Care Home: Ashmount Residential and Nursing Home

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What the care home does well The care plans were informative and advised staff what the strengths and abilities of the individual are as well as what they need to do support individual needs. Where individuals wished to be self caring or carry out an activity, we saw that there were risk assessments to lessen any identified problems. We saw that medication administration, storage and management was carried out safely. What the care home could do better: There are no requirements for action following this visit. The challenge is for the home to embed changes and develop the service. Random inspection report Care homes for older people Name: Address: Ashmount Residential and Nursing Home 10 Southey Road Worthing West Sussex BN11 3HT one star adequate service 14/09/2009 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: Val Sevier Date: 0 1 1 0 2 0 1 0 Information about the care home Name of care home: Address: Ashmount Residential and Nursing Home 10 Southey Road Worthing West Sussex BN11 3HT 01903528500 01903528502 ashmount@guildcare.org www.guildcare.org Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Mrs Patricia Hall Type of registration: Number of places registered: Conditions of registration: Category(ies) : Guild Care care home 50 Number of places (if applicable): Under 65 Over 65 50 old age, not falling within any other category Conditions of registration: 0 The maximum number of service users who can be accommodated is: 50 The registered person may provide the following category/ies of service only: Care home with nursing - N 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 Date of last inspection Brief description of the care home Ashmount is registered to provide personal and nursing care for up to fifty people aged 65yrs and over. It is a large detached property situated in a residential area of the seaside town of Care Homes for Older People Page 2 of 8 1 8 0 1 2 0 1 0 Brief description of the care home Worthing. The sea front and shopping areas are a short walk away. There is a private car park at the front of the home and a garden at the back. Accommodation is provided on 3 floors. A passenger lift allows access to all floors. Large communal sitting and dining areas are available on the ground floor. Fees are between #259 and #460 per week. Care Homes for Older People Page 3 of 8 What we found: he purpose of the inspection was to assess how well the home is doing in meeting the key National Minimum Standards and Regulations. The visit was carried out on the 1st June 2010 between the hours of 10:30 and 1:00 pm. Prior to the visit to the home we reviewed, previous inspection reports and information received from the home since it was last visited in September 2009 and January 2010. We met with the registered manager, deputy manager and spoke with the new administrator. We looked at four care plans and medication records. We had made several requirements regarding care planning and medication following the visit in September 2009. The purpose of the visit was to see what action the home had carried out in these areas and whether they had embedded these actions. It was seen that the requirements have been met. We looked at four care plans and saw that there was information on family and social support. There was information on how staff should support the individual. For example frail diet has been introduced to raise calorie intake has small appetite and prone to weight loss. There was information on care when an individual was being looked after in bed to help with pressure relief. Staff were seen to sign when they had carried out support and what they had done. We saw assessments for risk, moving and handling, nutrition, and tools used to monitor individuals pressure areas and support needs such as Barthel and Waterlow. These documents had been reviewed monthly and as needed. There was information on what was important to the individual with the addition of likes and dislikes these included environment and activities as well as food. There were detailed information on how staff were to support the individual with their physical difficulties and what action they should take medically. We saw that staff have been trained in techniques specific for the individual. We saw plans of care where an individual required pain relief this included where they needed pain relief before they had a dressing on a wound changed. We looked at the medication storage and administration records. We saw the medication records for the month up to and including the day of the visit . There are two medication trolleys; one on the nursing floor and one downstairs, both were attached to the wall. We saw that the home has Butrans, Buprenorphine and Ora Morph stored as a controlled medication and these were kept locked in cupboard near a small office. We saw a list of staff names who are deemed competent to administer medication. This includes nursing staff and senior care staff in the residential area of the home. We saw copies of Guild Care policies and procedures for medication in both medication record files. This included a policy on out of stock medication and an as required medication protocol. We saw that the community pharmacist had visited the home in December 2009, one recommendation they had made was for the home to contact them regarding allergies people living at the home had. There was a list of homely remedies and instructions. We had seen in the care Care Homes for Older People Page 4 of 8 plans that there was information on as required medication that the individual could have and the side effects. We saw that this was repeated in the medication records. In the residential part of the home we saw that where nursing support is needed for example insulin administration, people receive support form the district nursing team. There were assessments in place for individuals who wished to administer their own medication. We saw in one case that staff had not recorded the reasons, cause and effect when they administered an as required medication. This was the only example of non recording. The commission had received two notifications regarding concerns about the home since the last visit. We discussed this with the manager at this visit and confirmed that socials services had completed their investigation and the issues were unsubstantiated. What the care home does well: 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 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. © Care Quality Commission 2010 This publication may be reproduced in whole or in part in any format or medium for noncommercial purposes, provided that it is reproduced accurately and not used in a derogatory manner or in a misleading context. The source should be acknowledged, by showing the publication title and © Care Quality Commission 2010. 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