Care Home: Ashglen House

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What the care home does well Residents are encouraged, enabled and supported to make decisions about their lives. They are involved and regularly consulted on many aspects of daily living, including menu planning and activities. It is evident that residents at the home benefit from having a competent and experienced manager and a dedicated staff team, who are clearly committed to providing a consistent and high quality level of care. Staff work closely with residents and have developed a sound understanding of their individual care and support needs. What has improved since the last inspection? The Statement of Purpose has been reviewed and amended, as required, since the previous inspection to incorporate the organisational structure of the home and details regarding the facilities and services currently provided. Information not relevant to Ashglen House has been removed. Residents` individual care plans and risk assessments have also been reviewed and updated. A secure medicine cabinet has been provided in the Home and a review of medication procedures has been undertaken. Pre-printed medication administration records, obtained from the supplying pharmacy, have been implemented. As recommended, training for all staff has been reviewed, the training matrix has been updated and individual induction programmes are now recorded in greater detail. A full and comprehensive review of the Home`s recruitment policy and procedure has been undertaken. The current staff application form has been amended to contain the facility for the self-disclosure of any police cautions in addition to convictions. The form also now contains a full employment history and a reference from the most recent employer. References from family members are no longer used as one of the two references required. Guards have been fitted to all radiators, assessed as causing a potential risk to residents. Following risk assessments, window restrictors have been fitted, as necessary, to all first floor windows. What the care home could do better: The largely generic Service User Guide must be reviewed and amended to form a more service specific document, (relating only to Ashglen House) incorporating details of fees, individual facilities provided and updated contact details of CSCI, with regard to the home`s complaints procedure. A duty rota of persons working in the care home must be developed and implemented, to show which staff are on duty at any time and their designation.It is important that the premises be kept in a good state of repair externally and internally, including small damp patches in some bedrooms. All parts of the care home must also be kept clean, hygienic and reasonably decorated. Formal contracts should be signed by the individual resident, a relative or representative, to confirm their understanding and agreement with any conditions of residency. CARE HOME ADULTS 18-65 Ashglen House Market Street Hailsham East Sussex BN27 2AG Lead Inspector Nigel Thompson Unannounced Inspection 7th February 2008 09:00 Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Adults 18-65. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashglen House Address Market Street Hailsham East Sussex BN27 2AG 01323 845813 Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) ashglenhouse@tiscali.co.uk Ashglen House Limited Maria de-Lourdes Hutchins Care Home 10 Category(ies) of Mental disorder, excluding learning disability or registration, with number dementia (10) of places Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. The maximum number of service users to be accommodated is ten (10). That service users are aged between eighteen (18) and sixty-five (65) years on admission. Only service users with a mental disorder, excluding learning disability, or dementia are to be admitted. 26th February 2007 Date of last inspection Brief Description of the Service: Ashglen House provides a service for up to ten adults with or recovering from a mental illness. Residents are provided with opportunities for personal, emotional and social development and are supported towards improving their living skills. The home, owned by Allied Care Limited, is located in a quiet residential street, two minutes walk from the town centre of Hailsham, within easy reach of the usual town amenities and public transport. All residents are accommodated in single rooms, three of which contain ensuite facilities. The accommodation is arranged over two floors. There is no passenger lift. Communal space provided includes a lounge, dining area, quiet room and a garden. There is limited off road parking to the front of the property. The home has an organisational structure, which includes a manager, deputy manager and support workers, operating a roster, which gives 24-hour cover. Staff also undertake catering and domestic duties. There is a designated handyman/driver. Information about the service, including the Statement of Purpose, Service User’s Guide and CSCI reports is made available to prospective residents or their relatives, on request, as part of the admission process. The current range of fees, as of 7th February 2008, is from £411 - £900 per week. Additional charges are made for personal items, such as toiletries, chiropody, hairdressing, transport and holidays. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. The quality rating for this service is 2 star. This means the people who use this service experience good quality outcomes. This key unannounced inspection took place over six and a half hours in February 2008. It found that all of the key National Minimum Standards that were assessed had been met or partially met and the overall quality of care provided was satisfactory. The purpose of this inspection was to assess compliance with the requirements of the previous inspection and to generally monitor care practices at the home. On the day of the inspection there were ten residents living at the home. Residents observed and spoken with during the inspection expressed satisfaction with the home, the staff and the service provided. The inspection process involved a tour of the premises, observation of working practices, examination of records and documentation and discussion with five residents, three members of staff and the registered manager. The focus of the inspection was on the quality of life for people who live at the home. What the service does well: Residents are encouraged, enabled and supported to make decisions about their lives. They are involved and regularly consulted on many aspects of daily living, including menu planning and activities. It is evident that residents at the home benefit from having a competent and experienced manager and a dedicated staff team, who are clearly committed to providing a consistent and high quality level of care. Staff work closely with residents and have developed a sound understanding of their individual care and support needs. