Latest Inspection
This is the latest available inspection report for this service, carried out on 29th September 2009. CQC found this care home to be providing an Good service.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Ashley Manor Nursing Home.
What the care home does well Medicines are routinely checked by the manager and action is taken to help prevent mistakes happening again. What the care home could do better: Records of medicines received and carried forward must be clearly made so that all medicines can be fully accounted for. Random inspection report
Care homes for older people
Name: Address: Ashley Manor Nursing Home 17 - 19 Cambridge Road Waterloo Liverpool Merseyside L22 1RR two star good service 08/05/2009 The quality rating for this care home is: The rating was made on: A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection. This is a report of a random inspection of this care home. A random inspection is a short, focussed review of the service. Details of how to get other inspection reports for this care home, including the last key inspection report, can be found on the last page of this report. Lead inspector: Simon Hill Date: 2 9 0 9 2 0 0 9 Information about the care home
Name of care home: Address: Ashley Manor Nursing Home 17 - 19 Cambridge Road Waterloo Liverpool Merseyside L22 1RR 01519282249 01519200094 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) A.C.G. Management Limited Type of registration: Number of places registered: Conditions of registration: Category(ies) : care home 75 Number of places (if applicable): Under 65 Over 65 45 30 dementia old age, not falling within any other category Conditions of registration: 0 0 The registered person may provide the following categories of service only. Care home with Nursing - code N, to people of the following gender:- Either. Whose primary care needs on admission to the home are within the following categories: - Old age not falling within any other category - Code OP, (maximum number of places: 30) Dementia over 65 years of age - Code DE (E) (maximum number of places: 45) The maximum number of people who can be accommodated is: 75 Date of last inspection 0 8 0 5 2 0 0 9 Care Homes for Older People Page 2 of 8 Brief description of the care home Ashley Manor is a large care home situated in Waterloo. The home overlooks a public park and there is access to local transport. Ashley Manor provides accommodation for up to 75 older people and is divided in to 3 categories of care. This includes 30 places for residents with general nursing care needs, 33 places for residents who have dementia and nursing care needs and 12 places for people who have dementia and require personal support. The home is divided into 3 separate areas thus enabling residents to have their own recreational areas and bathroom facilities. There are 55 single and 10 double bedrooms, some of which are ensuite. The home is equipped with a call system with an alarm for the residents and the home has manual handling equipment to assist those who are less independent. There is car parking space to the front and patio areas and gardens. Ramp access is available. CCTV cameras operate in main entrance areas for security purposes only. The fee rate for accommodation is from 428 pounds to 565 pounds a week. Care Homes for Older People Page 3 of 8 What we found:
We carried out this visit to make sure medicines were being handled safely because previous visits had found some shortfalls. The visit was carried out by a pharmacist inspector and it lasted six hours. We checked medicines records, medicines stock and spoke with three staff. Overall we found continued improvements and mistakes that were made were usually found by the manager and appropriate action was being taken to help prevent them happening again. Our checks showed that medicines that needed to be given before food were now being given at the right time. The medicines round had been better organised and the records showed people were being given their medicines at the best time for them. We checked a sample of medicines records and stock and found they were correct showing medicines had been given and recorded correctly. We found some discrepancies that could have been due to stock not being carried forward or received correctly so we gave some advice to the manager about how to improve the general stock control and auditing of the medicines. We found some good general improvements in the records of medicines given to people in that most were signed and up to date. We gave some general advice about how to improve the recording of medicines that are not given, for example, when people refuse them, this is important so they can be fully accounted for. We checked a sample of liquid medicines and raised concerns about the way one of these was being measured because the current stock level did not add up showing it had been measured and given incorrectly, the manager took immediate action to obtain the proper measuring equipment to help prevent any further mistakes. We checked the medicines store room and found it to be tidy and better organised. A suitable fridge was used for storage and a secure controlled drugs (medicines that can be misused) cupboard was used for storage. A controlled drug register was used for recording and all the entries we checked were correctly wintessed. Secure storage and good record keeping help prevent medicines being misused or mishandled. We looked at a sample of care plans and records to check if medicines were properly reflected in them. We found some good information about how when required medicines should be given and highlighted some that needed more information, particularly for medicines that are used for agitation and anxiety. Having clear, up to date information about medicines helps make sure they are given to people correctly. We saw some examples of medicines being regularly checked by the manager and these had helped make some of the improvements in the general handling and stock control of medicines. Appropriate action had been taken against staff that had failed to follow the correct procedures and the manager said further assessments of staff competence and medicines handing training were planned. We gave some advice about how to develop the recorded audits (checks) to help make further improvements in the medicines records and care plans. Regular auditing, staff training and competency checks help make sure medicines are handled safely and help make sure staff have the necessary skills. What the care home does well:
Care Homes for Older People Page 4 of 8 Medicines are routinely checked by the manager and action is taken to help prevent mistakes happening again. What they could do better: 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 2. Care Homes for Older People Page 5 of 8 Are there any outstanding requirements from the last inspection? Yes £ No R 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, Regulations 2001 and the National Minimum Standards.
No. Standard Regulation Requirement Timescale for action Care Homes for Older People Page 6 of 8 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 Requirement Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set.
No. Standard Regulation Requirement Timescale for action 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 9 Records of medicines received and carried forward must be clearly made so that all medicines can be fully accounted for. Care Homes for Older People Page 7 of 8 Reader Information
Document Purpose: Author: Audience: Further copies from: Inspection Report Care Quality Commission General Public 0870 240 7535 (telephone order line) Our duty to regulate social care services is set out in the Care Standards Act 2000. Copies of the National Minimum Standards –Care Homes for Older People can be found at www.dh.gov.uk or got 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 Helpline: Telephone: 03000 616161 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 Older People Page 8 of 8 - 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!
