Inspection on 18/05/06 for Askham Place

This inspection was carried out on 18th May 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 4 statutory requirements (actions the home must comply with) as a result of this inspection.

Other inspections for this house

Askham Place 23/07/08

Askham Place 25/07/07

Askham Place 20/12/05

Askham Place 03/05/05

Askham Place 01/02/05

Askham Place 25/05/04

Similar services:

Claremont House

Sun Court Nursing Home

Bramley Avenue (73)

15 Bramble Close

Dolphin Court

Fen Road

Wakes Hall

165 Putnoe Lane

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

CARE HOME ADULTS 18-65 Askham Place Benwick Road Doddington Cambridgeshire PE15 0TG Lead Inspector Alan Buttery Key Unannounced Inspection 18th May 2006 10:00 Askham Place DS0000024299.V291542.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 Askham Place DS0000024299.V291542.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. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Askham Place Address Benwick Road Doddington Cambridgeshire PE15 0TG 01354 740269 01354 741996 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) Askham Care Homes Limited Care Home 15 Category(ies) of Physical disability (15) registration, with number of places Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 20th December 2005 Brief Description of the Service: Askham Place is a purpose built single storey home providing nursing and personal care for up to 15 service users aged between 18 and 65 with a physical disability. The home was first registered in September 2001, and is close to the small Cambridgeshire village of Doddington near March. The home is in the grounds of Askham House, a service for older people under the same ownership as Askham Place and shares kitchen and laundry facilities. Since the last inspection, a new manager has been appointed, and will be applying for registration with the CSCI in the near future. The home provides for up to 15 people under the age of 65 with a physical disability, and is currently full. Fees charged range between £900.00 and £1200.00 per week, depending on the assessed needs of the individuals. Copies of the most recent inspection reports are available on request from the administration office in the home, and in the reception area. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection was a key inspection and all key standards were assessed. Since the last inspection, the home’s manager has left the service, and a new manager appointed, who has yet to submit an application to register with the CSCI. All the bedrooms in the home provide en-suite facilities and ceiling tracking to assist with manual handling needs for the service users. The inspection lasted approximately three hours, and during this time the acting manager and proprietor of the home were available to assist with answering any questions raised. The inspector spoke to two of the members of staff working and to three 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. Askham Place DS0000024299.V291542.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 Askham Place DS0000024299.V291542.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): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Detailed assessments are carried out and service users and families encouraged to visit the home to ensure their needs will be met. Information provided does need to be updated with management changes. EVIDENCE: Following the recent management changes, the home’s Statement of Purpose and Service User guide need to be updated, and it was agreed with the manager that the revised documentation would be forwarded to the CSCI as soon as possible. Documentation remains in place to ensure that the needs of service users are fully assessed by senior staff in the home prior to any admission, whether permanent or for short term respite care, and evidence was seen on the files of service users examined during the inspection. Service users living in the home do have a range of complex needs, and additional specialist information is always gathered as part of the process. Askham Place DS0000024299.V291542.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 and 9 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Service users’ needs are identified in individual plans. EVIDENCE: During the inspection, the care plans for three of the service users living in the home were looked at. Evidence was seen of pre admission assessments, detailed care planning, appropriate recording of health issues, risk assessments and regular reviews. Some further work was discussed with the manager to ensure that the care plans files do record diversity details, and information kept within the care plan files was also discussed. It was suggested that perhaps the files could be split, and information not directly relating to the care plans stored elsewhere. During the inspection the way in which staff interacted with the service users was observed, and it was clear that staff to try to offer choice wherever possible, and to involve service users in decisions about their day to day lives. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 9 For example, one of the service users spoken with during the inspection has chosen to return to Ireland, where she still has family, having spent several years living at Askham Place. This choice is being supported by the home, and considerable work is being done with the service user to help her manage the process. Within the care plan files, risk assessments were seen, and these are used to assist the service users in taking part in everyday activities. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 10 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, 15, 16 and 17 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. A variety of work and leisure pursuits are available to service users. Some additional information would benefit staff. EVIDENCE: As has already been indicated, service users are encouraged to take part in local activities and events, both within the local village and the wider community, and in addition a variety of day time activities are available to service users in the home, including craft work, cookery, painting and gardening. Service users are supported and encouraged to take part in these activities. The home has a relaxed visiting policy with relatives and friends welcome at any time (within reason), and service users assisted in maintaining contact with them. Service users are involved in all areas of their lives, offered informed choices and support from management and staff. However, as noted earlier, more information regarding culture and ethnicity would assist staff in ensuring any related needs are met. