Latest Inspection
This is the latest available inspection report for this service, carried out on 26th August 2009. it is an annual review prepared by CQC after examining previous reports and information from the provider. At the time of this report, CQC judged the service to be Good.
The inspector made no statutory requirements on the home as a result of this inspection
and there were no outstanding actions from the previous inspection report.
For extracts, read the latest CQC inspection for Ashmore House.
Annual service review
Name of Service: Ashmore House The quality rating for this care home is: The rating was made on: two star good service A quality rating is our assessment of how well a care home, agency or scheme is meeting the needs of the people who use it. We give a quality rating following a full review of the service. We call this review a ‘key’ inspection We do an annual service review when there has been no key inspection of the service in the last 12 months. It does not involve a visit to the service but is a summary of new information given to us, or collected by us, since the last key inspection or annual service review.
Has this annual service review changed our opinion of the service?
No You should read the last key inspection report for this service to get a full picture of how well outcomes for the people using the service are being met. The date by which we will do a key inspection: Name of inspector: Eamonn Kelly Date of this annual service review: 2 2 0 7 2 0 0 9 Annual Service Review Page 1 of 6 Information about the service
Address of service: 99 Carlton Hill Herne Bay Kent CT6 8HR 01227365420 Telephone number: Fax number: Email address: Provider web address:
ashmorehouse_carehome@hotmail.com www.ashmorehousecarehome.co.uk Mr Baboo Ramchurn,Mrs Gowree Ramchurn Name of registered provider(s): Conditions of registration: Category(ies) : old age, not falling within any other category Conditions of registration: Number of places (if applicable): Under 65 Over 65 0 9 The maximum number of service users to be accommodated is 9. The registered person may provide the following category/ies of service only: Care home only - (PC) to service users 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 - (OP). Have there been any changes in the ownership, management or the No service’s registration details in the last 12 months? If yes, what have they been: Date of last key inspection: Date of last annual service review (if applicable): Brief description of the service Ashmore House provides residential accommodation for up to 9 older people. Bedroom accommodation is on the ground and first floors with access to the first floor via stairs and stair lift. Five bedrooms are single and two are shared. The premises are about 5 minutes walk to the seaside and local amenities. Information about fees and other possible charges may be obtained from the owners.
Annual Service Review Page 2 of 6 The residents guide, a copy of which may be obtained also from the owners, contains information about services and facilities. Annual Service Review Page 3 of 6 Service update since the last key inspection or annual service review:
What did we do for this annual service review? The Commission looked at the information received or requested since the last key inspection. This included: 1. The annual quality assurance assessment (AQAA) sent to the Commission by the manager. This is a self-assessment that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. 2. Information about how the service has managed any complaints. 3. What the service told the Commission about things that have happened in the service (these are called notifications and are a legal requirement). 4. The previous key inspection and 5. Relevant information from other organisations. What has this told us about the service? The Commission acknowledges receipt of an AQAA that was helpful in this exercise of assessing the level of support provided to residents and in preparing this annual service review. The providers have identified barriers to improving their service to residents. These were outlined as 1. Low funding fees from local authorities. 2. Shortage of residents (empty rooms not generating enough income). 3. Empty beds in locality due to increase in domiciliary care and government encouraging the elderly community to stay in their own home even though some could not manage well as they are frail and vulnerable. 4. Increase in wage costs. 5. Increase in maintenance cost ( gutters and roof repairs, electrical and other). 6. Due to shortage of residents the management has spent heavily on marketing, adverts etc. The AQAA stated that the providers have tried to reduce the impact of such barriers by: 1. Advertising in the council directories, yellow pages, community care guide, updating website, producing brochures, business card and advertising leaflet. 2. Owners covering some shifts for holidays/sickness. 3. Reducing food wastage and producing home grown vegetables 4. Obtaining free training for staff. The AQAA ststed that although training is cost effective the providers are trying to send staff for relevant training and educate and support them to meet residents support requirements. Value for money is said to be measured by Though we are not receiving enough income, we are still running the business smoothly. And also providing good quality services such as giving choices of food and balanced and nutritious diet. Providing games and indoor activities, garden picnic and visits by hairdresser, chiropodist, local church and reflexology, Reiki massage and healing. We also provide outdoor activities depending on the abilities of the residents Annual Service Review Page 4 of 6 as the provider has acquired seven seater car to accommodate residents wishing to go out and depending on the weather. Maintaining staff training needs and supervision. Well maintaining environment such as cleaning of the home and well kept garden, servicing and maintenance of appliances. Plans being put into action are, for example: 1. Computer generated care plans. 2. New medication trolley. 3. Attending course in healthy eating for older people. 4. Maintaining the property in good condition. The providers have changed the gutters and part of the roof, replaced all beds and upgraded the call bell system. A new radiator and cover was installed in a residents room. 5. Maintaining staff training. For example, staff have completed NVQ level 2 . A member of staff was promoted to senior carer. The service is still awaiting funding for NVQ level 3 in Health and Social Care. New staff enrolled for NVQ level 2 training. The owners have completed NCFE course on Equality and Diversity and dementia awareness. 6. The issues that require good management for the benefit of staff and residents are being reviewed and addressed. The AQAA outlined how care plan documentation encourages the recording of diverse needs. Every resident has an agreed person centred individual care plan to enable care and support to be in tune with individual need. These are used to inform staff of residents changing health and social care needs and to enable this support to be given. The service has, the AQAA claims, a clear policy on equality and diversity and supports residents who have varying abilities and disabilities. The AQAA contained a declaration that all premises safety checks have been carried out and that all associated safety certificates are in place. The AQAA stated that no complaints were received in the last twelve months. Copies of all relevant policies and procedures are said to be maintained by the service and these are available to members of staff. What are we going to do as a result of this annual service review? The most recent full inspection was carried out on 16 July 2008. We are not going to change our inspection plan schedule for the service and will do a key inspection by July 2010. However an inspection could be carried out at any time if circumstances required this for the safety and well being of residents. Annual Service Review Page 5 of 6 Reader Information
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