Inspection on 05/09/06 for Aston House

This inspection was carried out on 5th September 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 made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Aston House 11/10/05

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 Mike Flint Key Unannounced Inspection 09:45 5 September 2006 th 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.V307736.R01.S.doc Version 5.2 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.V307736.R01.S.doc Version 5.2 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 Mrs Fatmah 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.V307736.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 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. 11th October 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; 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.V307736.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced inspection of the home was carried out over six hours, during a day in early September 2006, when there were fourteen (14) older people with mental disorders in residence. On duty were the registered owner/ manager, Mr Koomar, who assisted throughout the inspection, his wife, the joint owner, also the senior carer and a recently recruited carer. During the visit the Inspector spoke with each of the duty staff and was pleased also to have the opportunity of speaking with five of the residents in private. The requirements from the previous inspection, the information provided in the pre-inspection questionnaire completed by the owner/ manager, and the comments from the residents, staff and visiting professionals were used to inform this ‘key’ inspection. Written comments were received from five (5) residents in response to postal questionnaires sent out beforehand. The aims of a key inspection are to assess the home’s performance in respect of a performance rating. Aston House had met the recommendations and requirements recorded in the previous inspection reports. This visit identified aspects of the service that demonstrate positive outcomes, as well as a small number of areas, where Standards are being worked towards. Standards not assessed during this inspection were assessed during the previous two inspections, in May 2005 and October 2005, also at the time of a Pharmacist’s inspection in January 2006. The fees for residential care at Aston House are currently £366.00 to £418.00 per week; extras such as newspapers, hairdresser, chiropodist, transport, and toiletries are additional costs. What the service does well: Aston House has been under the same joint ownership for many years; the home has a prevailing atmosphere of stability and calm. The owners, Mr and Mrs Koomar are both professionally qualified in nursing and in care home management; they work full-time at the home. Staff turnover is low and the core staff group is made up of ‘mature’ people, who have completed NVQ awards in Care and training in safe working practices. The Inspector was impressed by the ‘investment’ shown towards the induction training programme being provided for the two recently appointed staff, which was detailed and being meticulously implemented, over a three-month probationary period. The residents appeared relaxed and content, speaking freely with the Inspector and commenting favourably on their day-to-day experience of life at Aston House. From observing interactions between the staff and residents, it was Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 6 apparent that positive relationships are fostered and that there is mutual respect. An inspection of care plans and risk assessments showed that these are regularly reviewed; discussions with the owners confirmed an in depth understanding and knowledge of residents’ individual care needs and how these were being met. The competence with which staff were observed, going about their tasks, was evidence of a good level of staff training and sound management input. Comments from residents included the following: - ‘I am very happy here’; ‘I have my own hobbies’; ‘Staff are kind and helpful’; ‘The food is lovely’; ‘I speak with the manager, if I have any issues’; ‘I need some assistance and do have to wait sometimes, when staff are busy’; ‘We receive visits from an occupational therapist’; ‘I like to go down and watch television with some of the others’; ‘I always receive the help I need’; ‘Meals are good’; ‘I go out whenever I want’; ‘I like my own company. They respect that’; ‘I like to sit here and watch the world go by’. From relatives: - ‘A good mix of ladies and gentlemen’; ‘The best possible place (he/ she) could be’; ‘Staff are excellent’; ‘Discreet in their caring’; ‘(her/ his) state of mind has improved since being there’; ‘Exceeds my expectations’; ‘Definitely improved mental state’; ‘Relatively modest environment suits (his/ her) needs’. From professionals: - ‘Clients are placed there (Aston House) with specific needs and we feel that they are managed very well’. There were no negative comments made about the service provision at Aston House either at the time of the inspection, or during the Inspector’s subsequent enquiries. What has improved since the last inspection? The joint owners have completed the Registered Managers Award, whilst staff have completed food hygiene and NVQ training; a training programme provides refresher training for staff in safe working practices. The procedures for the safe handling of medicines are being reviewed, in conjunction with the dispensing pharmacist, following the Pharmacist Inspector’s visit, earlier in the year. Environmental improvements include communal facilities and private rooms that have been re-decorated and new floor coverings laid. Magnetic door holders are in the process of being installed to fire doors throughout the building. The owners have responded positively to requirements made during the last twelve months with action plans and works carried out. