Care Home: Ashstone House

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What the care home does well The home provides a homely and comfortable environment in which to live. Feedback from residents indicated that generally they were satisfied with the service provided. A new manager has bought fresh ideas and has improved the service offered to the residents. She has been well supported by the entire team at the home. The grounds are large and well maintained and residents are able to enjoy gardening and games of football etc. Residents feel they are able to get out and about into the community and choose what activities they want to do. All of the residents have a planned holiday for this year. Residents say the food is nice and well cooked and they have a choice on a daily basis. Individual needs regarding religion and faith are promoted and encouraged. Equality and diversity issues amongst the residents and staff are well managed. What has improved since the last inspection? The support plans have improved and now give more direction to staff. This is ongoing work and needs to be continued with. The atmosphere in the home has improved with much less challenging behaviour being displayed. On the day of the inspection the resident appeared relaxed and comfortable.Specific behavioural support plans had reduced levels of aggression within the home and this has benefited all residents. The fire procedures have improved with all necessary fire checks and drills now being recorded. All fire extinguishers have been replaced. What the care home could do better: The home generally was not as clean as would be expected and would benefit from a major spring clean. Domestic support may need to be reviewed. One of the bath panels was broken and needs replacing. Several bedroom carpets or flooring needs to be replaced and some of the bedroom furniture is looking tired and needs replacing. CARE HOME ADULTS 18-65 Ashstone House Ashford Road Hamstreet Ashford Kent TN26 2EW Lead Inspector Sue McGrath Unannounced Inspection 9th July 2008 09:30 Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 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 Ashstone House DS0000023307.V361099.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 Adults 18-65. 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. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Ashstone House Address Ashford Road Hamstreet Ashford Kent TN26 2EW 01233 733477 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) Ashstone House Limited Mrs Jennifer Ann Simmons Care Home 12 Category(ies) of Learning disability (12) registration, with number of places Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: Date of last inspection 19th April 2007 Brief Description of the Service: Ashstone House is registered to provide accommodation for up to 12 adults with a learning disability and admits people with low right through to high dependencies. The Registered Provider is a private limited company which runs a number of similar residential care homes elsewhere in the south of the country. The premise is an older two storey detached property which has been adapted for its present use. There is provision for all of the service users to have their own bedroom, each of which has a wash hand basin situated on the ground and first floor. The service users have the use of two bathrooms. On the ground floor there is a kitchen, dining room and lounge. The home is surrounded by a 3.5 acres garden, which includes lawn areas and established shrubs/gardens, outbuildings and a car parking area. It is set in a rural position on the outskirts of the village of Hamstreet. Within the village there is a train station, church, supermarket, hairdressers, garden centre and newsagents. The home is also situated on the local bus route to nearby Ashford and the home has transport, which can be used to transport the service users. The current fees range from £728.48 to £1693.83 per week. Additional costs include some activities, hairdressing, toiletries, newspapers and magazines. Ashstone House DS0000023307.V361099.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 star. This means the people who use this service experience good quality outcomes. This was a Key Unannounced inspection that took place in accordance with the Inspecting for Better Lives (IBL) process. Key inspections are aimed at making sure that the individual services are meeting the standards and that the outcomes are promoting the best interests of the people living in the home. The IBL process for a Key inspection involves a pre-inspection assessment of service information obtained from a variety of sources including an annual selfassessment and surveys. It is now a legal requirement for services to complete and return an Annual Quality Assurance Assessment (AQAA). This assessment is aimed at looking at how services are performing and achieving outcomes for people. Judgements have been made with regards to each outcome area in this report, based on records viewed, observations and verbal responses given by those people who were spoken with. These judgements have been made using the Key Lines of Regulatory Assessment (KLORA), which are guidelines that enable The Commission for Social Care Inspection (CSCI) to be able to make an informed decision about each outcome area. Further information can be found on the CSCI website with regards to the IBL process including information on KLORA’s and AQAA’s. The actual site visit to the service was carried out over one day by one inspector, who was in the home from approximately 09:30 until 16.00. The main focus of the visit was to review any improvements made since the last visit and the well-being of the service users. Time was spent touring the building, talking to people living in the home, talking to staff and reviewing a selection of assessments, service user plans, medication records, menus, staff files and other relevant documents. Prior to the site visit the AQAA had been returned. At all times the manager and staff were helpful and demonstrated a pro-active approach to ensuring that service users were being supported to the best of their abilities and resources. This report contains evidence and judgements made from observation, conversation and records. The inspector on leaving the home was satisfied that residents were both safe and well cared for and wishes to thank the manager and her staff for their assistance and hospitality. