Inspection on 11/10/05 for Aston House

This inspection was carried out on 11th October 2005.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector found there to be outstanding requirements from the previous inspection report but made no statutory requirements on the home.

Other inspections for this house

Aston House 05/09/06

Aston House 17/06/05

Aston House 12/01/05

Aston House 09/06/04

Similar services:

1 Marten Road

Daubeney House

Three Gables

Aldwick House

49 Glendale

The Springs Community

Crossways Community

Belle Vue Country House

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

CARE HOMES FOR OLDER PEOPLE Aston House 14 Lewes Road Eastbourne East Sussex BN21 2BT Lead Inspector Kathy Flynn Announced Inspection 11th October 2005 10:00 X10015.doc Version 1.40 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 Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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 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. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 3 SERVICE INFORMATION Name of service Aston House Address 14 Lewes Road Eastbourne East Sussex BN21 2BT 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) 01323 638855 Mr Bhye Koomar Mrs Fatmah Koomar Mr Bhye Koomar Care Home 15 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (15) of places Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is fifteen (15). That service users should be aged sixty five (65) or over on admission. That service users should have a mental disorder, excluding learning disability or dementia. That one service user aged sixty four (64) to be admitted. This condition will no longer apply once the service user is aged sixty five (65) years. 17th June 2005 Date of last inspection Brief Description of the Service: Aston House is a care home registered to provide support for up to 15 older people with past or present mental health needs. The home is situated on a main road in a residential area, within walking distance of Eastbourne town centre and public transport, with GP and dental surgeries accessible. It is on two floors with thirteen single rooms and one double room, there are no en suite facilities, although there are two bathrooms, with a shower cubicle in one and additional toilets on each floor. A lift provides access to the first floor with additional steps restricting access to some rooms. There are two lounges, one on the ground floor and one on the first floor, with a dining room to the rear of the building. There is and attractive garden at the rear of the home and a patio area at the side that are used when weather permits. There is a small parking area at the front of the building that can be accessed from the road. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This was an announced inspection and the home was informed of the date and the time of the inspection several weeks before it was carried out. The requirements from the previous inspection, the information provided in the pre-inspection questionnaire completed by the manager, and the comment cards completed by the residents or their relatives, were used to plan this inspection. Standards not assessed during this inspection were assessed at the previous inspection in June. The aims were to assess if the home had met requirements recorded in the previous inspection, identify the aspects of the service that have improved and if the service could be improved for the benefit of residents. The inspection was carried out over four hours and included a review of care plans, risk assessments, recruitment procedures, staff training, and policies and procedures. All twelve residents at the home during the inspection were spoken with, there were no visitors during the inspection and the home’s managers and staff were happy to discuss the care provided. What the service does well: What has improved since the last inspection? The requirements from the last inspection concerning care plans, risk assessments and repairs to the home have been addressed. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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 Outcomes Statutory Requirements Identified During the Inspection Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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 the following standard(s): EVIDENCE: These standards were assessed at the last inspection. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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 the following standard(s): 7, 8, 9 and 11 The staff have a good understanding of the residents’ support needs. This is evident from the positive relationships, which have been formed between the staff and the residents. The health needs of residents are well met with evidence of good multidisciplinary working taking place on a regular basis. EVIDENCE: Care plans have been reviewed, individual risk assessments have been completed and residents are now encouraged to sign their care plans. Residents are registered with GP’s, and there is regular involvement from the Mental Health Care Team, including Community Psychiatric Nurses. Residents are not responsible for their own medicines, they are kept in a secure cupboard in the kitchen, and are dispensed to residents as prescribed. It was noted that the Medicine Administration Records were not signed for all the residents. Staff understood the importance of signing for medicines when the are given and advised that they will this will be addressed. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 10 The managers and the staff have a good understanding of residents needs. They explained that the home provides support on the basis that it can meet their needs and if these change then alternative accommodation may be sought, with the involvement of relatives and allied health professionals. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 11 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 the following standard(s): EVIDENCE: These standards were assessed at last previous inspection. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 12 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 the following standard(s): 16, 17 and 18. The home has a satisfactory complaints procedure with some evidence that residents feel that their views are listened to and acted upon. Staff have a good understanding of Adult Protection issues which protects residents form abuse. EVIDENCE: There have been no complaints since the last inspection. The managers advised that appropriate policies and procedures are in place, and information has been included in the Statement of Purpose. The residents who expressed an opinion said that they did not have anything to complain about and felt that the managers and the staff provide the assistance they need. Residents said that they are able to vote if they wish and some using the postal voting system. Training in adult protection is provided and staff were able to demonstrate a good understanding of protecting residents from abuse, and what actions they would take if they had any concerns. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 13 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 the following standard(s): 19 and 24 The standard of the environment within this home is satisfactory and provides residents with a comfortable and homely place to live. EVIDENCE: Aston House provides comfortable, homely individual and communal space for residents. A fence has been positioned in the rear garden to prevent residents from falling between the raised lawn area and the building. A risk assessment for residents’ to access the garden safely has yet to be completed. The manager advised that the sinks in some residents’ rooms have been secured to the wall to ensure their safety. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 14 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 consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28 29 and 30 Staff moral is high resulting in an enthusiastic workforce that work positively with residents to improve their whole quality of life. EVIDENCE: There were some staff on holiday the week of the inspection and the managers were covering these shifts. They explained that the staffing numbers are based on the needs of the residents and there are sufficient at the home. They are hoping to recruit one more staff member to provide cover for holidays, so that the managers will not have to work seven days in future, although they stated that they are so involved in the home anyway that they do not mind. The management have a good understanding of recruitment policies, in particular the requirement that POVA/CRB checks are to be completed prior to employment of staff. There have been no staff employed since the last inspection. Induction training is being reviewed and will be updated in line with the relevant requirements. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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 31, 33, 35 and 38 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, 34, 35, 37, 38. The management approach to the home is open and encourages the involvement of staff and residents in decisions taken about the services offered at the home. EVIDENCE: Aston House is managed by Mr and Mrs Koomar and is run as a family business, both are registered nurses and are currently completing the Registered Managers Award. A questionnaire was given to residents and their relatives in August/September, the aim was to review the support provided at Aston House, and the responses were very positive. The managers explained that services are reviewed on a regular basis depending on the assessed needs of the residents and their choices, which Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 16 change throughout the year particularly in the spring and summer when the days are longer. Most of the residents are responsible for their own finances, others are supported by relatives or solicitors. The home does not take responsibility for residents’ money although pocket money is kept in a safe in the office and records are kept of deposits and withdrawals. The manager advised that appropriate insurance is in place and the business plan is reviewed yearly with the involvement of accountants. Some policies and procedures are in place, it was discussed with the manager at the last inspection that they should be reviewed and updated in line with NMS, to ensure that the staff have access to all relevant information. The doors to residents’ rooms continue to be propped open with stools and chairs. Doors are not to be propped open, a safe alternative system is to be provided for residents who wish to have their doors open. Advice is to be sought from the Fire Service and acted upon. Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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 Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 2 10 X 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 3 17 3 18 3 2 X X X X 3 X X STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 3 3 3 X 2 1 Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 18 Are there any outstanding requirements from the last inspection? YES 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 OP9 Regulation 13 (2) Requirement Timescale for action 14/11/05 2 OP19 13 (4)(b) 3 OP37 17 4 OP38 13 (4)(c) Policies and procedures for the administration of medicines to be reviewed and appropriate training to be provided for staff. Risk assessments to be 06/02/06 completed with regard to access to rear garden. Previous timescale of 04.07.05 not met. Policies and procedures to be 06/02/06 reviewed and updated. Previous timescale of 05.09.05 not met. A safe system of keeping doors 05/12/05 to residents’ rooms open to be provided following consultation with the Fire Service. Previous timescale of 04.07.05 not met. RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Aston House Refer to Good Practice Recommendations DS0000021035.V249509.R01.S.doc Version 5.0 Page 19 Standard Aston House DS0000021035.V249509.R01.S.doc Version 5.0 Page 20 Commission for Social Care Inspection East Sussex Area Office Ivy House 3 Ivy Terrace Eastbourne East Sussex BN21 4QT 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 Aston House DS0000021035.V249509.R01.S.doc Version 5.0 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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