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 7 What they could do better: Recommendations, resulting from this inspection visit, include that some improvements to recording procedures be made and that night staffing arrangements be kept under review e.g. in response to future changing levels of individual need, and amongst the resident group as a whole. Also to be kept under review is the home’s policy on smoking within the home. The Inspector thanks the owners, staff and residents for their participation, cooperation and hospitality shown during the course of the inspection. Thanks also to those others, who have submitted their written comments, or who have been contacted for their comments, as part of this Key inspection of Aston House. 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.V307736.R01.S.doc Version 5.2 Page 8 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.V307736.R01.S.doc Version 5.2 Page 9 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): 1,3 and 6 Quality in this outcome area is good; the home has procedures in place to ensure that the needs and expectations of those admitted can be met. This judgement has been made using available evidence including visits to the home. EVIDENCE: All residents receive a copy of the Terms and Conditions of residency; contracts are provided. The home’s Statement of Purpose and Service Users Guide is revised and updated to reflect the current position in the home. In this way service users and their relatives are well advised and know what they may expect before agreeing to a trial period. Documentary evidence showed that satisfactory pre-admission assessments are completed for all those, referred to the home, ensuring the suitability of the placement. Residents spoken with said that visits to the home had been arranged to assist them in reaching their decision about moving in. Residents commented that they felt their needs were being well met. Staff were observed responding attentively and showing respect towards residents. The home has a pleasantly relaxed and friendly atmosphere. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 10 Relatives spoken with commented very favourably about the care provided and of improvements noted in individual cases, in respect of their mental health. A Local Authority representative spoke well of the home’s performance, in terms of managing the special needs of clients placed there. The home does not admit persons requiring intermediate care, or accept emergency admissions. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 11 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, 10 and 11 Quality in this outcome area is good; personal support in the home is offered in such a way as to promote and protect the residents’ privacy, dignity and independence. This judgement has been made using available evidence including visits to the home. EVIDENCE: A satisfactory system of care planning and risk assessment is in place. Daily progress notes are entered for each resident by duty staff. The Inspector recommended that actual times should be recorded when night-time checks take place. Care-plan reviews are recorded and involve the resident together with their next-of-kin, where this is appropriate and has been agreed. Residents spoken with commented favourably about the quality of care provided by staff. The owner/ manager said that Aston House receives good support from through the well-established links with the Community Healthcare Services, in particular the psychiatric nursing service. A representative of these services confirmed to the Inspector that their clients’ needs were well managed at this home. The administration of medicines in the home is satisfactory promoting good health; some changes in dispensing procedures have been affected in response Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 12 to recommendations made by the Pharmacist Inspector, earlier in the year. The owner/ manager said that, at present, no residents were assessed as competent to have responsibility for self-medication. Records showed that only staff who have received training in this aspect of their work are responsible for administering medicines. The record sheets of medicines administered provided evidence of consistent good practice, in this respect. Interactions between staff and residents, observed during the inspection, were friendly and respectful e.g. when entering residents’ private rooms, or when attending to residents needs. The Inspector noted that time and attention was given to individual residents in a supportive and caring way. It was apparent that residents benefited from the 1:1 interactions with the owners and staff and that this informal aspect of the care provided contributed very positively to their sense of well being. The owner/ manager confirmed that notes were made, concerning a resident’s wishes regarding their terminal care and arrangements after death, where these are known; otherwise that reference would be made to their next-of-kin, or representative. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 13 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): 12, 13, 14 and 15 Quality in this outcome area is good; the home provides a relaxed and supportive environment that enables residents to pursue their interests and autonomy within a socially orientated setting that is beneficial to their wellbeing. The meals in this home are of a good quality, offering both choice and variety, catering for any special dietary needs. These judgements have been made using available evidence including visits to the home. EVIDENCE: Some form of daily activity is provided for the interest and recreation of those residents, who wish to participate. The residents spoken with mentioned, in particular the visits from a physiotherapist and a musician, which some enjoyed; others spoke of their enjoyment of going out for daily walks in the local community. Residents’ views regarding activities varied between those who enjoyed socialising and others who were not so interested. The Inspector considered that the support and encouragement given to residents, who wished to pursue their own interests, was appropriate. The Inspector was told that the local church was regularly in contact for their input in helping to support residents’ spiritual needs and providing a monthly communion service at Aston House. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 14 It was apparent, during the inspection, that the routines of daily living are flexible to suit the residents’ needs e.g. taking meals in their private rooms, entertaining visitors, or attending to interests outside the home. Some of the residents have regular contact with family and friends. Visitors are welcome to the home at any reasonable time. Each of the residents spoken with commented positively about daily life in the home. A people carrier vehicle is provided at Aston House for residents’ outings and appointments. The Inspector was shown a menu plan, which appeared to provide an appealing, nutritious and well-balanced diet. Daily mealtime choices are discussed with residents and records are kept of all meals served. Residents spoken with commented favourably about the quality and choices of the meals. One of the owners, or senior care staff share the responsibility for meal preparation; all of those involved have received basic food hygiene training. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 15 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 and 18 Quality in this outcome area is good; any matters of concern are handled appropriately, reassuring those involved that they are being listened to and that action will be taken, as necessary. All staff, currently working at the home have been Police checked, minimising potential risks to residents’ safety and well-being. These judgements have been made using available evidence including visits to the home. EVIDENCE: There has been one complaint recorded since the last inspection, which was brought to the attention of the Commission and dealt with appropriately by the home’s owners. Aston House has a written procedure that advises residents, or visitors to the home how to make a complaint. Residents said that the staff and the homeowners were very approachable and responsive, should issues arise that required action. Again, on the day of the inspection visit, a healthy level of trust was apparent from interactions observed between residents and staff. The home has policies and procedures in place relating to the protection of vulnerable adults and adult abuse; the owner/ manager confirmed that all staff receive training in this area of their work. The Inspector was shown that Police/ CRB checks had been completed for established staff and POVA First checks for the two new care workers, who would continue working under supervision until the CRB checks were satisfactorily completed. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 16 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 26 Quality in this outcome area is adequate; the home provides a relatively modest environment that meets residents’ individual and collective needs in an informal homely style. The introduction of health and safety checks will ensure that a safe environment is maintained. These judgements have been made using available evidence including visits to the home. EVIDENCE: The layout and location of the home is suited for its purpose. It is set back off the main road with parking for several vehicles at the front and a private lawned garden to the side and rear of the building. Following a previous recommendation, concerning safe access, the owners have erected some railings in the garden for residents’ safety. Since the last inspection two of the residents’ rooms and the communal bathrooms and toilets have been re-decorated and new flooring laid; magnetic fire-safety door release mechanisms have been fitted on the ground floor. These devices are due to be fitted to all fire doors, throughout the house for residents’ safety, in case of fire. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 17 The owner/ manager is responsible for recording the recommended fire alarm and emergency lighting systems checks; any outstanding maintenance tasks are noted and carried out either by him, or by the appointed outside contractors. The Inspector was shown a detailed environmental risk assessment that had been previously recorded for the home. On inquiring of the owner, it was apparent that no regular (e.g. monthly) health and safety checks have subsequently been carried out and recorded. This is required to be undertaken for all areas of the home to which residents have access, to ensure as far as practicable, their safety and well being, also that of all those who work at, or visit the home e.g. it was noted that a carpet-retaining strip was missing in the doorway to one of the residents’ private rooms, which presented a potential trip hazard, requiring attention. On the day of the inspection the overall cleanliness and hygiene in communal areas and residents’ private rooms was of a satisfactory standard and there were no unpleasant odours. Some of the furnishings in the home appeared to be well worn and it is recommended that renewals and replacements of such items are included in the home’s annual improvement programme. Cleaning and laundry tasks are included within the care staff’s daily responsibilities. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 18 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 Quality in this outcome area is good; the staff are well trained, appeared to be committed to their work and to have a clear understanding of the residents’ support needs, evident from the positive relationships, which have been formed between staff and residents, observed during the inspection. This judgement has been made using available evidence including visits to the home. EVIDENCE: The duty rotas show satisfactory staffing arrangements are in place in respect of care staff; a duty manager, or senior is rostered to be present, seven days a week. There are four persons on duty in the mornings, including manager/ senior, with cooking and cleaning shown as delegated tasks. Presently there is one waking night carer, who carries out checks throughout the building at intervals; it is recommended that the time of such checks be recorded, in case of accident, or incident. Also recommended is that night staffing arrangements