Care Home: Ashley House Residential Home

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What the care home does well The service achieves good outcomes for its service users in most key areas covered by the National Minimum Standards. In particular, health and personal care, staffing, plus management and administration are all rated as being good. Comments received from service users, visitors and relatives have been consistently positive and complimentary about their experience of Ashley House. What has improved since the last inspection? Since the last inspection, the porch roof has had a substantial repair, new carpeting has been laid throughout the ground floor communal areas, and the rear garden has been significantly improved, making it both visually attractive and accessible for service users. The dining room has been attractively redecorated and a new conservatory has been fitted. New rollers have been fitted to the vertical lift. The manager is carrying out comprehensive, monthly medicine audits. A motivational facilitator is being employed to work with service users to develop suitable programmes of social and recreational activities. CARE HOMES FOR OLDER PEOPLE Ashley House Residential Home Thornley Road Deaf Hill Trimdon Station Durham TS29 6DA Lead Inspector Stephen Ellis Key Unannounced Inspection 31st July 2008 09:30 X10015.doc Version 1.40 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 Ashley House Residential Home DS0000034013.V369416.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 Older People. 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. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashley House Residential Home Address Thornley Road Deaf Hill Trimdon Station Durham TS29 6DA 01429 881225 01429 883769 ashleyhousereshome@yahoo.co.uk 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) Mr Matt Matharu Mrs Jean Kennedy Vacant Care Home 25 Category(ies) of Dementia (25), Old age, not falling within any registration, with number other category (25), Physical disability (5) of places Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 5 persons in the category of PD Physical Disability 55 years or above may be accommodated within the overall total of 25. 27th September 2007 Date of last inspection Brief Description of the Service: Ashley House provides residential care services for up to 25 older persons in the categories: Dementia (25); Old age, not falling within any other category (25); and Physical disability (5). Mr Matt Matharu and Mrs Jean Kennedy own the home. It is located in the small village of Deaf Hill: a large two-storey building with a passenger lift to the first-floor. The home has a pleasant garden area to the rear, which can be accessed by service users from the homes conservatory. There are 19 single bedrooms, including one with en suite facilities, plus 3 double bedrooms. These are all spacious rooms. The fees vary between £390.50 and £411.00 per week, and include all accommodation, meals and personal care. Hairdressing, toiletries, newspapers and chiropody are not included in the fee. The actual amount people pay will depend on their individual circumstances. Ashley House Residential Home DS0000034013.V369416.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 stars. This means the people who use this service experience good quality outcomes. This unannounced fieldwork visit to Ashley House took place over 5 hours on 31st July 2008 as part of the statutory inspection of the service. Information received prior to the fieldwork visit was used in preparation and during the visit. The visit to the home included a tour of the building, a meal with service users, examination of some of the documents and records that the home is required to keep, and discussions with service users, staff and visitors to the home. Comments were received during the visit and from surveys that we carried out before the visit. In total, there were comments received from 8 service users, one relative, 6 staff, the registered manager, plus one visiting healthcare professional. What the service does well: What has improved since the last inspection? What they could do better: Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 6 The premises are generally maintained to a satisfactory standard, but with some notable exceptions that need to be attended to promptly. In particular, unblocking of the external drain into which the Laundry washing machine discharges; rerouting of this discharge into the foul sewer drain; provision of a guttering down-pipe to the side of the building; refitting/replacement of cupboards/cupboard doors and work benches as appropriate in the Laundry, Kitchen and Medicine Room; cleaning, tidying and organising of the Laundry so that it is a clean and safe place to use; provision of safe thermometers in bedrooms and the medicines room (due to high temperatures in some that need to be monitored) and completion of the walk-in, level entry shower as a useful addition to the home’s bathing facilities. A couple of bedrooms would also benefit from having suitable locks fitted. Provision of a dedicated activities organizer is desirable, as is a camera for taking photographs of service users so that every service user has a recent photograph to identify him or her (in care plans and in medicines records). The systems for quality assurance would be enhanced by the home carrying out formal surveys and publishing the results within the home once a year. Also, the registered providers must ensure that reports of their monthly visits to the home (under regulation 26 of the care homes regulations) are completed, signed and dated and available for inspection. 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. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, and 3. People who use the service experience good quality outcomes in this area. Prospective residents and their representatives have the information needed to choose a home that will meet their needs. They have their needs assessed and a contract which tells them much about the service they will receive. Intermediate care is not provided. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Comments received from residents, one relative and staff, plus visiting health care professional, confirmed that full assessments of needs were carried out prior to admission to the home. Most residents felt there was enough information from which to make a choice about being admitted, although many had delegated this responsibility to others such as relatives and/or social workers. Comprehensive statements of purpose and service user guides are Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 9 supplied routinely. These are informative documents and copies are available in Reception. The terms and conditions of residence are also provided and the home has agreed contracts with the commissioning authorities (Adult Social Services Departments). The home is aware that it needs to keep its statement of terms and conditions of residence fully harmonised with its commissioning contracts and its statement of purpose and service user’s guide. The home is keeping these documents under review. The home’s reception area is next to the manager’s office on the ground floor and a variety of useful information is displayed, including the service user’s guide, statement of purpose, and previous inspection reports. Service user plans of care revealed comprehensive, detailed assessments of need being carried out prior to admission, with regular evaluations and reviews of care needs and care plans at appropriate intervals following admission. These assessments showed that the home only admitted people whose assessed needs it could meet. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. People who use the service experience good quality outcomes in this area. The health and personal care, which a resident receives, is based on their individual needs. The principles of respect, dignity and privacy are put into practice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Residents, one relative and a visiting healthcare professional felt that the health and social care needs of service users were well known by staff and were being fully met. Care plans confirmed that health and social care assessments and treatments/interventions were being carried out, with input from staff, local doctors, community nurses and social workers. Residents said that the community nurse or doctor would see them whenever required and they were very satisfied with the quality of service they received. Residents’ personal, social and health care needs were well known, understood and Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 11 respected by the staff team. Residents said that they felt they were treated with respect and sensitivity. Typical comments included: “The staff are lovely.” “The District Nurse visits me every other day.” “I always receive the medical support I need.” Care plans and risk assessments were detailed and comprehensive about service users’ health and social care needs, providing clear guidance to staff. They were subject to regular review and evaluation, involving service users, relatives and social workers where appropriate. Staff training, such as National Vocational Qualifications (NVQ) level 2 or above, includes the important issues of privacy and dignity and a high percentage of permanent care staff (75 ) have achieved NVQ in care. There are good arrangements for the safe administration of medicines. All care staff members responsible for the administration of medicine have completed Safe Handling of Medicines courses. There is good support from a local Pharmacist who supplies medication in Monitored Dosage form (in blister packs with the medication clearly identified for the individual resident). There are adequate storage systems and care staff check all medication when it is received into the home. Medication is kept securely in lockable cabinets and trolleys. However, some of the storage facilities are worn and in need of renewal, and the temperature of the room is high and needs to be monitored to ensure it does not exceed 25 Celsius. Residents may attend to their own medication (there are, for example, lockable drawers in bedrooms) but in practice most prefer to delegate this responsibility to staff. Unwanted medicines are returned promptly to the Pharmacist and the home is careful not to stockpile large quantities. The manager carries out monthly medicine audits routinely. It is good that in many cases a photograph of the service user is kept next to their Medicine Administration Record, along with their name, date of birth and room number, to aid identification. However, this facility should be extended to every service user. Provision of a camera to photograph each service user, so that there is a recent photograph of every service user for medicine records and care plans, is strongly recommended. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. People who use the service experience good quality outcomes in this area. Residents are able to choose their lifestyle, social activity and keep in contact with family and friends. Social, cultural and recreational activities meet residents’ expectations. Residents receive a healthy, varied diet according to their assessed requirement and choice. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents spoken with said they enjoyed living at Ashley House and described the staff as being caring and helpful, and the atmosphere in the home as being friendly and supportive. They were free to sit in any lounge, dining area, or in their own bedroom. All were satisfied with the arrangements for daily life in the home. Residents confirmed they could exercise choice in their daily lives, including how they spent their time, when they got up and went to bed, and what clothes they wore. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 13 There were different activities in which to participate if they wished, including bingo; music and movement; birthday parties; occasional outings; seasonal events; visiting entertainer (about 6 or 8 times per year); raffles; bean bags and skittles; pamper sessions (e.g. nail care); videos and DVDs; plus reminiscence and visiting hairdresser. Care staff members take a lead in leading social events and activities, as time permits. This is why it would be desirable to have a dedicated activities coordinator. Residents pursue individual interests if they wish, such as computers, going for walks, visiting shops, reading or television, often with support from staff or relatives. Most residents have a television in their own rooms, as well as access to sets in the lounges. The manager said she would like to dedicate more time to social and recreational activities and is considering various ways of achieving this goal, including the use of a motivational facilitator, whose input was very well received by residents on the day of inspection. People’s religious needs were being addressed to their satisfaction. Residents said that visitors were always made welcome and could call at any reasonable time. Some residents went out with relatives or friends for part of the day. All the residents spoken to said the catering was very good. There was a wide choice and the Cook understood their preferences, including special diets. Residents mainly dined together in the dining room. They could, however, eat their meals elsewhere and at different times if required. Records are kept of meals served, available for inspection. The Cook confirmed the varied, appetising menu, much of it homemade. Residents’ birthdays were always celebrated, usually with a cake and special buffet tea, and these were well appreciated by all concerned. