Regulation 26(1) Requirement The owner must ensure that the monthly monitoring reports are sent to the CSCI. Records showed that the last report was received in April 2005. Timescale for action 25/10/200 5 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 Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 19 Commission for Social Care Inspection Unity House, The Point Weaver Road, off Whisby Road Lincoln LN6 3QN 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 Nursing Home C53 C04 S2530 Ashwood Nursing Home V245959 250805 Stage 4.doc Version 1.40 Page 20 - 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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