Care Home: Ascot Lodge

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What the care home does well This was not assessed on this occasion What the care home could do better: The home should offer different activities to the residents. They should be asked what they would like to take part in to help ensure they enjoy their day and can continue with their chosen interest. Staff must receive training in safe working. For example, moving and handling and food hygiene. This will help to ensure they have the skills and knowledge to work safely. Random inspection report Care homes for older people Name: Address: Ascot Lodge 38 Chambres Road Southport Merseyside PR8 6JQ two star good service 07/12/2007 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: Claire Lee Date: 2 4 0 5 2 0 1 0 Information about the care home Name of care home: Address: Ascot Lodge 38 Chambres Road Southport Merseyside PR8 6JQ 01704538470 Telephone number: Fax number: Email address: Provider web address: elitechunt@talktalk.net Name of registered provider(s): Name of registered manager (if applicable) Veatreey Development Ltd Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 18 Number of places (if applicable): Under 65 Over 65 18 old age, not falling within any other category Conditions of registration: 0 The maximum number of people who can be accommodated is: 18 The registered person may provide the following categories of service only. Care home with nursing - code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP. Date of last inspection Brief description of the care home Ascot Lodge is a Care Home providing nursing care and accommodation for eighteen older residents. Mr Apputhurai Sakathevan is the Registered Individual for the service and the manager is Mrs Tracy Thomas. The home comprises of a large house and it is situated in a residential area of Southport. It is close to local amenities and public Care Homes for Older People Page 2 of 8 Brief description of the care home transport. There are two lounges, one of which can be used as a dining room. There are twelve single bedrooms and eight of these rooms have ensuite facilities. There are two double bedrooms and one is ensuite. Two bathrooms are domestic in style and one bathroom is fitted with a bath hoist to assist residents who are less independent. Residents have a call system with an alarm and a ramp provides wheelchair access to the front door. There is a small enclosed garden and patio at the rear of the premises and car parking space to the front. The weekly fee rate for accommodation is five hundred and ten pounds. Care Homes for Older People Page 3 of 8 What we found: We conducted a site visit to the home on 24th May 2010. The reason for this visit was in light of concerns that have come to our attention. These have been in respect of the overall management of the service. This includes the use of CCTV cameras in the home, the lack of social activities activities and how shifts would be covered, as a number of staff have left. We were also informed that a number of residents have taken up accommodation in other homes. People accommodated at the home like to be called residents. This term is therefore used in this report, as a mark of respect. At the time of our visit we spoke with the nurse in charge and also the new manager, Mrs Tracy Thomas, about the management of the home. Mrs Thomas started her employment on 16th May 2010. We looked at some care, service and staff records and also met with staff and residents to gain their views, as to what it is like to work and stay at the home. We viewed certain areas, as we had been advised that a few of the bedrooms had been affected by damp. We were informed that the CCTV cameras have been disabled and are not in use. We found this to be the case. Following our site visit, the manager informed us that they had been removed. The staffing rota showed us that there were sufficient numbers of staff on duty to provide care and support to the residents. At the time of the site visit, there were six residents with a registered nurse and two care staff on duty. We were told that there are no planned admissions. The number of people accommodated remains very low. The nurse in charge was undertaking kitchen duties and cooking the lunch time meal for the residents. This was in conjunction with her duties as a registered nurse. The nurse was undertaking this work, as the home requires a part time cook for two days a week. A full time cook works the remaining five days a week and has the necessary food hygiene certificate. The nurse currently requires a certificate in food hygiene if she is to continue working in the kitchen, until a replacement cook can be found. This is to help ensure she has the necessary skills and knowledge to handle food safely. We asked to look at Regulation 26 reports. These must be completed by the owner or a person is who not in day to day charge following a formal visit to the home. These visits should include meeting with staff and residents, viewing different areas of the home and looking at number of care, service and staff records. This helps to ensure the home is running efficiently and effectively, so that people are well cared for and the staff are supported. We were only shown reports up to March 2010, however the owner subsequently informed us that he has visited the home and produced a report. These are now being sent to us for our information; this will help us to monitor the service. We discussed the social arrangements in the home. The managed confirmed that this needed to be improved as there does not appear to be any formal programme in place for future events. There was a record of in house entertainment to early May 2010. A member of the care staff was previously helping to sort out the entertainment, however Care Homes for Older People Page 4 of 8 with staffing and resident numbers being reduced this has temporarily stopped. We were advised that DVDs have been purchased for staff training purposes. We discussed their use with the manager who confirmed that they would be used in conjunction with practical demonstrations. The manager has noted that staff now require training in safe working practices, for example, moving and handling. She confirmed that to date there is no formal training plan in respect of this. We saw evidence that one new member of staff had not received moving and handling and another persons certificate had expired. The manager said that she would be arranging fire prevention training for the summer as this was due shortly. We discussed with the manager how the residents care is recorded. When looking at the two care files we found limited information in respect of how the staff were reporting on wound care. The manager agreed that this needed to be improved to help evidence the treatment being given. The manager is in the process of completing care reviews to update the information recorded. We had been advised that two bedrooms were affected by damp. We found that the wallpaper was peeling off the wall in one of bedrooms, however the room is currently not in use. The manager said that the owner is aware and that the room is going to be redecorated once the necessary has been carried out. We spoke with two residents and they confirmed that they were happy with the care they were receiving. 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 Older People Page 5 of 8 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 Older People Page 6 of 8 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 1 38 18 Staff require training in moving and handling and food hygiene. This will help to ensure they have the skills and knowledge to work safely. 07/07/2010 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 12 The home should offer different activities to the residents. They should be asked what they would like to take part in to help ensure they enjoy their day and can continue with their chosen interest. Care Homes for Older People Page 7 of 8 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 Older People 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. 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