Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd June 2010. CQC 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.
For extracts, read the latest CQC inspection for 1-6 Ashby Court.
What the care home does well People are encouraged to make choices about their daily lifestyles and individual likes and dislikes are catered for. This includes accommodation which is personalised to meet the needs of the person living in that particular flat. The home has a good system in place to enable people to express their views and makes sure that the home is operating safely. The people we spoke to said that they were happy living at the home and that the staff supported them in the way that they preferred. One person told us, `I love living here, it`s great`. The robust recruitment system makes sure that people who work at the home are suitable to do so. Staff are knowledgeable about the people they support and interact with them in a positive manner. A varied training programme equips staff with the knowledge and skills they require to do their job to a high standard. People feel that they are supported by staff who treat them as individuals and value their opinion. A varied programme of activities and stimulation is provided that caters for peoples individual preference and encourages them to be part of the local community. What the care home could do better: The home continues to operate at a good standard and no requirements or recommendations were made as part of this inspection. Random inspection report
Care homes for adults (18-65 years)
Name: Address: 1-6 Ashby Court 1-6 Ashby Court Spilsby Lincolnshire PE23 5DR two star good service The quality rating for this care home is: The rating was made on: 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 review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Dawn Podmore Date: 0 2 0 6 2 0 1 0 Information about the care home
Name of care home: Address: 1-6 Ashby Court 1-6 Ashby Court Spilsby Lincolnshire PE23 5DR 01790753432 01754811004 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Susan Pidgley Type of registration: Number of places registered: Conditions of registration: Category(ies) : Boulevard Care care home 11 Number of places (if applicable): Under 65 Over 65 0 learning disability Conditions of registration: 11 The maximum number of people that can be accommodated is: 11 The registered person may provide the following category of service only:- Care Home providing personal care only - Code PC To people of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Learning Disability - Code LD Date of last inspection Brief description of the care home Ashby Court is a row of 6 terraced houses, owned by the Boulevard Care Group in which there are four shared houses and two self contained flats. They are located very close to the centre of the small market town of Spilsby and its amenities. Care Homes for Adults (18-65 years) Page 2 of 9 Brief description of the care home The service accommodates and supports people under 65 years old with the primary need of learning disability. The home is aimed towards people who can live semiindependently although at least 2 members of staff are on duty with 1 member of staff sleeping in on the premises and 1 wakeful night security person. The accomodation is decorated and furnished to meet the personal preferences and abilities of the person living there. At the time of this inspection, the fee rates ranged from £421 to £1948 per week, depending on peoples individually assessed needs. Information about the these rates, as well as how the home intends to operate, is available from the managers office. Care Homes for Adults (18-65 years) Page 3 of 9 What we found:
This was an unannounced random inspection which included a visit to the home, this type of inspection is carried out to monitor how the home is operating. The visit lasted three hours. We also took into account information such as the last key inspection report , the outcomes of annual service reviews and records of any incidents that we had been notified of since the last review. We took a partial tour of the building during which we spoke with some residents and staff. We looked at various documentation including, care records, risk assessments and staff training records. We also assessed how people had been consulted about the running of the home and the quality of the service being provided. The manager was available throughout the visit and she told us about any changes which have taken place and if there were any risks to the people living in the home. We spoke to 6 of the 10 people living at the home and with two of the care team. Prior to the visit we also sent out surveys to residents and staff to ask their opinion of how the home was operating, 10 people returned these and their opinions are included in this report. Choice of Home Care records showed that detailed assessments of peoples needs had been carried out prior to them coming to live at the home. The management team said initial assessments took place at company level to determine which home would suit the person concerned. Following consultation with the manager they would then arrange for them to come to see the available flat and meet the other people living there. Ideally people are invited to visit the home for a meal, then have a weekend sleepover to make sure that the facilities are suitable for them and that they will fit in with the other people living there. Individual Needs and Choices The support plan sampled was person centred and contained comprehensive information about the areas of support needed and their individual preferences. Potential risks had been assessed and minimising strategies identified to keep people safe, while allowing them be as independent as possible. Everyone we consulted said that they were encouraged to make their own decisions about their daily lives and routines. Lifestyle Some of the people were waiting to go to the day centre at Orby in the homes minibus. They told us that they did things like arts and crafts, gardening, leisure and educational sessions. Other activities people told us they had done included, outings to the pub, fishing trips, a weekend camping trip, karaoke, a weeks holiday in Wales and barbeques. They said that they were more than happy with the stimulation they received and had full control over what they did and did not take part in. Each house and flat has its own kitchen area. People said that they went shopping with the staff to buy whatever food they needed and then prepared meals themselves, or with assistance from staff if needed. They also told us about a group themed evening that had
Care Homes for Adults (18-65 years) Page 4 of 9 taken place the night before where they had all prepared and eaten a curry. The manager said that these round the world evenings were arranged on a regular basis to introduce people to new types of foods and provide a social evening. Personal and Health Care Peoples medical and health needs were being monitored and they had access to outside agencies, such as doctors and chiropodists, as needed. People were being encouraged to manage their own medications following an assessment of their capabilities. If they cannot manage this, staff have been trained to safely handle and administer medications. Concerns Complaints and Protection The manager said that there had been no complaints over the last year and we had not received any either. People confirmed that they knew how to make a complaint and said that they would feel comfortable highlighting any areas of concern if they arose. Environment The houses and flats we saw were personalised to suit the person who lived there. People told us that they were very happy living at Ashby Court. They commented positively about having their independence while at the same time having staff there to support them if they needed help with anything. One person told us, there is nothing else I need. The other people we spoke to confirmed that that there was nothing else they could think of that they needed. Staffing A new member of staff described how they were recruited, this demonstrated that a robust system had been followed to make sure that staff were suitable to work with vulnerable people. This included obtaining written references and undertaking a criminal record bureau check (CRB) and a formal interview. Records and staff comments confirmed that they had undertaken various training including food hygiene, safeguarding people from abuse, breakaway techniques, physical intervention, risk assessment, infection control, fire safety and the Mental Capacity Act. Out of the seven care staff employed 6 have attained an N.V.Q. (National Vocational Qualification) level 2 and 4 others have completed the NVQ level 3 award. Staff told us that they felt well trained and supported, One person said, I feel that the training I have had has equipped me well to deal with all situations. People told us that they received the support they needed and that staff were available when they required assistance. One person said, they are okay, I have a keyworker who helps me a lot. Another commented, they are all great. Conduct and Management of the Home People said that the home was well managed. When we asked them what the home did well their comments included, care for me and meet my needs, everything, I would not
Care Homes for Adults (18-65 years) Page 5 of 9 want to live anywhere else and we get to do such a lot of things. No one made any negative comments either on the day of the visit or in the returned surveys. Staff also felt that the home was operating to a high standard and that they were well supported to do their jobs. One person told us that that they loved their job. Other people told us that there was good team work and communication system and that the home offered a good standard of support to the people who live there. When asked if anything could be improved no negative comments were made. There is an effective quality assurance system in place to consult people about how the home is operating and check that policies and procedures are being followed. This includes regular questionnaires, meetings and company audits of the building and working practices. What the care home does well: 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 2. Care Homes for Adults (18-65 years) Page 6 of 9 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 7 of 9 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, 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 Care Homes for Adults (18-65 years) Page 8 of 9 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 Email: enquiries@cqc.org.uk Web: www.cqc.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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. Care Homes for Adults (18-65 years) Page 9 of 9 - 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!
