Inspection on 28/09/08 for Stoneygate Ashlands II

This inspection was carried out on 28th September 2008.

CSCI found this care home to be providing an Good service.

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

Stoneygate Ashlands II 10/12/07

Similar services:

Byars Care Home

St Marys Nursing Home

Bramble Lodge

Parkmanor Residential Home

Thornham Grove

Hunter`s Lodge

London Road Neurological and Specialist Care Unit

Carlton Care Home

Extracts from inspection reports are licensed from CQC, this page was updated on 31/03/2009.

Inspecting for better lives Key inspection report Care homes for older people Name: Address: Stoneygate Ashlands II Ratcliffe Road Leicester LE2 3TE     The quality rating for this care home is:   two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full assessment of the service. We call this a ‘key’ inspection. Lead inspector: Debbie Williams     Date: 2 8 0 9 2 0 0 8 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area. Outcome area (for example Choice of home) These are the outcomes that people staying in care homes should experience. the things that people have said are important to them: They reflect This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement. Copies of the National Minimum Standards – Care Homes for Older People can be found at www.dh.gov.uk or bought from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering from the Stationery Office is also available: www.tso.co.uk/bookshop 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Older People Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. www.csci.org.uk Internet address Care Homes for Older People Page 3 of 27 Information about the care home Name of care home: Address: Stoneygate Ashlands II Ratcliffe Road Leicester LE2 3TE 01162705678 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Diane Smith Type of registration: Number of places registered: Prime Life Ltd care home 37 Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 dementia old age, not falling within any other category physical disability Additional conditions: The maximum number of service users who can be accommodated is 37. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Old age, not falling within any other category - Code OP. Dementia - code DE. Physical Disability - Code PD. Date of last inspection Brief description of the care home Stoneygate Ashlands II is a care home providing personal care and accommodation for up to thirty-seven persons who may have additional needs, which may include Dementia or a Physical Disability. The home is purpose built, and located within a residential area of Leicester. Car parking facilities are available to the front of the home. The home provides communal and bedroom facilities on both the ground and first floor. Access to the first floor is via a passenger lift. The ground floor has a central Care Homes for Older People Page 4 of 27 37 0 37 Over 65 0 37 0 Brief description of the care home dining room, and provides two smaller lounge/dining rooms and a separate lounge for service users who wish to smoke. The first floor provides two lounge areas. All bedrooms are single and benefit from en-suite facilities, which include a toilet, wash hand basin and walk-in shower. Bathing facilities on each floor are also provided which are adapted to support the needs of people with impaired mobility. Stoneygate Ashlands has a landscaped area garden, which is accessible to service users, providing areas in which to walk along with Pergolas and outdoor seating. Information is located on site detailing the range of services offered, which includes the Statement of Purpose and Service User Guide. Care Homes for Older People Page 5 of 27 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Health and personal care Daily life and social activities Complaints and protection Environment Staffing Management and administration peterchart Poor Adequate Good Excellent How we did our inspection: This key inspection included a visit to the service. We visited the home on the 28th of September 2008. The inspection took place on a Sunday, the registered manager was not on duty but came in on her day off to facilitate the inspection. The focus of the inspections undertaken by the Commission for Social Care Inspection is upon outcomes for residents and their views of the service provided. The primary method of inspection used was ‘case tracking’ which involved selecting three residents and tracking the care provided through looking at records, discussion, where possible, with them, their relatives and care staff and observation of care practices. We also looked at the providers own assessment of the services they provide, which Care Homes for Older People Page 6 of 27 they sent to us, this is called the Annual Quality Assurance Assessment – or (AQAA).We checked all the standards that the Commission for Social Care Inspection has decided are ‘key’ standards during this inspection. Under some sections, we may have checked additional standards – this will be detailed in the main report. We also sent out five staff surveys which were returned and the information from these was also used to assess this service. What the care home does well: What has improved since the last inspection? What they could do better: If you want to know what action the person responsible for this care home is taking following this report, you can contact them using the details set out on page 4. The report of this inspection is available from our website www.csci.org.uk. You can get printed copies from enquiries@csci.gsi.gov.uk or by telephoning our order line –0870 240 7535. Care Homes for Older People Page 8 of 27 Care Homes for Older People Page 9 of 27 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Older People Page 10 of 27 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them and the support they need. People who stay at the home only for intermediate care, have a clear assessment that includes a plan on what they hope for and want to achieve when they return home. People can decide whether the care home can meet their support and accommodation needs. This is because they, or people close to them, have been able to visit the home and have got full, clear, accurate and up to date information about the home. