Care Home: Ashlea Care Home

Similar services:

• Hillside
• Applegarth
• 122 Scorer Street
• Jubilee Villa Care Home
• Thornham Grove
• Beech Lodge
• 8 Thorndale Road (Homefield College)
• Hunter`s Lodge

What the care home does well The home is very good at involving people who live there in writing their care plans.Staff help with health visits when needed.People told us they go to the local theatre, cinema, gym and swimming pool. They enjoyed their holidays too.People told us they liked all their meals at the home. They choose what they want to eat and help with the main meal each day.The rooms are clean and well furnished.The staff in the home are friendly and meet each person`s needs well.Family members told us they "consider Ashlea to be very well run" and they were "satisfied with the level of care." What has improved since the last inspection? The care planning has improved and people are more involved in planning and reviewing the support they need. What the care home could do better: They must make sure there are always enough medicines in the house.They should have a lockable cupboard just for medicines so that it is totally safe and secure.They must provide ventilation in the small shower room to make it clean and stop infections.Clothes should not be left soaking and uncovered, but should be washed in the washing machine. Key inspection report Care homes for adults (18-65 years) Name: Address: Ashlea Care Home 1 Kings Road Newark Nottingham NG24 1EW The quality rating for this care home is: two star good service A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Meryl Bailey Date: 0 3 0 9 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Care Homes for Adults (18-65 years) Page 2 of 30 Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983  Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services.  Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 30 Information about the care home Name of care home: Address: Ashlea Care Home 1 Kings Road Newark Nottingham NG24 1EW 01636705206 01636705334 h2048ashlea.1kingsroad@mencap.org.uk www.mencap.org.uk Royal Mencap Society care home 8 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 8 0 learning disability Additional conditions: The home is registered to provide personal care for service users of both sexes whose primary needs fall within the following categories: Learning Disability (LD) (8) The maximum number of service users to be accommodated is 8 Date of last inspection 0 3 0 9 2 0 0 9 Care Homes for Adults (18-65 years) Page 4 of 30 A bit about the care home The home is in the town centre of Newark on Trent, near to shops. People have their own bedroom. They share the dining room and lounge. Care Homes for Adults (18-65 years) Page 5 of 30 There is a ramp at the entrance and a small paved areas behind the house. It costs at least £376 each week. Care Homes for Adults (18-65 years) Page 6 of 30 Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home Care Homes for Adults (18-65 years) Page 7 of 30 How we did our inspection: This is what the inspector did when she was at the care home The inspector talked to the people who live at the home and used Makaton signs with some people. Everyone seemed happy there and one person said I like it here. It is my home. Some people and their families sent survey forms to the inspector before the visit and these helped us to understand what it is like at Ashlea. Care Homes for Adults (18-65 years) Page 8 of 30 The inspector looked at documents that have to be kept. She looked at: Care plans. Staff files. Medicine records. The inspector looked around the home. This was to make sure it was safe and comfortable. What the care home does well The home is very good at involving people who live there in writing their care plans. Care Homes for Adults (18-65 years) Page 9 of 30 Staff help with health visits when needed. People told us they go to the local theatre, cinema, gym and swimming pool. They enjoyed their holidays too. People told us they liked all their meals at the home. They choose what they want to eat and help with the main meal each day. The rooms are clean and well furnished. Care Homes for Adults (18-65 years) Page 10 of 30 The staff in the home are friendly and meet each persons needs well. Family members told us they consider Ashlea to be very well run and they were satisfied with the level of care. What has got better from the last inspection The care planning has improved and people are more involved in planning and reviewing the support they need. Care Homes for Adults (18-65 years) Page 11 of 30 What the care home could do better They must make sure there are always enough medicines in the house. They should have a lockable cupboard just for medicines so that it is totally safe and secure. They must provide ventilation in the small shower room to make it clean and stop infections. Care Homes for Adults (18-65 years) Page 12 of 30 Clothes should not be left soaking and uncovered, but should be washed in the washing machine. If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Meryl Bailey Care Quality Commission East Midlands Region Citygate Gallowgate Newcastle upon Tyne NE1 4PA Tel: 03000 616161 Page 13 of 30 Care Homes for Adults (18-65 years) 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Care Homes for Adults (18-65 years) Page 14 of 30 Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Care Homes for Adults (18-65 years) Page 15 of 30 Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate procedures are in place to fully assess the needs of any person considering moving into the home so that they can be assured the home can meet their needs. Evidence: No new people had moved into the home and there were currently six people living there. The three peoples records we looked at each contained detailed assessments that included information about social histories, support needs and lifestyle preferences. The acting manager described the admission procedure in the Annual Quality Assurance Assessment (AQAA) form and this included visits to the home before people moved in. Care Homes for Adults (18-65 years) Page 16 of 30 Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People know there support needs are clearly set out and they are fully involved in decisions about their lives. Evidence: There were clear person centred plans on the three files we looked at. Photographs were used to aid understanding and the plans were written in the first person so that people living in the home were telling the reader about themselves and what support they needed. There was an emphasis on what people can do, as well as what support needs they had and detailed risk assessments were included. There was also clear evidence that people were involved in reviewing their care and support on a regular basis. Copies of forms showed that each person had been assessed under the Mental Capacity Act. A two stage test had been carried out for health care and finance. In responses to our surveys people answered that they could choose what they did at all times. Care Homes for Adults (18-65 years) Page 17 of 30 Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People enjoy positive lifestyles and independence is promoted. Evidence: All the people that live at the home go to day services for various activities. In the evenings and weekends some of them told us they go to the local theatre, cinema, gym and swimming pool. On the evening of the inspection they were preparing to go out to tea at local pub. They had been on holiday in first week in August this year and told us of their experiences. Four people went to Corton near Lowestoft and two went to Bournemouth. There was evidence in the daily notes in individual files of support given to maintain relationships with families. People told us they liked all their meals at the home. There were rotas for helping with household tasks and this included one person choosing and assisting with the main meal Care Homes for Adults (18-65 years) Page 18 of 30 Evidence: each day. If anyone didnt like the choice then they could choose something different. There were photographs of meals to help people choose and recipe books including specific books for diabetics. One person told us of their special needs in relation to food and said that staff always helped with this. Care Homes for Adults (18-65 years) Page 19 of 30 Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Excellent arrangements are made for peoples personal and health care needs to be met, but arrangements for storage and administration of medicines do not guarantee peoples safety. Evidence: We looked in detail at the care planning and found that social and health care was well planned to clarify what support people required. People had given their views and staff recorded what was important to them. There were clear records of health support and treatment. Also, information was prepared for any possible admissions to hospital. Using a priority traffic light system and pictures nurses could be informed of needs, likes and preferences. We found all medication was kept in a cupboard with other items. The acting manager told us that they were trying to obtain a new dedicated cupboard for medicines. There were records of medicines administered and these gave us confirmation that most people did not have medicines on two days earlier that week. The acting manager explained to us that a delivery was not received from the pharmacist prior to the Bank Holiday. However, advice was sought and arrangements were made for an emergency supply for one person via another pharmacist. Care Homes for Adults (18-65 years) Page 20 of 30 Care Homes for Adults (18-65 years) Page 21 of 30 Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Arrangements are in place to investigate and respond to any complaints and people are safeguarded from abuse. Evidence: People told us that they know how to make a complaint and we saw the complaints procedure that clearly shows who to speak to, with added photographs. The Annual Quality Assurance Assessment form reported no complaints had been received during the last six months. The Commission have also had no calls or letters expressing any concern about the service. Staffing records showed us that staff had all been recruited following procedures that included thorough checks to safeguard people and staff had been trained in Safeguarding Adults. Arrangements for looking after peoples money were clear in individual financial plans. Some people had more control over money than others according to wishes and abilities. Each person was assessed under the Mental Capacity Act in this respect. We heard staff discussing with people how much money would be needed for the evening. All transactions were recorded and checked. Care Homes for Adults (18-65 years) Page 22 of 30 Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience adequate quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The premises are appropriate and homely for the people