Latest Inspection
This is the latest available inspection report for this service, carried out on 22nd February 2010. 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 Ashring House.
Annual service review
Name of Service: Ashring 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: Nigel Thompson Date of this annual service review: 2 2 0 9 2 0 0 9 Annual Service Review Page 1 of 7 Information about the service
Address of service: Lewes Road Ringmer East Sussex BN8 5ES 01273814400 01273814400 ashring@caretech-uk.com Telephone number: Fax number: Email address: Provider web address:
Name of registered provider(s): Conditions of registration: Category(ies) : learning disability physical disability Conditions of registration: Ashring House Ltd (Beacon Care Holdings Plc) Number of places (if applicable): Under 65 Over 65 6 6 0 0 The maximum number of service users to be accommodated is 6. 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: Learning disability (LD) Physical disability (PD). 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 Ashring House is a detached single storey house located along the main road in the village of Ringmer. It is a short walk to the village where there are shops, local services and the local community college. It is one of a group of homes owned by Beacon Care Holdings for adults with learning disabilities and physical disabilities who are aged between 18 and 55. Ashring House aims to enable its residents to lead a fulfilling life in which they are empowered to make choices and their abilities and rights
Annual Service Review Page 2 of 7 are promoted. Information about the service, including the Statement of Purpose, Service User?s Guide and CSCI reports is made available to prospective service users or their relatives, on request, as part of the admission process. The current range of fees at Ashring House, as of 20th August 2007, is #958 - #1,750 per week. Additional charges are made for hairdressing, chiropody, reflexology, toiletries and holidays. Annual Service Review Page 3 of 7 Service update since the last key inspection or annual service review:
What did we do for this annual service review? We looked at all the information that we have received, or asked for, since the last key inspection or annual service review. This included: The annual quality assurance assessment (AQAA) that was sent to us by the service. The AQAA is a self assessment form that focuses on how well outcomes are being met for people using the service. It also gave us some numerical information about the service. Surveys returned to us by people using the service and from other people with an interest in the service. Information we have about how the service has managed any complaints. What the service has told us about things that have happened in the service, these are called notifications and are a legal requirement. The previous key inspection and the results of any other visits that we have made to the service in the last 12 months. What has this told us about the service? The home sent us their annual quality assurance assessment (AQAA) when we asked for it. It was clear and comprehensive and gave us the information we asked for. Our judgement is that the home continues to provide a good service for the people who live there. There was four requirement made following the previous inspection, the inspection report was positive and outcomes for service users were found to be good. The report concluded that: The home is equipped and able to provide any prospective service user with all the information they would need to make an informed decision about whether or not to move into the home. This would include robust preadmission assessments to ascertain whether or not the home could meet the care and support needs of prospective service users. No service user would be admitted to the home unless they had similar needs to those already accommodated. Service users care plans are robust and contain the information and guidance that staff need in order to support service users safely and appropriately. Staff are well trained and demonstrate a high level of expertise when interacting with residents, particularly with those with communication difficulties. Staff support service users appropriately and treat them with dignity and respect. This includes knocking on bedroom doors before entering and by supporting and enabling individuals to make choices in their day to day living. Through working closely, sensitively and consistently with service users, staff have clearly developed a sound understanding of their individual care and Annual Service Review Page 4 of 7 support needs. Service users are encouraged and supported to make decisions about their day to day living, Where appropriate and practicable. They are involved and regularly consulted on many aspects of life in the home, including menu planning, colour schemes and activities. Service users individual needs and choices are assessed and reviewed on a regular basis and are detailed within comprehensive plans of care. Staff support each individual well to undertake a range of activities in order to promote their independence. Community participation evidently remains a focus of the home. The health, safety and welfare of service users is ensured through the homes robust systems for dealing with any concerns or complaints as they arise and the procedures and guidelines that are in place to protect individuals from potential, harm, neglect and abuse. The AQAA indicated a range of areas where improvements have been made during the last year: Individual care reviews are all up to date. The new Caretech statement of purpose has been implemented and is up to date. Following advice from the quality assurance team, staff now work more closely with service users, often on a one to one basis. Caretech have reviewed the care planning systems through a working group consisting of volunteer service users, staff and managers. As a result, a new person centred format My Plan has been devised and is currently being implemented. Staff have worked more closely with the service users, regarding menus making food cards, and trying different tastes and textures. Referrals have been made through GPs and the speech and language team, to assess and develop better health and communication opportunities for service users. Following consultation with outside professionals, staff at Ashring have worked hard towards delivering a more consistent provision of personal care and support. Staff are more aware of adult protection and safeguarding issues and are more confident to raise issues as they arise. A folder has been developed regarding the recently introduced Deprivation of liberty Safeguards. New equipment purchased for the home includes a new flat screen television and washing machine. A maintenance audit with Caretech including monthly visits to the home ensures that work is completed more quickly and more efficiently. Complaints are well managed and service users, staff and visitors have confidence that they are listened to. Policies and procedures are in place to protect service users from financial abuse and all financial transactions are recorded. All policies and procedures are evidently in the
Annual Service Review Page 5 of 7 process of being updated or rewritten in accordance with current legislation. Robust policies and procedures in place relating to staff recruitment, annual leave and sickness absence Ongoing training is provided for all staff to ensure that they have the necessary skills and competencies to effectively meet the assessed needs of the service users. Staff are clearly valued and well supported. They receive regular supervision, during which any training needs are identified and acted upon. There is evidence from the AQAA that the service continues to meet the service users ongoing support needs and the dedicated manager and staff remain committed to providing good quality care and maintaining positive outcomes for the people who live at Ashring House What are we going to do as a result of this annual service review? We are not going to change our inspection plan, and will do a key inspection by 14 August 2010. However we can inspect the service at any time if we have concerns about the quality of the service or the safety of the people using the service. Annual Service Review Page 6 of 7 Reader Information
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