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 11 Service users receive a varied and nutritious diet, with considerable support and input from dieticians, with a number of service users in the home requiring special diets. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 12 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 and 20 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. Physical and emotional health needs are identified and met. EVIDENCE: Since the last inspection, systems to record health visits and appointments have improved, and it was noted from the records that opticians have visited the home recently, and GP and dental checks were recorded. The health and emotional needs of service users are recorded within the individual care plans although as noted earlier in the report, some consideration should be given to reducing the size of the daily file in use. A separate pharmacy inspection has taken place recently, and the requirements made as a result of the inspection have been met. Medication records looked at on the day of the inspection were in order, and additional training is now in place for staff who are involved in the administration of medication. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 13 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 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises Service users and families are aware of the procedures, and confident they will be used appropriately. EVIDENCE: Policies and procedures are in place to manage any complaints made to the service, and these were discussed with the manager during the inspection. Since the last inspection, no formal complaints have been received. All staff receive training in adult protection issues and are aware of the local authority procedures. The home have not had reason to use the procedures. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 14 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 and 30 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. The home provides excellent facilities for service users to live safely and comfortably. EVIDENCE: During the inspection a brief tour of the premises was carried out, and no issues were found. The home is purpose built and very well equipped to meet the needs of those living there. Individual rooms are well furnished, and provide the necessary aids and adaptations to ensure safe moving and handling of service users, and communal areas provide appropriate seating and leisure activities. The home was clean and free from any unpleasant smells on the day of the inspection. The home also provides pleasant and well maintained gardens and a conservatory which service users are able to use. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 15 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 and 36 Quality in this outcome area is adequate. This judgement has been made using available evidence and a visit to the premises. Staff records need to detail training received, and staff must receive regular formal supervision to ensure ant potential; issues are dealt with. EVIDENCE: A committed staff team is in place, and were seen to support service users appropriately, for example when helping with meals. Records of the training they receive were not clear, and although management were able to confirm the high level of training provided, individual staff files did not contain a record of this. It was agreed that this would be rectified as soon as possible. Policies and procedures are in place to ensure that service users are not placed at risk, and staff records were in order, containing all relevant and necessary information, a requirement from the last inspection. It was recommended that references received as part of the recruitment be verified by telephone to ensure they are authentic. The manager acknowledged that the homes supervision process does need to be revised, and although supervision does take place it is not under a formal policy, or at regular intervals. This will be addressed, and details of the policy submitted to the CSCI Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 16 Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 17 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 and 42 Quality in this outcome area is good. This judgement has been made using available evidence and a visit to the premises. The home is well run and policies and procedures in place to maintain the health and safety of service users and staff. EVIDENCE: The home is well run, and the new manager has already introduced some new ideas. An application for registration will be submitted shortly. Service users are involved in decisions affecting them, and their views and those of their families form part of the quality assurance process in the home. The health and safety of service users and staff is recognised, and policies and procedures are in place to ensure that they are not placed at risk. Staff receive health and safety training, although as noted earlier, the records of this should be improved, and regular maintenance checks are carried out, together with the statutory fire, lighting and water checks. Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 18 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 2 2 3 3 X 4 X 5 X 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 3 25 X 26 X 27 X 28 X 29 X 30 3 STAFFING Standard No Score 31 X 32 3 33 X 34 3 35 3 36 2 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 X 15 3 16 2 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 19 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 YA1 Regulation 6(a) Requirement The homes Statement of Purpose and Service User guide must be amended to show the changes in management of the home Details of service users cultural and religious preferences must be recorded in individual care plans Details of the training received by individual staff members must be available in their files Staff must all receive formal supervision Timescale for action 31/07/06 2 YA16 12(4)(b) 31/07/06 3 YA32 19(b)(i) 31/07/06 4 YA36 18(2) 31/07/06 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 YA34 Good Practice Recommendations References should be verified to ensure they are authentic Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 20 Commission for Social Care Inspection Cambridgeshire & Peterborough Area Office CPC1 Capital Park Fulbourn Cambridge CB1 5XE 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 Askham Place DS0000024299.V291542.R01.S.doc Version 5.1 Page 21 - 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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