living there, but infection control is not fully promoted. Evidence: Facilities are on two floors and there is no lift. People who currently have upper floor bedrooms can manage stairs without assistance. One person had a ground floor bedroom and there was also one vacant room on the ground floor. The shower room on the upper floor had no ventilation and mould growth was appearing on the tiles and ceiling. Two other bathing facilities were more spacious, ventilated and clean. We looked at a sample of bedrooms and these were individual with appropriate furniture. One person said I like my bedroom. I chose my furniture. The lounge and dining room were well furnished. Another person told us they had chosen things in the lounge and said, I like it here. It is my home. The small laundry was situated down a few steps and some clothes were soaking in a bucket with no lid and this practice does not promote infection control. However, all other areas were kept clean and fresh. Care Homes for Adults (18-65 years) Page 23 of 30 Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate and competent staff are provided to meet peoples support needs. Evidence: There were ten staff altogether. At least two staff were on duty at all times when people were at home. Morning staff started at 7.30 am and evening staff left at 9.30 pm. One staff slept in overnight. People living at the home told us they always had enough staff to support them when needed and they knew the staff well especially their individual key workers. We looked at the staffing records of two of the staff and found clear evidence of references and checks made before people started work at the home. There was an induction programme for new staff and staff told us that they felt well supported and had the training they needed. There were records of supervision every 6 to 8 weeks. We also saw records of training in assessment and care planning, risk assessment and person centred working. We observed the staff interacting with people in a positive manner and respecting individual choices. All nine support workers had achieved at least Level 2 in the National Vocational Qualification in Care. Care Homes for Adults (18-65 years) Page 24 of 30 Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Appropriate management arrangements ensure the home is run in the interests of people living there. Evidence: The registered manager was temporarily unavailable due to duties at another registered home. There were appropriate management arrangements in place for the Deputy Manager to be supported by another experienced manager employed by Mencap. Both were present during this inspection for discussion and feedback. People living at the service told us they knew the manager was not available, but would be returning to them at the beginning of November 2009. We received the Annual Quality Assurance Assessment (AQAA) form before we visited. This gave us clear information about the running of the home. Regular house meetings were held to discuss such things as outings, holidays, furnishings, home issues, purchases and decoration of their home. Mencap carry out surveys using satisfaction questionnaires with relatives and people living in the home. There were also reports of monthly monitoring visits completed by senior managers. Care Homes for Adults (18-65 years) Page 25 of 30 Evidence: People gave positive responses on the survey forms returned to us and comments from relatives included the following: We are more than satisfied. My sister and I consider Ashlea to be very well run and have nothing but admiration for the staff. We are completely satisfied with the level of care. The AQAA form gave us information about safety checks and servicing of equipment. All dates were within legal requirements. Staff had been trained in Fire safety and other safe working practices. Care Homes for Adults (18-65 years) Page 26 of 30 Are there any outstanding requirements from the last inspection? Yes  No  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 27 of 30 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 Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description Timescale for action 1 20 13 There must be clear procedures and staff must adhere to them, to ensure medicines are available in advance. 30/11/2009 This is so that people always receive their medicines as prescribed by a doctor. 2 27 13 Provide ventilation in the 30/11/2009 small shower room on the first floor and remove mould growth. This is to protect people from infection. 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 Adults (18-65 years) Page 28 of 30 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 2 20 30 Provide a dedicated lockable cupboard for medicines to avoid contamination and promote security. Soiled clothes should not be left soaking and uncovered, but should be washed appropriately. Care Homes for Adults (18-65 years) Page 29 of 30 Helpline: Telephone: 03000 616161 or 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. Copyright © (2009) Care Quality Commission (CQC). This publication may be reproduced in whole or in part, free of charge, in any format or medium provided that it is not used for commercial gain. This consent is subject to the material being reproduced accurately and on proviso that it is not used in a derogatory manner or misleading context. The material should be acknowledged as CQC copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 30 of 30 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!