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 6 What has improved since the last inspection? What they could do better: The largely generic Service User Guide must be reviewed and amended to form a more service specific document, (relating only to Ashglen House) incorporating details of fees, individual facilities provided and updated contact details of CSCI, with regard to the home’s complaints procedure. A duty rota of persons working in the care home must be developed and implemented, to show which staff are on duty at any time and their designation. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 7 It is important that the premises be kept in a good state of repair externally and internally, including small damp patches in some bedrooms. All parts of the care home must also be kept clean, hygienic and reasonably decorated. Formal contracts should be signed by the individual resident, a relative or representative, to confirm their understanding and agreement with any conditions of residency. Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. The summary of this inspection report can be made available in other formats on request. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3, 4 & 5 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The thorough admission policy and procedure ensures that residents are admitted only on the basis of a full needs assessment, undertaken by people competent to do so. Prospective residents know that the home is able to meet their individual care and support needs. EVIDENCE: Comprehensive information relating to the home is made available to all prospective residents. Relevant documentation including the Statement of Purpose has evidently been reviewed and amended, as required, since the previous inspection and was found to be generally satisfactory. However, following discussion with the manager, it is required that the largely generic Service User Guide be reviewed and amended to form a more service specific document, incorporating details of fees, individual facilities provided and updated contact details of CSCI, with regard to the home’s complaints procedure. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 10 Following a referral to the home, the manager will visit the prospective resident and carry out a full pre-admission assessment, including any personal and emotional care and support needs, mobility issues, social and cultural needs and family involvement. It was noted that there has been one resident admitted to Ashglen House since the previous inspection. As well as establishing whether an individual’s care and support needs can be met within the home, the manager also stressed the importance of ensuring compatibility with existing residents. Therefore, in addition to the written assessment and as part of the admission process, prospective residents are invited to visit the home to look around and meet with existing residents and staff. They may also have the opportunity for an overnight stop or a weekend stay, before moving in. The manager confirmed that all new residents undergo a three month period at the home, during which time their suitability and compatibility are fully assessed and it is established whether their identified care and support needs are able to be met. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6, 7 & 9 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents’ care plans enable staff to meet assessed needs in a structured and consistent manner and individual plans, including risk assessments reflect changing support needs. Systems for consultation and participation remain effective and residents are treated with respect and encouraged and enabled to make decisions about their day-to-day living. EVIDENCE: Residents’ individual care plans continue to be generated from comprehensive needs assessment and have evidently been improved since the previous inspection. The manager confirmed that regular consultation, including residents’ meetings, takes place. Residents spoken with during the inspection confirmed Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 12 that they have the opportunity to be involved in the development and review of their individual care plan. An annual ‘Enhanced CPA Review’ is evidently undertaken in respect of each resident. The record of the review is routinely signed by the resident themselves, as well as their care manager and manager of the home, as evidence of their involvement in the process and understanding and agreement of any decisions taken or action proposed. Independence and individuality continues to be encouraged and promoted within the home and is reflected in the personalising of residents’ rooms, the choice of bedclothes and colour schemes and individual preferences for occupational and leisure activities. Staff, spoken with during the inspection, confirmed that residents are encouraged, enabled and supported to make decisions regarding many aspects of their daily living, including menu planning, what clothes they wear and how they spend their day. The manager emphasised the importance of staff developing close and consistent working relationships with individual residents. Effective interaction and consultation, including regular residents’ meetings, takes place constantly throughout the home. This was evident through discussion with residents and from direct observation of people being supported in a professional, sensitive and respectful manner. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14, 15, 16 & 17 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents are enabled and supported to maintain contact with family and friends as they wish and effective links with the community enrich their social and educational opportunities. Residents benefit from appropriate recreational and leisure activities and menus that are balanced and nutritious, reflecting their individual likes and preferences. EVIDENCE: The recreational and leisure interests of service resident are identified and recorded in their individual care plan and they continue to be supported to access activities and facilities, reflecting their individual needs, preferences and abilities. