Inspection on 09/01/07 for Glenwood Nursing Home

This inspection was carried out on 9th January 2007.

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

Glenwood Nursing Home 08/01/09

Glenwood Nursing Home 16/11/05

Glenwood Nursing Home 02/08/05

Glenwood Nursing Home 22/12/04

Glenwood Nursing Home 21/06/04

Glenwood Nursing Home 26/02/04

Glenwood Nursing Home 23/12/03

Similar services:

Clover House

Parkside

Park Lodge

Mere Hall View

St Bonaventures

Hudson Road

Whitewalls

Home Farm

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

CARE HOME ADULTS 18-65 Ashwood Nursing Home Ashwood Mental Nursing Home Liverpool Road Widnes Cheshire WA8 7HJ Lead Inspector Anthony Cliffe Key Unannounced Inspection 9 and 10th January 2007 09:30 th Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashwood Nursing Home DS0000005144.V299556.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 Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashwood Nursing Home Address Ashwood Mental Nursing Home Liverpool Road Widnes Cheshire WA8 7HJ 0151 420 5945 0151 420 5945 ashwood@c-i-c.co.uk www.c-i-c.co.uk. Community Integrated Care 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) Mr Thomas Joseph Clarkson Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. This home is registered for a maximum of 12 service users to include: * 6 service users in the category of LD (learning disability aged under 65 years of age) may be accommodated in the Ashwood Unit. * 6 service users in the category of LD (learning disability aged under 65 years of age) may be accommodated in the Glendale Unit. 16th November 2005 Date of last inspection Brief Description of the Service: Ashwood is a care home with nursing providing care for 12 people with learning and physical disabilities. Ashwood/Glenale is owned and managed by Community Integrated Care, which is a non-profit making organisation. The home is located in the Ditton area of Widnes, near to shops, pubs, post office, and other local amenities. It has a small parking area and a garden area with patio to the rear of the property. The home comprises of two purpose built dormer bungalows with link corridor and office facilities on the first floor. All the bedrooms are on the ground floor and all have fitted furniture and a wash hand basin. Six bedrooms in Ashwood wing have over head fixed hoist tracking fitted. There are no en-suite facilities, but there are 4 assisted bathrooms and separate toilets on the ground floors. Also on the ground floor are two large lounge / dining rooms, two kitchens and utility rooms. Both lounges have fixed overhead hoist tracking fitted. The home is in a local bus route and close to two local railway stations. Fees range from £450 to £970 per week. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This unannounced visit took place on the 9th and 10th January 2007 and lasted 13 hours. A Regulatory Inspector carried out the visit. This visit was just one part of the inspection. Other information received was also looked at. Before the visit the home manager was also asked to complete a questionnaire to provide up to date information about services provided. Questionnaires were provided for residents, families, and health and social care professionals to find out their views. During the visit various records and the premises were looked at. A number of residents and staff were also spoken with and they gave their views about the service. What the service does well: What has improved since the last inspection? A link corridor has been built between the two wings to provide safe, secure wheelchair accessible access for residents and staff. Bedrooms on Glendale wing have been decorated and built in wardrobes provided in their bedrooms. Additional ceiling mounted tracking has been provided in residents’ bedrooms. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 6 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 1 and 2 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Information is gathered about residents’ health, social care and aspirations before they are offered a place, but more detailed information needs to be made available to prospective residents so they can make an informed decision about living at Ashwood. EVIDENCE: Ashwood accommodates mainly people from the Halton area but is welcoming to anyone with a disability, different ethnic or cultural needs or sexual orientation. The residents who live at Ashwood have lived together for a number of years. The last resident moved in, in the autumn of 2005. Information was examined of two prospective residents who had been offered a place at Ashwood for respite and long term care. Ashwood has a contract with the local NHS trust and local council to accommodate young adults form the Halton area. Detailed information had been obtained about the prospective residents from the local NHS, council and their families. The information included the person centred plans for both individuals. The person centred plan described how both individuals wanted to be cared for and included information about how they wanted their care to be provided. Staff were also involved in developing health plans for both individuals. Considerable time had been spent gathering information about the two people to ensure that Ashwood was the right place for them. The manager confirmed that Ashwood would not accept anyone whose needs could not be met or would not be able to live with the existing residents. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 9 One of the prospective residents had been having introductory visits for a number of months to get to know the other residents. The families of both residents were involved in the residents becoming familiar with Ashwood. This involved staff from Ashwood liaising with families about how they cared for their relative and what equipment the individuals would need to remain independent. Families were provided with a copy of the statement of purpose/service users guide. This had been devised with information about the facilities, accommodation and staff as Ashwood and included photographs of the facilities and staff. This information could be made in different formats on request. The statement of purpose/service user guide needs to be updated to contain the required information and in a format which learning disabled adults can use. