Care Home: Ash House Residential Home

What the care home does well People living at Ash House receive a good service. The provider, manager, and staff have ensured they have improved practices in order tomeet previous requirement. People living at Ash House are safer as a result. People can express their concerns. The complaints procedure is easy to access and robust. Staff understand how to look out for people who may be at risk of harm or abuse, and they understand what action they must take to help protect people. There are good staff practices, policies and procedures, training, and compliance with complaint and safeguarding systems. As an outcome the service is able to safeguard people and protect their rights. What the care home could do better: We have not issued any requirements or recommendations referring to people`s safety and rights. To better improve existing practices we suggested the manager could revisit Safeguarding and whistle-blowing procedures to help build staff confidence. The manager agreed to this and to make sure all staff complete accident records fully. This will help make sure safeguarding practices continue to be robust to help keep people safe. Random inspection report Care homes for older people Name: Address: Ash House Residential Home Ash House Lane Dore Sheffield South Yorkshire S17 3ET one star adequate service 08/06/2009 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: Sue Stephens Date: 1 9 0 4 2 0 1 0 Information about the care home Name of care home: Address: Ash House Residential Home Ash House Lane Dore Sheffield South Yorkshire S17 3ET 01142621914 01142356107 jeanwalker2009@live.co.uk None Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Ash House (Yorkshire) Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 40 Number of places (if applicable): Under 65 Over 65 15 15 25 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: 0 0 0 The 15 DE/E / MD/E beds are in a separate wing. Date of last inspection Brief description of the care home Ash House is a home that provides care for 40 people (over the age of 65) of which there are 15 beds for people with dementia and 25 personal care beds. The home is situated in the Dore area of the city. The detached building is in its own grounds, which Care Homes for Older People Page 2 of 10 0 9 1 2 2 0 0 9 Brief description of the care home were very pleasant and well maintained. There was an outside sitting area that was easily accessible and overlooked the grounds. Local amenities were a short drive away, providing a range of shops, pubs and a picnic area close by. All but two of the rooms are single and people were able to bring their own possessions into the home with them. There were pleasant communal areas for people to sit and a large separate dining room. A copy of the previous inspection report was on display and available for anyone visiting or using the home. Information about how to raise any issues of concern or make a complaint was on display in the entrance hall. The manager confirmed that the range of fees from April 2010 were £341.00 to £383.00 per week. Additional charges included newspapers, hairdressing and private chiropody. Care Homes for Older People Page 3 of 10 What we found: We carried this inspection out as a Random Inspection. This means we visit the service and look at chosen areas concerned with the health, safety, and wellbeing of people who use the service. We will only change a star rating following a key inspection. Therefore, the rating for this service will stay the same following this random inspection. This inspection complies with our regulatory processes. The Care Quality Commission will conduct a further review under our new registration procedures before October 2010. The service had its last key inspection on 08 June 2009, and we gave them a 1 Star, adequate, rating. We did a random inspection on 25 January 2010 to check the homes progress and improvements. Before we visited the service we looked at any information we had received since the services last inspection. This included, The services AQAA (Annual Quality Assurance Assessment). This is information the service is required to provide us with about how well they are delivering care. The services previous report, and any information from other stakeholders, such as the local authority, relatives and staff, and any surveys we received. Notifications. These are notices of information a service must give us about any incidents that happen which may affect peoples wellbeing. Any safeguarding, concerns and complaints information. During the visit we spoke to people who live at Ash House, staff, the acting manager, Martha Boney and the provider Mr M Zahur. We observed some care practices and looked at some records and documents. For the purpose of this random inspection we looked at how the home manages concerns, complaints and protection. (National Minimum Standards 16 and 18) This included, How well people can express their concerns. Access to a robust complaints procedure. How the service protects people from abuse. And how the service protects peoples rights. Care Homes for Older People Page 4 of 10 We also looked at requirements and recommendations we made to the service on our last inspection. This included, Improving dignity practices, informing the commission about any allegations of misconduct, staff training, and recruitment procedures. We spoke to four people who live at Ash House. They told us their care was good, they feel safe and well protected, and they can raise concerns and complaints if they need to. People made positive comments, which included, They (staff) look after us well Yes, I feel safe hereThey (staff) are my friends; Yes, they treat you well here I have no complaints We were unable to speak to relatives, however, we observed some care practices and noticed a very good rapport between people and staff. Staff were patient and supportive in helping people to mobolise, staff encouraged people to participate in activities, and we noticed people looked well presented, alert and comfortable. We noticed the home looked clean and it had a pleasant fresh smell. We commend the manager and staff for this difficult achievement. We spoke to two members of staff. And we spoke to them in detail about their understanding of protecting people from harm, and protecting peoples rights. They understood what to look out for to identify if someone could be at risk of abuse, and they knew the right action to take to help people keep safe. They had less confidence about understanding how Mental Capacity and Deprivation of Liberty can affect the people they care for. However, we saw evidence that the manager was aware of this and had researched information and set up training in order to address this. Staff understood how to whistle blow if they felt people were at risk, and action was not taken. However, we discussed with the manager that this would be a good area to revisit in order to improve further staff confidence and understanding. We saw evidence that staff had good access to training such as food hygiene and infection control. It was evident the manager and staff had worked hard at improving their skills and knowledge by updating on a variety of training areas. The manager confirmed all staff had done safeguarding training in order to recognise if some one could be at risk of harm or abuse. However, we suggest this would also be a good area to revisit in order to maintain staffs understanding and confidence in the Care Homes for Older People Page 5 of 10 actions they need to take. This helps make sure people are well protected from harm and poor practices. Peoples positive feedback, improved training, and observation of caring and attentive staff, shows that Ash House is proactive in making sure they help protect the people they care for. The manager said they had received no complaints, and had no safeguarding referrals since last inspection. Ash House carried out a satisfaction survey in February 2010. We looked at a sample of these. The surveys said people, and their relatives, were very satisfied with the service and care. Comments included: Everyone is caring and friendly Staff really care They (staff) are happy and helpful to residents and families Excellent good quality meals It has improved recently How to make complaints - I can read these in Dads room. We concluded by, talking to people, looking at records, and checking the environment that the service has now met all its previous requirements. This included a much improved recruitment system, training and positive attitudes toward protecting peoples dignity. We checked a sample of accident records in 2010. We found in the main staff had recorded these well. However, we noticed a small number of accident records were incomplete, failing to identify what action staff took to ensure peoples safety. For example, whether they sought medical help, or put monitoring in place to check the persons welfare. We informed the manager about this, and she agreed to inform staff and improve the practice straight away. What the care home does well: People living at Ash House receive a good service. The provider, manager, and staff have ensured they have improved practices in order to Care Homes for Older People Page 6 of 10 meet previous requirement. People living at Ash House are safer as a result. People can express their concerns. The complaints procedure is easy to access and robust. Staff understand how to look out for people who may be at risk of harm or abuse, and they understand what action they must take to help protect people. There are good staff practices, policies and procedures, training, and compliance with complaint and safeguarding systems. As an outcome the service is able to safeguard people and protect their rights. 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 7 of 10 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 8 of 10 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 Older People Page 9 of 10 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. 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