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 18. People who use the service experience good quality outcomes in this area. Residents have access to a robust, effective complaints procedure and are protected from abuse. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: All residents and relatives said that they were confident about approaching staff and management about any concerns or complaints they might have. They described the staff and management as being very approachable, helpful and friendly. A written complaints procedure is provided in the statement of purpose and service user’s guide. The home invites comments, compliments and suggestions, plus complaints, which it records along with any necessary action taken to investigate and address issues. Staff and management are aware of the need to safeguard adults from abuse or neglect and most have undergone training in these issues. Staff members are aware of the home’s ‘whistle blowing’ policy, which encourages staff to speak out about any suspected abuse or neglect. As one member of staff said: “I would not hesitate to go to my manager, who is very approachable.” Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 15 All staff members have had enhanced Criminal Records Bureau (CRB) checks and Protection of Vulnerable Adults (POVA) checks, as required by law. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. This is to ensure that unsuitable people are not employed to care for vulnerable adults. Staff confirmed that new staff members go through comprehensive induction and foundation training, so that they have the right knowledge and skills to do their jobs competently. Records examined in 3 personnel files supported these conclusions. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 16 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19, 25 and 26. People who use the service experience adequate quality outcomes in this area. The physical design and layout of the home enables residents to live in a largely safe, well-maintained and comfortable environment, which encourages independence. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: Since the last inspection, the porch roof has had a substantial repair, new carpeting has been laid throughout the ground floor communal areas, and the rear garden has been significantly improved, making it both visually attractive and accessible for service users. The dining room has been attractively redecorated and a new conservatory has been fitted. The vertical lift has had new rollers fitted. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 17 The premises are generally maintained to a satisfactory standard, but with some notable exceptions that need to be attended to promptly. In particular, unblocking of the external drain into which the Laundry washing machine discharges; rerouting of this discharge into the foul sewer drain; provision of a guttering down-pipe to the side of the building; refitting/replacement of cupboards/cupboard doors and work benches as appropriate in the Laundry, Kitchen and Medicine Room; cleaning, tidying and organising of the Laundry so that it is a clean and safe place to use; provision of safe thermometers in bedrooms and the medicines room (due to high temperatures in many that need to be monitored, despite the provision of cooling fans in some bedrooms) and completion of the walk-in, level entry shower as a useful addition to the home’s bathing facilities. Several bedrooms would also benefit from having suitable locks fitted. Most care staff members have completed training in Health and Safety, Infection Control and Food Hygiene. Paper towels and liquid soap were provided in toilets and bathrooms in wall-mounted containers, to promote hygienic practices (although residents have personal flannels and towels in their rooms). Residents said that they were pleased with the premises, finding them comfortable and homely as well as practical. They also described the home as being clean. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 18 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. People who use the service experience good quality outcomes in this area. Staff in the home are trained, skilled and in sufficient numbers to fulfil the aims of the home and meet the changing needs of residents. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: On the day of inspection, there were 15 residents being accommodated. Typically, there are 3 care staff members on duty during the early part of the day until 2 pm, one of whom is either a senior care assistant or supervisor (day shifts run from 8 am to 8 pm). In the second half of the day, 2 care staff members are deployed, with one of these being senior. At night, there are 2 members of care staff on duty (again, one will be a senior). There are sufficient ancillary staff members, including 2 full time cooks. The full time manager works weekdays. Her hours are not included in the care hours available. It is desirable for a part time, dedicated activities coordinator to be recruited to replace the one that left earlier this year. A full staff training and development programme is in operation, including moving and handling, first aid, safe handling of medicines, safeguarding adults, positive dementia, health and safety, infection control and food Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 19 hygiene. Staff confirmed that they had undergone extensive induction and foundation training. More than 75 of care staff members have completed training and assessment for National Vocational Qualifications (NVQ) in Care at NVQ level 2 or 3, which is commendable. Pre-employment checks are carried out on staff, including enhanced checks with the Criminal Record Bureau and Protection of Vulnerable Adult checks. Also, two references are obtained in respect of each new employee, with special attention given to the last employment. New staff members go through induction and foundation training to ensure they have the right knowledge and skills to do their jobs competently. Most care staff members have completed Protection of Vulnerable Adults training. Residents reported a caring, supportive atmosphere in the home, which is well established. There is good leadership and teamwork evident, as confirmed by the visiting healthcare professional and direct observation. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 20 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 33, 35, 36 and 38. People who use the service experience good quality outcomes in this area. The management and administration of the home is based on openness and respect, has largely effective quality assurance systems developed by an experienced and competent manager. We have made this judgment using a range of evidence, including a visit to this service. EVIDENCE: The new manager, Mrs Sylvia McLeod, is experienced and competent in her role, although not yet registered. She has applied for registration with the Commission for Social Care Inspection and is awaiting an interview. Residents, visitors and staff spoke well of her leadership skills and commitment to good outcomes for residents. She was described as being approachable and caring. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 21 She has been working towards the Registered Manager’s Award (RMA) at National Vocational Qualifications (NVQ) level 4 and has already achieved NVQ level 4 in health and social care. She hopes to complete her RMA qualification during 2009. Good accounting procedures are followed, with receipts and signatures being obtained for all financial transactions involving residents’ personal monies, in which the home is involved, wherever practicable. Relatives look after the personal monies of some residents. In those situations where the home helps look after residents’ monies, such as personal allowances, clear individual records are maintained. Comments received from staff and management confirmed that there are clear health and safety policies and procedures that promote the health, safety and welfare of residents and staff. All staff members do refresher training in health and safety, such as moving and handling and fire safety. This helps reinforce the registered provider’s written policies on Health and Safety. Written risk assessments are completed where appropriate, concerning issues such as use of bedrails and moving and handling, to guide staff in safe practice. Health and Safety issues are also discussed at regular staff meetings and in staff supervision sessions. However, some health and safety issues need further attention, including the high temperatures of the medicines room and some bedrooms, plus the condition of the Laundry and arrangements for the discharge of wastewater from the Laundry. Residents and staff expressed satisfaction with the way the home was run. The manager invites comments and suggestions from service users and visitors. These systems for quality assurance would be enhanced by the home carrying out formal surveys and publishing the results within the home once a year. Also, the registered providers need to ensure that reports of their monthly visits to the home (under regulation 26 of the care homes regulations) are completed and available for inspection. Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 22 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 3 3 3 X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 3 9 3 10 3 11 x DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X 2 2 STAFFING Standard No Score 27 3 28 3 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 3 2 X 3 3 X 2 Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 23 Are there any outstanding requirements from the last inspection? No 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. 2. Standard OP26 OP26 Regulation 23 (2) 23 (2) Requirement The external drain into which the Laundry washing machine discharges must be unblocked. The discharge from the Laundry washing machine and sink must be directed into the foul sewer drain. A guttering down-pipe to the side of the building must be provided, or the guttering repaired, so that rainwater from the roof runs into suitable drains, rather than down the side of the building. Cupboards/cupboard doors and workbenches must be replaced or refitted, as appropriate, in the Laundry, Kitchen and Medicine Room, where they are badly worn, broken or ill fitting. The Laundry must be cleaned, tidied and organised, so that it is a clean and safe place to use. Safe thermometers must be provided in bedrooms and the medicines room, due to the high temperatures in many of these rooms that need to be monitored. DS0000034013.V369416.R01.S.doc Timescale for action 30/09/08 31/10/08 3. OP19 23 (2) 31/10/08 4. OP19 23 (2) 31/10/08 5. 6. OP26 OP25 23 (2) 23 (2), 12 (1), 13 (2) 30/09/08 31/08/08 Ashley House Residential Home Version 5.2 Page 24 7. OP33 26 (4) (5) The registered providers must ensure that reports of their monthly visits to the home (under regulation 26 of the care homes regulations) are completed, signed and dated, and made available to the manager, business partners and CSCI for inspection. 30/09/08 RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1. Refer to Standard OP21 Good Practice Recommendations Completion of the walk-in, level entry shower is highly desirable as a useful addition to the home’s bathing facilities, thereby helping to promote choice and independence. Provision of a camera for taking photographs of service users so that every service user has a recent photograph to identify him or her (in care plans and in medicines records) is strongly recommended. Provision of a dedicated activities coordinator is desirable. The systems for quality assurance would be enhanced by the home carrying out formal surveys and publishing the results within the home once a year. Several bedrooms would benefit from having suitable locks fitted. 2. OP9 3. 4. 5. OP12 OP33 OP24 Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 25 Commission for Social Care Inspection North Eastern Region St Nicholas Building St Nicholas Street Newcastle Upon Tyne NE1 1NB 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 Ashley House Residential Home DS0000034013.V369416.R01.S.doc Version 5.2 Page 26 - 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. 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