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 14 A weekly activities programme, including various day services and workshops, has been developed and implemented for each resident. Community participation remains a focus in the home and service users are evidently enabled and supported to visit the cinema, theatre, shops and other local amenities. Menus examined were found to be varied and balanced and are evidently based on residents’ identified likes and preferences. An alternative to the main meal is always available. The manager confirmed that, where appropriate, family links are encouraged and supported, however individual contact with relatives remains variable. Visiting to the home is largely unrestricted and residents’ relatives and friends are made welcome at any reasonable time. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 & 20 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Staff have developed close and positive relationships with residents and demonstrate an awareness and sound understanding of their individual care and support needs. Residents are protected by improved, clear and comprehensive policies and procedures in place for the control and safe administration of medication. EVIDENCE: In accordance with their personal care plan, residents are fully supported and enabled, as far as practicable, to exercise control over their lives and maintain maximum levels of independence and individuality. Documentary evidence was in place to demonstrate that the health and emotional care needs of residents continue to be met within the home. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 16 All residents are registered with local GPs and have access to other health care professionals, including district nurses, physiotherapists and dentists, as required. It was noted, in care plans that were examined, that all appointments with, or visits by, health care professionals are recorded. Policies and procedures relating to the control, storage, administration and recording of medication are in place and have evidently been reviewed and improved, as required, since the previous inspection. All staff responsible for administering medication have received training and are individually assessed and authorised to do so. This was supported through discussions with staff and evidenced by training records examined. The manager confirmed that, following risk assessments, one resident currently self-administers their own medication. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 22 & 23 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The home’s complaints procedure ensures that residents, staff and visitors feel able to express any concerns, confident that they will be listened to and acted upon. Residents are protected, through updated policies and procedures relating to abuse and safeguarding vulnerable adults. EVIDENCE: A clear, simple and concise complaints procedure has been developed. All complaints are recorded and include actions taken and outcomes achieved. However, as discussed with the manager, the procedure should be reviewed and amended to include updated contact details for the CSCI. Close working relationships, effective and ongoing communication and consultation and regular residents’ meetings provide adequate opportunities for any concerns to be raised and discussed, before they become complaints. Residents and members of staff, spoken with during the inspection, confirmed that they would have no hesitation in speaking to the manager or making a complaint if necessary and each person was confident that they would be listened to: Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 18 ‘She (the manager) always makes time for you. She is very approachable and is always ready to listen’. It was noted that there have been no concerns or complaints recorded by the home since the last inspection. The home has produced detailed policies and procedures, relating to adult protection and abuse, including a whistle blowing policy. These documents have evidently been drawn up in accordance with the multi agency guidelines for the protection of vulnerable adults (Safeguarding adults). The manager confirmed that all care staff have undertaken appropriate training regarding abuse awareness and adult protection procedures. This was supported through discussions with members of staff during the inspection and evidenced through individual training records. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 26, 28 & 30 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. The service is accessible, safe and clean and remains clearly suitable for it’s stated purpose. Residents benefit from pleasant accommodation that is comfortable, generally well maintained and decorated to a reasonable standard. EVIDENCE: During my ‘guided tour’ of the premises it was evident that the reasonably well-maintained décor and adequate furniture and furnishings continue to provide a safe and reasonably comfortable environment for residents. However, as discussed with the manager, identified areas of damp on some internal walls are to be addressed as a priority. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 20 The manager confirmed that independence and individuality continue to be promoted within the home and this is evident from the personalising of residents’ rooms, reflecting individual preference and interests. Since the previous inspection, as required, radiators throughout the Home have been fitted with covers and all first floor windows now have opening restrictors in place. It was noted that infection control policies and procedures are in place and generally adhered to. Residents and their key workers are evidently responsible for keeping bedrooms clean and tidy, however on the day of the inspection, levels of cleanliness and hygiene in certain areas of the home, including some bedrooms, were found to be less than satisfactory Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 32, 33, 34, 35 & 36 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents benefit from there always being sufficient trained and competent staff on duty to meet their assessed needs. Robust staff recruitment policies, procedures and documentation help to ensure the protection of residents. EVIDENCE: Through discussion with the manager, care staff and service users, it is evident that sufficient staff are employed to meet the current assessed support needs of residents and to ensure consistency and continuity of care. The manager confirmed that staffing levels are closely monitored and are directly linked to the residents’ identified levels of dependency. Although not available for examination, the manager confirmed that a duty rota has been developed and implemented to detail the staff on duty at any given time and their designation. