Latest Inspection
This is the latest available inspection report for this service, carried out on 2nd November 2009. 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 Ashgale House.
Annual service review
Name of Service: Ashgale House The quality rating for this care home is: The rating was made on: two star good service 0 3 1 1 2 0 0 8 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?
No 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: Julie Schofield Date of this annual service review: 2 2 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: 39-41 Hindes Road Harrow Middlesex HA1 1SQ 02088638356 02088638491 ashgalehouse@aol.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability Conditions of registration: Mr Aslam Dahya Number of places (if applicable): Under 65 Over 65 14 0 The maximum number of service users who can be accommodated is: 14 The registered person 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 to the home are within the following categories: Learning disability - Code LD Have there been any changes in the ownership, management or the Yes service’s registration details in the last 12 months? If yes, what have they been: Yes. The registered manager has resigned. Ms Julie Elliott has been appointed as the new manager and has told us that she will be applying to be registered by the CQC. 0 3 1 1 2 0 0 8 Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Ashgale House is near to central Harrow. There are shops and buses close by. The home is registered to provide personal care to 14 residents with learning disabilities. Each resident has their own room. There are 2 units in the home and each unit has its own lounge and kitchen with dining room. Residents who have difficulty walking or who use a wheelchair live on the ground floor. There is a garden for residents to use and
Annual Service Review Page 2 of 7 visitors to the home are able to park at the front of the house. The Registered Provider is Allied Care Ltd and the Responsible Individual is Mr Aslam Dahya. Please contact the home to find out how much the fees are. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? At the last key inspection on the 3rd November 2008, the home achieved a quality rating of 2 Stars. This means that the people who use this service experience good quality outcomes. We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any 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 and the results of any other visits that we have made to the service in the last 12 months. Information we have about how the service has met any statutory requirements identified during 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 annual quality assurance assessment (AQAA) when we asked for it. It was completed in August 2009. It was clear and gave us all the information we asked for. We looked at the information in the AQAA and our judgement is that the home is still providing a good service. They tell us that one of the strengths of the service is that in addition to using the completion of the AQAA as an opportunity to reflect on the kind of service they provide to residents the company has its own Quality Assurance team, which has visited the home 3 times since the last key inspection, on an unannounced basis. This ensures quality and consistency within homes owned by the company and ensures that Ashgale House meets the standards set down by the CQC. They tell us that during the last 12 months they have improved the service provided by collating all the working documents and compiled these as evidence of meeting standards. They have resolved all the non-conformances identified by the Quality Assurance team, following their audits. They also tell us that the staff team are very well motivated with clear roles and responsibilities within the home. Annual Service Review Page 4 of 7 They say that they know what further improvements they need to make and have focused on endeavouring to have in house auditing systems as part of their internal quality assurance systems. They also intend to redecorate the entire house. We received 7 completed survey forms from members of staff working in the care home. They told us that they are always given up to date information about the needs of the people they support. When asked about whether their induction covered everything they needed to know to do the job when they started they ticked either very well or mostly. Since then their training has been relevant to their role, helps them to understand and meet the individual needs of people, keeps them up to date with new ways of working and gives them enough knowledge about health care. Six of the seven members of staff agreed that it also gave them enough knowledge about medication. It is recommended that during supervision, a discussion takes place with each member of staff in relation to any training needs in respect of medication. We asked members of staff whether their manger gives them enough support and meets with them to discuss how they are working. Five persons ticked regularly, 1 person ticked sometimes and 1 person ticked never. It is recommended that the manager reviews the regularity of supervision sessions and makes adjustments to the programme, if necessary. Most of the staff agreed that there are usually or always enough staff on duty to meet the individual needs of all the people using the service and the majority of staff ticked that they always felt they had enough support, experience and knowledge to meet the different needs of the residents living in the home. We asked them what the home does well and they told us that at the moment we are full and that means we are doing well, updates care plans, well trained staff, good communications and good service for residents, good communication and good team work. We received 5 completed survey forms from residents currently living in the home. They had all been completed with the assistance of someone working in the home. They told us that they were asked if they wanted to move into Ashgale House and that they received enough information about the home before they moved in so that they could decide if it was the right place for them. When we asked if they made decisions about what they did each day 2 residents ticked always, 2 residents ticked usually and 1 resident ticked sometimes. Three residents told us that they could do what they wanted to do during the day, in the evening and at the weekend. One resident told us that they could do what they wanted to do at the weekend. When asked if the home was fresh and clean 4 residents told us always and 1 resident told us usually. They said that the care staff and managers treat them well and 3 residents told us that care staff and managers always listen and act on what they say and 1 resident said they did this sometimes. We asked them what the home does well and they told us its a very good home and they look after me well, I can rest and do what I want and I like the staff and I like going on holiday. During the previous key inspection the service achieved a judgement of good in the key outcome areas of Health and Personal Care, Safeguarding and Management. We contacted the home on the 22nd September 2009 and spoke with the manager about the statutory requirements made during the key inspection of the home in November 2008, to review progress made towards compliance. Eight statutory requirements had been made. These were in respect of the need to replace a worn carpet, to test the fire alarm system on a weekly basis and to record this, to review odour control measures in
Annual Service Review Page 5 of 7 the home, to hold regular individual supervision sessions and to record these, to request a copy of the minutes of review meetings if the local authority has not forwarded these within 6 weeks of the meeting being held and to include some minor repairs and redecoration in the maintenance programme. The remaining requirement was that savings held at Head Office on behalf of residents be transferred to residents individual bank accounts at the same time that arrangements are made for the collection of residents contributions to their care home fees. She said that compliance with each statutory requirements had been achieved although there were still some delays in the collection of residents contributions to their fees. It is recommended that there is a system of collecting these on a monthly basis. Compliance will be verified during the next key inspection. The home recorded in the AQAA that it has received 3 complaints since the last key inspection. They tell us that these were all investigated and and responded to within the 28 day deadline and that none of the complaints were upheld. No complaints have been made directly to the CQC about the home. When we asked members of staff if they knew what to do if someone has concerns about the home 6 of the 7 people completing a survey form ticked yes. It is recommended that the complaints procedure is discussed during the next staff meeting. We asked residents if they knew how to make a complaint and 2 of the 5 residents ticked no. It is recommended that key workers discuss this with residents so that all the residents in the home are aware of their right to complain and know how to do this. The home continues to let us know about things that have happened since our last key inspection and they have shown us that they have managed issues well. They have made 1 safe guarding alert to the local authority since the previous key inspection and an investigation was carried out. Residents were asked if they knew who to speak to if they were unhappy and they agreed that they did. The service works well with us and have shown us that their service continues to provide good outcomes for the people who use it. What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by the 2nd of November 2011. However, we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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