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between them and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are given the information they need before moving into the home and do not move into the home unless their needs can be met. Evidence: A range of written information is provided to people before they move into the home, this includes the homes Statement of Purpose, a brochure and further information some of which includes information which is in picture format. The company has the facility to translate the information in to other languages should this be required. The brochure includes a charter of residents rights and these state that people will not be discriminated against because of age, gender, sexuality, disability, race or religion. There were no people living at the home with specific culturally diverse needs at the time of this inspection. Care Homes for Older People Page 11 of 27 Evidence: The registered manager said they were in the process of changing their brochure to make it more specific to the particular services provided at St Georges rather than those provided by the wider company. A contract setting out the terms and conditions of residency is provided to people when they move into the home. People have their needs assessed before moving into the home, this is done by the registered manager and a senior care assistant, the assessment ensures that people only move into the home if their needs can be met. The assessment is then used to formulate an individual care plan and provides staff with the information they need about the person moving in. Assessment records also included risk assessments and these are used to minimize risk of harm. A host resident scheme is in place. A person living at the home has taken on responsibility for helping people to settle in when they first move by showing them round and providing information. Care Homes for Older People Page 12 of 27 Health and personal care These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s health, personal and social care needs are met. The home has a plan of care that the person, or someone close to them, has been involved in making. If they take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it, in a safe way. People’s right to privacy is respected and the support they get from staff is given in a way that maintains their dignity. If people are approaching the end of their life, the care home will respect their choices and help them feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Health and personal care needs are met and people are treated with respect and dignity. Evidence: People spoken with said the staff were nice. Staff were seen interacting with residents in a positive and respectful way. One person spoken with explained how staff enabled them to remain as independent as possible but when help was required staff maintained privacy and dignity at all times. People spoken with said they had good access to healthcare services such as GPs and community nurses. Evidence of this was also seen within care records. Risk assessments were also in place for the risk of developing pressure sores and nutritional risk. Care Homes for Older People Page 13 of 27 Evidence: One person spoken with said that the care they received at the home had kept them out of hospital. Care plans seen were comprehensive and addressed all assessed needs. Care plans addressed social and psychological as well as personal support needs and were reviewed at least monthly. People spoken with said the staff managed their medication effectively and efficiently. Medication administration records and storage areas were looked at, these appeared accurate and in good order. Staff responsible for managing medication had received training, supervision and assessment. The management of medication is included within the homes quality assurance audit. Care Homes for Older People Page 14 of 27 Daily life and social activities These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives. They are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. People have nutritious and attractive meals and snacks, at a time and place to suit them. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Routines of daily living are made flexible in order to meet peoples preferences and expectations. Evidence: One person spoken with said I can do exactly what I like all day and can go out when I like. Another person said they preferred to spend their day in their own room but went to the dining room for meals and out for walks in the grounds. One person spoken with had been provided (on request) with a lock for their bedroom door, they chose to lock their bedroom door at night and did not want staff to carry out any night time checks, this was documented within care records and this persons wishes were followed and respected by staff. There is a choice of lounges on the ground and first floor and people said they could choose where to spend their time. There was a range of activities on offer including trips out of the home, one person said you can go out on bus trips to Skegness, Twycross or just for a ride out to a Care Homes for Older People Page 15 of 27 Evidence: garden center or for a pub lunch. One person living at the home organized domino, card and cinema afternoons. It was evident that the staff team gave high priority to providing meaningful activities for people living in the home, examples were seen of innovation in this area. Staff worked hard to find meaningful activities for one person suffering from dementia. People said there were no restrictions on visiting and their visitors were made welcome. A key worker system was in place and one person spoken with said this worked well. Staff spoken with described how this enabled them to give extra time to residents to help them with the things they needed. Residents meeting are regularly held. One person said that staff do listen to them and that menus had been changed as a result of suggestions made at a residents meeting. Menu records were seen, a wholesome and nutritious range of meals was on offer. People spoken with confirmed they had a choice at meal times. Fresh fruit was provided in the lounges and peoples own rooms. The kitchen appeared well stocked and people said they could have a snack or a drink whenever they wanted. Care Homes for Older People Page 16 of 27 Complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them know how to complain. Any concern is looked into and action taken to put things right. The care home safeguards people from abuse and neglect and takes action to follow up any allegations. People’s legal rights are protected, including being able to vote in elections. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People are protected by robust and accessible complaints and safeguarding adults policies and procedures. Evidence: Five staff surveys were returned, all confirmed that a Criminal Records Bureau and references were obtained before they commenced employment. Staff spoken with confirmed they had received safeguarding adult training. Safeguarding adults training is included within staff induction training which all staff undergo as soon as they start working at the home. The registered manager was knowledgeable about safeguarding policies and procedures. A copy of national policy and guidance for safeguarding adults (no secrets) was seen in the main office and care staff had access to this. The companys complaints procedure is provided to all people who move into the home. A copy of all complaints received is maintained. People spoken with said they would feel confident making a complaint to staff or to the registered manager and felt they would be listened to and appropriate action would be taken. Care Homes for Older People Page 17 of 27 Care Homes for Older People Page 18 of 27 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People live in a safe, comfortable and well maintained environment. Evidence: The home is a purpose built care home with all areas being