Latest Inspection
This is the latest available inspection report for this service, carried out on 20th January 2010. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
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 Ashfield House.
Annual service review
Name of Service: Ashfield House The quality rating for this care home is: The rating was made on: two star good service 0 9 0 3 2 0 0 9 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 We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
Yes You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Judith Roan Date of this annual service review: 1 8 1 2 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: Ashfield Avenue Raunds Northamptonshire NN9 6DX 01933627280 TBC Telephone number: Fax number: Email address: Provider web address:
www.shaw.co.uk Shaw Healthcare (de Montfort) Ltd Name of registered provider(s): Name of registered manager (if applicable) Joan Spicer Conditions of registration: Category(ies) : dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 40 1 0 0 0 40 The maximum number of service users who can be accomodated is: 40 The registered person may provide the following catrgroes of service only: Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories: Old age, not falling into any other category - Code OP Dementia - Code DE Mental disorder, excluding learning disability or dementia - Code MD Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): 0 9 0 3 2 0 0 9 Annual Service Review Page 2 of 6 Brief description of the service Ashfield House is a purpose built residential home opened in September 2008. Registered as a residential home providing personal care for up to forty older people including people with dementia. Accommodation is spread over three floors. All bedrooms are single with en suite facilities, TV and telephone points, within each group there is a large lounge and dining area. There is a passenger lift, which provides people with access to all floors. Ashfield House is situated in the centre of a housing estate on the outskirtsof the town of Raunds. The home is run in partrnership with Northamptonshire County Council and Shaw Healthcare. Fees are agreed as part of the contract with Northamptonshire County Council and are based upon the assessed level of need and includes the cost of accommodation, meals, laundry and personal care. Additional costs include personal items, such as toiletries, clothing, newspapers and private chiropody treatments. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection. This included: The Annual Quality Assurance Assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment tool that focuses on how well outcomes are being met for people using the service. It has also provided us with numerical information about the service. Information we have about how the service has managed any concerns or complaints. What the service has told us about things that have happened in the service; these are called notifications and are a legal requirement. The previous key inspection Relevant information from other organisations. What other people have told us about the service. What has this told us about the service? The home sent us their AQAA when we asked for it. It was clear and detailed giving us all the information we asked for. The homes manager continues to let us know about things that have happened since our last key inspection and this shows that they have managed issues well. The manager states within the AQAA that people using the service and their advocates are consulted in many ways to gain their views about the quality of the service. We hold regular residents meetings at least quarterly relatives meetings. We have comment books in each unit and a suggestion box. At least quarterly we ask residents to fill in our Living in the home questionnaires. I also have an open door policy to all of my residents if they need to speak to me and make a point of the first job of the day to walk around the units and speak to the residents. Equality and dignity is interwoven into all the aspects of the service from direct communication, support plans, activities, dietary requirements and staff approaches. The AQAA states that Our care plans are developed to take into account everyones individuality. We encourage relatives and residents participation and contribution to enable us to promote a persons own beliefs and choices, giving a high quality person centered approach to care. Residents are given information to enable them to make choices regarding attending church services, communion or any chosen religious or cultural belief. Staff training regarding policies, promoting equality and diversity promoting person centred care. Policies are made available for staff to read and sign that they understand. The data provided within the AQAA confirms that of the forty three staff working at the home nineteen hold National Vocational Qualifications (NVQ) in care at level 2 or above with others working towards their Qualification. The registered manager is reflective about the service and states the following when asked what the service does well. We offer a good high quality service with staff that are committed to the residents well being and are continuously monitoring and strive to improve and build on the good service that we already provide Annual Service Review Page 4 of 6 CQC has not received any direct complaints since the last inspection. However in reviewing information there has been an increase of notifications in relation to medication errors and safeguarding. The AQAA confirms that two complaints have been made to the service and investigated but not substantiated. Over the past twelve months there have been nine safeguarding investigations. Two of which have been referred to the CQC and are presently under investigation through the local Social Services Safeguarding Adults Team. There has also been three medication errors which has led to an internal enquiry on each incident within the home. What are we going to do as a result of this annual service review? The next inspection of this service will be based on the Fees and Frequency Regulations 2007 and the assessment of risk of the service. Further clarity will become evident as the new registration and inspection system under the Health and Social Care Act 2008 is confirmed. Our opinion of the service has changed and we may undertake random inspections to look at how outcomes are being met for people who use the service. Annual Service Review Page 5 of 6 Reader Information
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