be kept under review, are flexible and able to respond to changes in the levels of care needs of residents. The owner/ manager confirmed that he and his wife have recently moved house and live very close by and that they remain on-call at all times; day staff, who also undertake night duties, confirmed this. During their recent holiday the owners informed the Inspector of their arrangements for the management of the home in their absence; these arrangements were found to be perfectly satisfactory. At the time of this inspection there were four carers, who had achieved NVQ awards in Care at level 2, whilst the owners, Mr and Mrs Koomar have both Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 19 completed the Registered Managers Award. The training plan for all staff included each of the recommended safe working practice topics e.g. manual handling, medication training, basic food hygiene, first aid, fire safety and alder abuse. The home has produced a well-constructed induction training for new staff. An examination of staff files showed that individual training and supervision records are kept and that satisfactory recruitment procedures were being followed e.g. taking up employment references and Police checks i.e. CRB and POVA, prior to appointment. Staff spoken with confirmed that they received regular supervision, felt well supported and that staff meetings were held. Their comments reflected their enjoyment in their work and a good morale. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 20 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, 33, 35, 37 and 38 Quality in this outcome area is good; the owners together with senior staff provide a robust management team with the necessary skills, competence and experience to ensure a consistently good standard in the day-to-day running of the home; together they have established an open and inclusive approach, maintaining a sense of mutual trust that residents understand and respond to positively. These judgements have been made using available evidence including visits to the home. EVIDENCE: The owners are qualified professionals, who have many years of experience and are clearly committed to providing a good quality of service to the residents and support for the staff. The observations made at the time of the inspections and comments received from relatives and visiting community workers entirely support this view. The atmosphere within the home is very relaxed, friendly and informal, which the residents confirmed suits them well. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 21 Marked progress has been made in meeting the National Minimum Standards at the home, since their introduction in 2002. Both the residents and relatives spoken with and outside professionals commented very favourably about the quality of service provided at Aston House. Quality assurance measures have been introduced that provide helpful feedback i.e. from satisfaction questionnaires, completed by residents, relatives and visitors to the home. Both residents and staff meetings are held with records kept; staff receive regular 1:1 supervision with one, or other of the owners. The overall standard of record keeping in the home is good, though it is recommended that policy up-dates should be routinely carried out. Training for staff in safe working practices is in place and an environmental risk assessment for the home has been completed. However, it is required that regular (e.g. monthly) health and safety checks be carried out and recorded for all parts of the home to which residents have access; this, to ensure as far as practicable the safety of residents, visitors and those persons working in the home. The owner/ manager maintains suitable records of individual pocket monies with receipts, where small personal items are purchased on behalf of residents. These records were shown to the Inspector. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 22 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 3 X 3 X X 3 HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 3 DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 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 X 3 X 3 X 3 2 Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 23 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. 01 Standard OP19 Regulation 13(4)(a) Requirement That regular health and safety checks are carried out in all areas to which residents have access, with records kept e.g. on a monthly basis, ensuring as far as practicable the health, safety and welfare of all those persons living and working in the home. That the programme, already started, of fitting magnetic fire-safety release catches to fire doors be completed throughout the house. That the home’s policy on smoking is reviewed, in particular respect of residents smoking in their private rooms, where flammable materials may be present. (Advice to be sought from the Fire Officer as necessary) Timescale for action 31/12/06 02 OP38 13 (4)(c) 31/12/06 03 OP38 23(4)(c)(v) 31/12/06 Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 24 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 01 02 03 04 05 Refer to Standard OP19 OP19 OP27 OP37 OP37 Good Practice Recommendations That the programme of routine maintenance and decoration includes renewal of worn items of furniture e.g. bedroom chairs. That the recommended carpet retainer strip is fitted in the doorway to resident’s private bedroom number 8. That night staffing arrangements be kept under review, remaining flexible and able to respond in case of changes in levels of need amongst the residents. That records completed by night staff include the (actual) time, when night-time room checks are carried out. That the home’s policies and procedures are reviewed (and dated) in a process of on-going up-dating to ensure that staff have access to current guidance. Aston House DS0000021035.V307736.R01.S.doc Version 5.2 Page 25 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.V307736.R01.S.doc Version 5.2 Page 26 - 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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