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 10 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 including a visit to this service. Residents’ aspirations, goals, choices and decisions are recorded and take account of their decisions to take appropriate risks in leading an independent lifestyle but further information on communication and decision making is needed so residents choices are supported. EVIDENCE: Two residents’ plans were examined during the site visit. Ashwood uses an essential lifestyle plan as part of a person centred plan. These were developed with the residents and were written from the residents’ perspective. This included information of what routines the residents followed and how staff were to provide support to the residents based on their wishes. The support plans set out the requirements to support residents maintain their mobility, personal care and health. There was information on keeping residents safe in the form of a risk assessment. The plans contained details on residents’ current needs, development of skills, keeping healthy and future aspirations. Plans were written by the residents’ named nurses with the residents and their key workers. There was information from residents’ families and professionals involved in their care. Residents’ plans recorded contact and advice on their health and incorporated advice and guidance from healthcare professionals. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 11 Plans were not written in an accessible format for residents to use. One resident’s essential lifestyle plan had been recently reviewed but did not contain information on the resident’s decision to move to another care home, or the detailed process of support that staff were undertaking with the resident in achieving his wish. Another resident’s support plans had not been recently revised as recommended in the National Minimum Standards but still identified positive outcomes for the resident. Residents’ essential lifestyle plans contained explicit information on how residents were to be supported in taking control over their lives but was not detailed in an agreement on how decisions about residents were agreed. Where residents did not use words to speak there was information about how they communicated but this had not been transferred into a communication chart about how they communicated or how staff communicated with them. Two recently employed staff said they had read the plans of the residents they were key workers for and could follow the plan to provide appropriate care to the residents. A staff member said, “ I’ve read most of the support plan and feel I know the person. I’ve looked at plans and they’re easy to follow. A resident’s plan told me what her hand gestures meant. Being new I could follow it and found it really good”. A staff member said, “ I have only read bits of her plan being here a few weeks. I see staff work to the plan. It says positive things about her, what she likes to do and how it should be done”. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 12 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 including a visit to this service. Residents maintain personal relationships and take part in social and leisure activities in keeping with their age, wishes and choices but the recording of these needs to improve so residents receive appropriate social care. Residents have a healthy diet based on their personal choices. EVIDENCE: Ashwood care home is situated in the Ditton area of Widnes and central to local amenities. Residents’ essential lifestyle plans detailed their involvement in the local community and the places they enjoy visiting. The essential lifestyle plans examined did not contain a support plan for social and leisure activities but the essential lifestyle plans contained information on the social and leisure pursuits residents enjoyed. When staff were involved in social and leisure pursuits in the home these were not identified within daily records. A registered nurse on duty said the activities took place but staff were not always recording their involvement. Some of the activities were seen as essential to residents in communicating and relaxing. Residents’ social and leisure pursuits were detailed in individual weekly plans that recorded what activities residents were involved in outside of Ashwood. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 13 Residents were involved in regular daily activities based on information contained in their essential lifestyle plan. During the visit some residents went to day care facilities. Other were involved in activities in the local community. An example of this was being responsible for assisting staff to purchase items of fresh food and vegetables for meals. Staff rotas were structured around residents’ social and leisure pursuits as some residents required two staff to support them in accessing the local community. Residents decided what leisure pursuits they enjoyed and staff arranged these. There were examples of good communication with residents and staff understanding individual resident’s communication needs. The manager gave a good example of using photographs as a communication aid. A resident had become distressed when going out for a meal. Showing the resident the picture of the pub that served food confirmed she was going out for a meal and not to another pub where she enjoyed going for a drink. This lessened her distress and helped her to choose if she wanted to go out for a drink or a meal. Residents’ essential lifestyle plans contained details of the areas of their life that residents wanted to improve in such as social and leisure interests. A positive outcome of this was that residents wanted to go to the theatre and tickets for this purchased. The two wings at Ashwood accommodated residents with different needs. Six of the residents had profound physical disabilities and required additional equipment and staffing to support them when involved in social/leisure pursuits and additional staffing was available when needed to provide support to residents. Meals were planned around individual resident’s choices and a weekly menu devised from this. Where possible residents could eat together and meals seen as a social time. Residents were able to participate in the preparation of meals by observing staff preparing them. The deputy manager had produced guidance on healthy eating and residents with swallowing or chewing difficulties had bees seen by a speech and language therapist. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 14 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 excellent. This judgement has been made using available evidence including a visit to this service. Residents’ personal, physical and emotional needs are met. Management and administration of medicines ensured residents received their prescribed medicines safely. EVIDENCE: Residents’ support plans examined detailed residents’ preferences about how their personal and health care needs were met. Essential lifestyle plans were written from the residents’ perspective of being supported to meet their needs. There were detailed health action plans that informed staff how residents’ health care needs were to be met. These included permission from residents’ General Practitioners on the use of homely remedies. A resident is regularly reviewed by a speech and language therapist for swallowing difficulties. The advice from the speech and language therapist is recorded as part of the resident’s support plan. Residents have detailed health action plans, which identify how their medical needs are met. The include details of the professionals involved in their care. This includes annual health checks and appointments with the dentist and chiropodist. Residents’ essential lifestyle plans were reviewed in the areas of healthcare and mobility where residents’ needs had changed. There were good examples of the use of moving and lifting equipment to be used to assist residents transferring to their wheelchairs were their mobility had reduced. Equipment was purchased for a resident who needed a different sling for a hoist. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 15 A resident’s health had deteriorated had been seen at an NHS facility for treatment. Additional staffing was provided during the stay. At the time of the visit a resident was identified as needing another visit from a General Practitioner and staff liaised with the surgery to ensure a visit to the resident was arranged and did not accept the offer of a repeat prescription. Training had been arranged for staff on the care of a prospective resident’s airway equipment to ensure they could meet the resident’s needs. Staff demonstrated they were working with the family of a prospective resident and the local council and NHS trust on identifying the health care needs of the resident and equipment to assist the resident prior to moving in. Six bedrooms and the two lounges have ceiling mounted tracking hoists to assist resident mobility. Medicines management and administration was examined. Some minor errors were noted on medicine administration records. A monitored dosage system is used throughout the care home. The service manager audits medicines as part of the quality assurance system and had identified errors in an earlier visit. The action plan for this identified the corrective action to be taken to rectify errors. The manager discussed how staff could improve by auditing the records of administration more frequently to eliminate the errors identified. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 16 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 including a visit to this service. Complaints are acted on appropriately and residents are protected from abuse. EVIDENCE: A complaint was received by the local NHS trust about staff practice about moving and handling. This was looked into by the locality manager and Occupational Therapist from the NHS trust. The outcome was that staff at Ashwood were using the correct positioning of moving and handling equipment and had consulted the manufacturer about its use. Details of the complaint were held on file but it had not been dealt with under the provider’s complaints procedure. One referral had been made to the local council under the adult protection procedures by the home. As a result of this additional resources were identified to help staff at Ashwood support a resident presenting a risk to others. A recently appointed staff member confirmed adult abuse training was included as part of the registered providers induction training. The manager confirmed that induction training had been altered and included E- learning on the company’s intranet Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 17 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, 28, 29 and 30 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents live in a comfortable, clean and safe environment, which is equipped to meet their needs but further improvements need to be made so they can remain independent. EVIDENCE: Ashwood care home is well maintained and safe. The construction of a link corridor to connect both units was completed and allows residents and staff safe movement between the two wings. From this there is ramped access to the garden area. There were no additional private facilities for residents as recommended at previous visits. Due to this residents do not attend reviews of their care as these are held on the first floor where office facilities are accommodated and residents cannot access them. Six bedrooms on Ashwood wing were fitted with ceiling mounted hoists. The lounges and bathrooms on Ashwood and Glendale wings both have ceiling mounted hoists. The bedroom accommodation on Glendale wing had built in wardrobes fitted. This had provided further personalisation of bedrooms. Residents and families were consulted about the colour schemes of the bedrooms. Self-closure devices had been fitted to residents’ bedroom doors to increase fire safety. Unfortunately the residents who were mobile could not independently open their bedroom doors following them being fitted. The manager had done a risk assessment of Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 18 the support residents needed from staff to open their bedroom doors following an accident and contacted the estates department to request alternative door closures. The home was clean and free from odours. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 19 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 and 35 Quality in this outcome area is good. This judgement has been made using available evidence including a visit to this service. Residents are supported and protected by positive recruitment procedures and appropriately trained staff that can meet their needs. EVIDENCE: Changes had occurred in the management structure of Ashwood with the recruitment of a deputy manager and registered nurse. The manager continued to have office days to deal with administration management. The deputy manager and registered nurses had office days to update person centred plans and complete administration. The deputy manager had been in post for a few weeks and said she found the staff team supportive and committed but there were areas for improvement. The manager said of the staff team “we have a very focused staff team who advocate for residents. We are very lucky in that respect. If staff are not happy with an aspect of a resident’s health or personal care they will approach the person in charge or myself”. Staff described the manager as firm, fair, approachable and someone they could talk to. Eight staff held an NVQ level 2 qualification and five staff were completing an NVQ level 2 qualification. Staff had completed the mandatory training required and new employees nominated for the corporate induction programme. The manager produced a training plan for the forthcoming year for which he could nominate staff. Staff had received training in the care of a prospective resident’s airway equipment. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 20 Three staff had commenced employment and had been supervised through an induction programme within the home. Staff confirmed they had been shown the safety systems and the fire procedures discussed and fire alarms tested. The manager said staff had to complete the two day corporate induction course but he was looking at developing an induction checklist for staff that had commenced employment but had not completed the corporate checklist. This would be based on Skills for Care guidance and would included familiarisation on the protection of vulnerable adults procedures. The records of these staff were examined. All contained appropriate identification documentation and completed POVA First and Criminal Record Bureau disclosures. All files had two written references. Staffing numbers have been increased in one of the wings to provide additional staffing support for a resident. Staff was very keen and enthusiastic about their relationships with residents and how residents rights were promoted. Staff said their experience was recognised and they were welcomed and supported by more experienced staff. They said they had received an induction into Ashwood and received appropriate training. Recently appointed staff said that when they were recruited they were asked about themselves and their interests during interview as staff were being recruited to work with certain residents. A staff member said “ I was asked about my interests and what I liked doing. Now I have been asked to be key worker for a resident who I get on with very well and have the same sense of humour. The other key worker has the same sense of humour as well. I have been told I can identify any training I need to support the resident”. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 21 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 including a visit to this service. Residents live in a well managed and maintained environment, which incorporate their views about how the home is managed and developed and promotes their safety. EVIDENCE: Quality assurance was robust with the introduction of a monthly ‘care standards review’ audit, which commenced in May 2006. This looked at the management of systems used at Ashwood by examining the documents used and audits completed by the manager to verify the evidence in them. Action plans were written to address matters identified as part of the audit process and recorded who was responsible for completing them. An example of this was the action taken to rectify the records of medicine administration. The minutes of staff meetings were available. Reviews of residents essential lifestyle plans included annual reviews and recorded what residents wanted to achieve, how they could achieve it and what support was necessary to achieve their desires. The reviews included what had worked and what hadn’t and what staff had learned from it. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 22 Residents have their own interest bearing bank accounts. These are in the residents’ name and cannot be accessed by staff. Residents use their personal monies to pay for their lifestyle and additional services such as chiropody or hairdressing. Residents’ personal allowances were safely secured and records for credits and debits maintained. The contract of residency includes a paid holiday for residents. Information provided by the manager in a pre inspection questionnaire was examined and portable and fixed hoists and maintenance and testing of fire equipment were completed. Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 23 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 3 29 3 30 3 STAFFING Standard No Score 31 3 32 X 33 3 34 X 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 2 3 X 3 X LIFESTYLES Standard No Score 11 X 12 2 13 3 14 X 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 X 3 X X 3 X Ashwood Nursing Home DS0000005144.V299556.R01.S.doc Version 5.2 Page 24 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. Standard Regulation Requirement Timescale for action 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. 2. Refer to Standard YA1 YA6 Good Practice Recommendations The statement of purpose should be amended to record the required information and be available in a format learning disabled adults can understand. Residents essential lifestyle plans should be reviewed regularly and include future developments for residents, details for staff on how agreements and choices are decided with residents and how they communicate their needs. Residents should have social/recreational support plans to identify they are involved in activities of their choice and staff should record all the activities they are involved in with residents. Provide additional private visiting facilities for residents to use. Provide alternative self-closure devises or fit devices to residents’ bedroom doors to allow independent access to them. DS0000005144.V299556.R01.S.doc Version 5.2 Page 25 3. YA12 4. 5. YA28 YA29 Ashwood Nursing Home Commission for Social Care Inspection Northwich Local Office Unit D Off Rudheath Way Gadbrook Park Northwich CW9 7LT 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. 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