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 22 Appropriate core skills training is provided, including first aid, moving and handling, food hygiene and fire safety. This was confirmed through discussions with staff and evidenced by training records examined: ‘There is always plenty of opportunity for training here’. Formal and structured staff supervision is provided on a regular basis and is appropriately recorded. The manager is clearly aware of the need for thorough and robust recruitment procedures, to ensure the protection of residents. Individual files that were examined, relating to recently appointed members of staff, were found to be well maintained, containing all relevant and necessary information, including two satisfactory references, proof of identity and satisfactory Criminal Record Bureau (CRB) and Protection of Vulnerable Adults (POVA) disclosures. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. Service users’ rights and best interests are safeguarded by the home’s record keeping policies and procedures. The health, safety and welfare of service users are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 39 & 42 Quality in this outcome area is good. This judgement has been made using available evidence, including a visit to this service. Residents benefit from a competent management structure. They are protected by satisfactory health and safety procedures and their best interests are safeguarded by effective quality monitoring systems. EVIDENCE: The experienced manager has been in her present post since September 2006 and is clearly confident and competent to run a Care Home. She has achieved a range of relevant qualifications, including The Registered Manager’s Award (RMA) and the Advanced Management in Care (AMC). She is also an NVQ Assessor. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 24 From observation and discussions with residents and staff, it is evident that there is an open and inclusive atmosphere within the Home and the manager is held in high regard. Staff clearly feel valued and supported by her: ‘Things have calmed down a lot since she has been here. Everyone seems happier and much more relaxed’. ‘She is a very good manager, very approachable and very supportive’. ‘She always has time for you and is always ready to listen’. A quality monitoring system is in place. The manager explained that questionnaires are sent to residents, their relatives and relevant health and social care professionals at the time of residents’ reviews and on an annual basis. Regular visits to the home by the provider are undertaken and recorded. The manager confirmed that the health, safety and welfare of residents and staff remain of paramount importance within the home. She added that training is provided in many aspects of safe working practices, including moving and handling; food hygiene; fire safety and first aid. COSHH assessments and guidelines are in place. Regular fire drills are undertaken and recorded. Temperature regulators are fitted to all hot water outlets, accessible to service users. All accidents, incidents and injuries are recorded and reported, as required. Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 2 3 3 3 4 3 5 2 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 3 27 X 28 3 29 X 30 2 STAFFING Standard No Score 31 X 32 3 33 2 34 3 35 3 36 3 CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 X 3 X LIFESTYLES Standard No Score 11 X 12 3 13 3 14 3 15 3 16 3 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 x 3 X 3 X X 3 X Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 26 Are there any outstanding requirements from the last inspection? Yes STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. 1. Standard YA1 Regulation 5 Requirement It is required that the registered person shall produce a written guide to the home which shall include…a description of the standard services offered…the terms and conditions of…accommodation; details of the total fee payable…paying for any services additional to those mentioned… In that, information and named homes not relevant to Ashglen House must be removed from the service users’ guide. The document must contain information about Ashglen House only. Residents’ tenancy agreements must include the amount of fees, who pays them and detail regarding any additional services to be paid for. (Previous timescale of 30/03/07 not met.) 2. YA24 23 (2) (b) & (d) It is required that the premises be kept in a good state of repair DS0000068134.V357795.R01.S.doc Timescale for action 30/03/08 30/06/08 Ashglen House Version 5.2 Page 27 3. YA30 23 (2) (b) & (d) 4. YA33 17(2) externally and internally and all parts of the care home are kept clean and reasonably decorated. It is required that the premises be kept in a good state of repair externally and internally and all parts of the care home are kept clean and reasonably decorated. It is required that the registered person shall maintain in the care home the records specified in Schedule 4: A copy of the duty roster of persons working at the care home, and a record of whether the roster was actually worked. In that: The written roster must ensure that all staff employed are recorded with their full names and allocated duties on shift, including the identification of senior staff. (Previous timescale of 30/03/07 not met.) 30/06/08 30/03/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. Refer to Standard Good Practice Recommendations Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 28 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT National Enquiry Line: Telephone: 0845 015 0120 or 0191 233 3323 Textphone: 0845 015 2255 or 0191 233 3588 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Ashglen House DS0000068134.V357795.R01.S.doc Version 5.2 Page 29 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. 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