accessible for people with a disability. There are four lounge areas; and one larger dining room. One lounge is designated for those service users who wish to smoke, and is well ventilated. The lounges have a mixture of settees and high back chairs. All communal furnishings are of a good quality and are domestic in character. The premises offer a high quality, attractive environment with a choice of communal areas, (including an accessible outside area) people spoken with felt they had unrestricted access to all areas of the home. Peoples own rooms were personalized with their own possessions and people said they could choose how to decorate their room and that the homes maintenance person attended to any jobs they needed doing. The providers annual quality assurance assessment states that all necessary routine checks and maintenance of equipment have been carried out. Records were seen of fire risk assessments and weekly fire alarm tests. This ensures that people living and Care Homes for Older People Page 19 of 27 Evidence: working at the home are protected form harm. Care Homes for Older People Page 20 of 27 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable to care for them. Their needs are met and they are cared for by staff who get the relevant training and support from their managers. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living at the home are protected by recruitment procedures and are cared for by well trained competent staff. Evidence: One person spoken with said there were always enough staff on duty and that their call bell was always answered within five minutes. Another resident spoken with said the home was sometimes short of staff and at these times they were kept waiting for staff to attend to them. Staff spoken with said that at times they did need more staff to enable them to carry out their jobs and that breakfast time could be particularly busy. There were no separate catering staff at breakfast time. A recommendation was made that staffing levels and staff deployment be reviewed to ensure that staffing levels were sufficient to meet peoples needs. Evidence provided within the annual quality assurance assessment and from discussion with the registered manager confirmed that 85 of care staff had achieved a National Vocational Qualification in care. Care Homes for Older People Page 21 of 27 Evidence: People spoken with said that staff were competent and well trained. Staff spoken with said they had received the training they needed, this included induction training and safeguarding adults training. All staff surveys returned stated that all necessary training was provided. A training matrix which set out all the training staff received was seen and this also confirmed that staff were provided with the training they needed to meet the needs of people living in the home. All staff surveys returned and staff spoken with confirmed that references and Criminal Records Bureau checks were undertaken before people started work at the home. This promotes safety for people living in the home by checking that staff caring for them are fit to do so. Staff recruitment procedures are included within the providers internal quality assurance programme, this enables the provider to check that the standards set in this area to keep people safe are being adhered to. Care Homes for Older People Page 22 of 27 Management and administration These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is led and managed appropriately. People control their own money and choose how they spend it. If they or someone close to them cannot manage their money, it is managed by the care home in their best interests. The environment is safe for people and staff because appropriate health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately with an open approach that makes them feel valued and respected. The people staying at the home are safeguarded because it follows clear financial and accounting procedures, keeps records appropriately and ensures their staff understand the way things should be done. They get the right care because the staff are supervised and supported by their managers. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The service is well run and in the best interest of people living in the home. Evidence: The registered manager had the necessary skills, training and experience to manage the service. People living at the home and staff spoken with praised the registered manager and said she was approachable and her management style was inclusive. Staff and residents meeting were regularly held. People living at the home said the manager listened to them and communicated well. Staff surveys also confirmed that communication was good at the home. A quality assurance programme was in place and this enabled staff to check that people were receiving good quality outcomes and were protected from harm. Care Homes for Older People Page 23 of 27 Evidence: The providers annual quality assurance assessment states that all necessary routine checks and maintenance of equipment have been carried out. Records were seen of fire risk assessments and weekly fire alarm tests. This ensures that people living and working at the home are protected from harm. Procedures for handling residents personal money were robust and minimized the risk of financial abuse. Staff had received the necessary health and safety training to promote safety for people living and working in the home. Care Homes for Older People Page 24 of 27 Are there any outstanding requirements from the last inspection? Yes £ No R Outstanding statutory requirements These are requirements that were set at the previous inspection, but have still not been met. They say what the registered person had to do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 25 of 27 Requirements and recommendations from this inspection: Immediate requirements: These are immediate requirements that were set on the day we visited this care home. The registered person had to meet these within 48 hours. No. Standard Regulation Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set. No. Standard Regulation Requirement Timescale for action Recommendations These recommendations are taken from the best practice described in the National Minimum Standards and the registered person(s) should consider them as a way of improving their service. No. Refer to Standard Good Practice Recommendations 1 27 Staffing levels should be reviewed in order to ensure that staffing levels are sufficient to meet peoples needs. Care Homes for Older People Page 26 of 27 Helpline: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk We want people to be able to access this information. If you would like a summary in a different format or language please contact our helpline or go to our website. Copyright © (2008) Commission for Social Care Inspection (CSCI). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CSCI copyright, with the title and date of publication of the document specified. Care Homes for Older People Page 27 of 27 - 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. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!