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 6 What the service does well: What has improved since the last inspection? The support plans have improved and now give more direction to staff. This is ongoing work and needs to be continued with. The atmosphere in the home has improved with much less challenging behaviour being displayed. On the day of the inspection the resident appeared relaxed and comfortable. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 7 Specific behavioural support plans had reduced levels of aggression within the home and this has benefited all residents. The fire procedures have improved with all necessary fire checks and drills now being recorded. All fire extinguishers have been replaced. What they could do better: 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. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–5) Individual Needs and Choices (Standards 6-10) Lifestyle (Standards 11-17) Personal and Healthcare Support (Standards 18-21) Concerns, Complaints and Protection (Standards 22-23) Environment (Standards 24-30) Staffing (Standards 31-36) Conduct and Management of the Home (Standards 37 – 43) Scoring of Outcomes Statutory Requirements Identified During the Inspection Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 9 Choice of Home The intended outcomes for Standards 1 – 5 are: 1. 2. 3. 4. 5. Prospective service users have the information they need to make an informed choice about where to live. Prospective users’ individual aspirations and needs are assessed. Prospective service users know that the home that they will choose will meet their needs and aspirations. Prospective service users have an opportunity to visit and to “test drive” the home. Each service user has an individual written contract or statement of terms and conditions with the home. The Commission consider Standard 2 the key standard to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 1, 2, 3 and 5 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. People using this service have the information they need to make an informed decision about whether the service is right for them. Prospective residents can be confidant the home would meet their needs and aspirations. EVIDENCE: Evidence was seen in most resident’s bedrooms that confirmed all had been given a copy of the homes statement of purpose and service user guide. Those who did not wish to have these document in their rooms where listened to and the documents were maintained on their files in the office. Pictorial guides were freely available. The home has introduced new assessment paperwork and procedures since the last inspection. There have been no admissions since the last inspection. Issued mention in the last report regarding the home offering a service to residents they could not manage has been resolved and a new placement was Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 10 found. The new manager is confident they would not be offering placements in the future, if they could not meet the prospective residents needs. The manager was confident the new improved assessment procedures would prevent this situation occurring in the future. Evidence was seen on the files viewed that each resident had a terms and conditions statement on their individual file, with copies of residential service costing schedules, which is a breakdown of costs. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 11 Individual Needs and Choices The intended outcomes for Standards 6 – 10 are: 6. 7. 8. 9. 10. Service users know their assessed and changing needs and personal goals are reflected in their individual Plan. Service users make decisions about their lives with assistance as needed. Service users are consulted on, and participate in, all aspects of life in the home. Service users are supported to take risks as part of an independent lifestyle. Service users know that information about them is handled appropriately, and that their confidences are kept. The Commission considers Standards 6, 7 and 9 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 6,7,8 and 9 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents have clear and in-depth care plans that identify their individual needs and give clear guidance to staff. Care plans are regularly updated to ensure changes are recorded and acted upon. Residents are enabled to take reasonable risks within the homes risk assessment management strategies. EVIDENCE: A considerable amount of work has been undertaken to improve the care plans. The work is slow because the manager is involving the residents as much as possible and some have limited abilities to become involved. Where possible the home is encouraging residents to be involved and where not possible every effort is made to develop their plans in their best interest. The home is working towards more person centred planning. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 12 The support plans give staff a consistent way of working and a proactive approach, which has had a positive impact on the residents. For the residents that displayed any challenging behaviours, new behavioural support plans had been introduced and had proved successful in reducing the amount of challenging behaviours experienced in the home. Staff confirmed the last three months have been more settled. Risk assessments are now detailed and comprehensive. Residents were aware of who their key workers were and professional relationships were developing. Individual needs regarding religion and faith were well met. The home supports residents to attend their chosen churches by encouraging them to attend and participate. Cultural needs are also well met. As stated in the previous report residents are able to attend monthly meetings to express their views and discuss choices about day trips etc. The minutes of these meetings are detailed to reflect the resident’s views. The manager should evidence how she responds to any actions/requests. Several residents confirmed they felt they were generally able to make decisions about their day-to-day lives and choose to do what they like. Every effort was made by staff to encourage residents to make choices, where this was not possible staff worked hard to ensure their best interest were maintained at all times. For example some residence need guidance for weather appropriate clothing and this was giving in a supportive way. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 13 Lifestyle The intended outcomes for Standards 11 - 17 are: 11. 12. 13. 14. 15. 16. 17. Service users have opportunities for personal development. Service users are able to take part in age, peer and culturally appropriate activities. Service users are part of the local community. Service users engage in appropriate leisure activities. Service users have appropriate personal, family and sexual relationships. Service users’ rights are respected and responsibilities recognised in their daily lives. Service users are offered a healthy diet and enjoy their meals and mealtimes. The Commission considers Standards 12, 13, 15, 16 and 17 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 11, 12, 13, 14, 15 and 17 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Resident’s benefit from having the opportunity for personal development with their daily living skills and have appropriate level of leisure activities. Residents also benefit from being part of the local community. Residents are supported to maintain contact with family and friends, which ensures they continue to receive stimulation and emotional support. EVIDENCE: On the day of the inspection five of the residents were on holiday at Centre Parcs, Longleat. Prior to booking the holiday a CD had been watched and the residents chose which one to go to. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 14 One resident was going to Haven Holidays in Hastings the following week and two more are going to Cornwall in August. The home has the full use of a minibus and a people carrier and six staff are designated drivers. This enables residents to easily participate in both leisure and educational activities with in the local area. Two of the residents enjoy gardening and both have their own plot of ground in the gardens and their own sheds. One resident recently grew some vegetables, which the cook prepared and cooked especially for him. The manager explained that the staff encouraged independence where possible amongst the residents, but some levels of disability are high and some residents need more support than others. Every effort is made to maximise the residents full potential. The atmosphere on the day was relaxed and calm. The day coordinator has increased the levels of activities in the home and work was being undertaken to produce a picture dictionary and communication cards for those who need them. Residents are encouraged to clean their rooms and are actively encouraged to prepare drinks and small snacks. Several residents and staff confirmed the food had improved since the arrival of the new cook. Choices were seen to be given on the day of the inspection and records evidenced the meals were varied and nutritious. The cook has completed a basic food hygiene course. The home endeavours to encourage family relationships but have had some difficulties in finding some contacts. They have worked hard to trace a relative of one particular resident and have supported the resident to come to terms with the problem. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 15 Personal and Healthcare Support The intended outcomes for Standards 18 - 21 are: 18. 19. 20. 21. Service users receive personal support in the way they prefer and require. Service users’ physical and emotional health needs are met. Service users retain, administer and control their own medication where appropriate, and are protected by the home’s policies and procedures for dealing with medicines. The ageing, illness and death of a service user are handled with respect and as the individual would wish. The Commission considers Standards 18, 19, and 20 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 18, 19 and 20 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents benefit from receiving personal care in private and enjoy a very flexible lifestyle that reflects the many activities undertaken. Health needs are met and residents have full access to all professional health care services as required. Residents are protected by the home’s policies and procedures for dealing with medicines. EVIDENCE: The residents in the home on the day of inspection stated they liked the staff and that they helped them when they needed help. Some good examples of staff interaction were seen during the inspection. All residents had full access to all healthcare specialists as indicated by their assessed needs. Detailed noted were maintained of all visits and the outcomes were monitored. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 16 The manager and deputy had recently attended training from the Learning Disability team relating to ‘The GP and people with Learning Disabilities’. This gave pictorial guidance on how to manage going to the GP and any other associated professionals. This training is to be cascaded to all staff to support residents when they need to visit any health professional. The medication system was viewed. Medication Administration Records (MAR) showed use of appropriate signatures and codes. Medication storage was in order and facilities were in place for the use of controlled drugs. Medication was checked in and a returns book was in use for any returns. No current residents were self-medicating or part self-medicating. The medication prescribed ‘as and when required’ now had formal protocols in place that gave clear guidance to staff. When residents went on holiday the home arranged with the Pharmacist to have separate blister packs prepared for the time they were away from the home. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 17 Concerns, Complaints and Protection The intended outcomes for Standards 22 – 23 are: 22. 23. Service users feel their views are listened to and acted on. Service users are protected from abuse, neglect and self-harm. The Commission considers Standards 22, and 23 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. Residents are protected by a robust complaints system and residents and relatives feel their views are listened to and acted upon. The home has robust adult protection policies and procedures to ensure that residents are protected from abuse. EVIDENCE: The home has robust complaint procedures in place, which has been adapted in different formats to enable residents to make a complaint if necessary. The home operates an open door policy where the residents and their relatives can raise their concerns or complaints and can approach the house manager with any worries they may have. All complaints were documented, investigated and resolved within the necessary timescale. The home had received three minor complaints this year and had dealt with all appropriately. The Commission has not received any complaints. Most staff had received training in Protection of Vulnerable Adults (POVA) and Safeguarding Vulnerable Adults, those who have not received training were due to attend training sessions within the next three months. Issues raised at the last inspection regarding resident’s personal monies has been dealt with and a new robust procedure is now in place ensuring all Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 18 residents are fully protected. The accounts are now regularly audited by both the manager and area manager. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 19 Environment The intended outcomes for Standards 24 – 30 are: 24. 25. 26. 27. 28. 29. 30. Service users live in a homely, comfortable and safe environment. Service users’ bedrooms suit their needs and lifestyles. Service users’ bedrooms promote their independence. Service users’ toilets and bathrooms provide sufficient privacy and meet their individual needs. Shared spaces complement and supplement service users’ individual rooms. Service users have the specialist equipment they require to maximise their independence. The home is clean and hygienic. The Commission considers Standards 24, and 30 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 24, 25, 27 and 30 Quality in this outcome area is adequate This judgement has been made using available evidence including a visit to this service. Residents benefit from living in a safe environment and have safe access to indoor and outdoor communal areas. Not all of the areas are as clean as they should be and some re-decoration and replacement of equipment and furniture is necessary. EVIDENCE: The home was family orientated and homely. There were two lounge areas and a quiet rooms for the residents to choose to live in and all had their own bedrooms with washing facilities. Most of these rooms were well personalised and the residents present on the day of the inspection were happy to show their rooms to the inspector. One resident said he liked to keep his room clean and particularly enjoyed the hoovering. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 20 There were sufficient toilets and bathrooms available to residents. One of the bath panels was broken and needs replacing. Some of the bedrooms would benefit from new carpets or flooring as some were showing signs of wear and tear. Some of the bedroom furniture is also looking tired and residents would benefit from support to decide if these items should be replaced. The home was seen to be dusty in places. The home only employed one domestic and there was a considerable amount of work to be done by one person. It is recommended that the home undergoes a thorough spring clean and introduces a more robust cleaning schedule, which needs to be fully implemented and then monitored. The management needs to evaluate whether more domestic hours are required. The home was set in vast grounds and the residents appreciated these. As stated earlier in the report two residents enjoyed gardening and had their own plots and sheds. One also had a fishpond. There were several bird tables and feeder trays and a large table tennis table for resident to enjoy. The home is currently having radiator guards fitted and it is essential this work be completed as soon as possible. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 21 Staffing The intended outcomes for Standards 31 – 36 are: 31. 32. 33. 34. 35. 36. Service users benefit from clarity of staff roles and responsibilities. Service users are supported by competent and qualified staff. Service users are supported by an effective staff team. Service users are supported and protected by the home’s recruitment policy and practices. Service users’ individual and joint needs are met by appropriately trained staff. Service users benefit from well supported and supervised staff. The Commission considers Standards 32, 34 and 35 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 32, 34 and 35 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The resident’s benefit from being cared for by staff who have a good understanding of their needs and receive regular supervision. Residents are protected by robust recruitment procedures. EVIDENCE: Staff spoken with were aware of their roles and responsibilities and had confidence in the new management structure. All said they now felt well supported by the management team and that the staff group as a whole were more confident in their individual abilities and felt the emphasis of the home was now on resident’s choices and preferences. Clear lines of responsibility and accountability are now in place and this has improved the general running of the home. The management has worked hard to identify staff needs with regards to equality and diversity. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 22 The rotas indicated that there were sufficient staff on duty to meet the needs of the residents. Two staff files were viewed and found to contain all of the information required under Schedule 2 of the Care Standards Act 2001. This means that the proper checks have taken place to ensure people employed to work with the residents are suitable. The home has now implemented the Common Induction Standards and evidence was seen that all new staff complete it. This has meant that the probation period has been increased to six months and new staff are expected to complete one section of the standards per month. Evidence was also seen that regular supervision is now undertaken. This means that staff have formal and regular support from a senior staff member to discuss and monitor support for residents. The home had a much improved training matrix, which indicated that staff had received mandatory training. Staff confirmed that more varied and specialist training is now offered on a regular basis. The level of National Vocational Qualification (NVQ) remains below the expected 50 . Currently the home has only five of the 17 staff members qualified to NVQ level two or above (29 ). Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 23 Conduct and Management of the Home The intended outcomes for Standards 37 – 43 are: 37. 38. 39. 40. 41. 42. 43. Service users benefit from a well run home. Service users benefit from the ethos, leadership and management approach of the home. Service users are confident their views underpin all self-monitoring, review and development by the home. Service users’ rights and best interests are safeguarded by the home’s policies and procedures. 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 are promoted and protected. Service users benefit from competent and accountable management of the service. The Commission considers Standards 37, 39, and 42 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 37, 38, 39 and 42 Quality in this outcome area is good This judgement has been made using available evidence including a visit to this service. The resident’s benefit from having a manager who is competent and is supported well by senior staff in providing clear leadership throughout the home and by staff who demonstrate an awareness of their roles and responsibilities. The health, safety and welfare of residents and staff was promoted and respected. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 24 EVIDENCE: The current manager had recently registered with the Commission and is now the Registered Manager. There have been several positive improvements made recently and the staff group appears stable. There are clear lines of responsibility and accountability and the manager is well supported by the deputy manager. All of the staff spoken with confirmed they felt well supported and confident in their roles. Regular residents meetings are undertaken and staff and management respond to them appropriately. Staff meetings are also arranged, however not all staff choose to attend on a regular basis. Although processes are in place within the organisation for quality assurance these are not fully implemented yet at Ashstone House. Work has started on this area but has not yet been completed. The manager confirmed that questionnaires have been worked on with the residents but that questionnaires for relatives and other professionals have not yet been sent out. The manager also confirmed it was her intention that when all questionnaires have been returned she will produce a written report and sent it to all and other interested parties, including the Commission. Regulation 26 visits do take place on a regular basis and an action plan is formulated to ensure identified issues are dealt with accordingly. The AQAA identified that the residents and staff health and safety are promoted and protected. Evidence was seen that all fire safety checks are now up to date and that fire drills are undertaken on a regular basis. All fire extinguishers have been replaced recently. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 25 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Adults 18-65 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 3 2 3 3 3 4 X 5 3 INDIVIDUAL NEEDS AND CHOICES Standard No 6 7 8 9 10 Score CONCERNS AND COMPLAINTS Standard No Score 22 3 23 3 ENVIRONMENT Standard No Score 24 2 25 3 26 X 27 2 28 X 29 X 30 2 STAFFING Standard No Score 31 3 32 3 33 3 34 3 35 3 36 X CONDUCT AND MANAGEMENT OF THE HOME Standard No 37 38 39 40 41 42 43 Score 3 3 3 3 X LIFESTYLES Standard No Score 11 3 12 X 13 3 14 3 15 3 16 X 17 3 PERSONAL AND HEALTHCARE SUPPORT Standard No 18 19 20 21 Score 3 3 3 X 3 3 3 X X 3 X Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 26 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. Standard Regulation Requirement Timescale for action 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. 2 3 4 5 6 Refer to Standard YA7 YA30 YA30 YA27 YA26 YA32 Good Practice Recommendations Minutes of the service user meetings should reflect their views and record management responses. It is recommended that the domestic support be reviewed. It is recommended that a robust cleaning schedule be put in place that is monitored by senior staff to ensure the home remains clean and free from dust. It is recommended the broken bath panel is replaced It is recommended that some of the bedroom carpets and furniture is reviewed, with the support of the service users, as part of an ongoing maintenance plan It is recommended that more staff be encouraged to complete National Vocational Qualifications. Ashstone House DS0000023307.V361099.R01.S.doc Version 5.2 Page 27 Commission for Social Care Inspection Maidstone Office The Oast Hermitage Court Hermitage Lane Maidstone ME16 9NT 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. 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