Care Home: Ashton Lane

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What the care home does well People using this service are treated as individuals.People are supported to do the things that they like to do.People are treated with dignity and respect.People are supported to make decisions about things that are important to them.Staff make sure that people are safe from harm.People living in the home like the staff. What has improved since the last inspection? This was the home`s first key inspection. What the care home could do better: This service did not need to make any improvements. Key inspection report Care homes for adults (18-65 years) Name: Address: Ashton Lane 47 Ashton Lane Sale Cheshire M33 5PA two star good service The quality rating for this care home is: A quality rating is our assessment of how well a care home 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 full review a ‘key’ inspection. Lead inspector: Val Bell Date: 0 4 1 1 2 0 0 9 This report is a review of the quality of outcomes that people experience in this care home. We believe high quality care should:  Be safe  Have the right outcomes, including clinical outcomes  Be a good experience for the people that use it  Help prevent illness, and promote healthy, independent living  Be available to those who need it when they need it. The first part of the review gives the overall quality rating for the care home:  3 stars – excellent  2 stars – good  1 star – adequate  0 star – poor There is also a bar chart that gives a quick way of seeing the quality of care that the home provides under key areas that matter to people. There is a summary of what we think this service does well, what they have improved on and, where it applies, what they need to do better. We use the national minimum standards to describe the outcomes that people should experience. National minimum standards are written by the Department of Health for each type of care service. After the summary there is more detail about our findings. The following table explains what you will see under each outcome area Outcome area (for example: Choice of home) These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: This box tells you the outcomes that we will always inspect against when we do a key inspection. This box tells you any additional outcomes that we may inspect against when we do a key inspection. This is what people staying in this care home experience: Judgement: This box tells you our opinion of what we have looked at in this outcome area. We will say whether it is excellent, good, adequate or poor. Evidence: This box describes the information we used to come to our judgement Copies of the National Minimum Standards – Care Homes for Adults (18-65 years) can be found at www.dh.gov.uk or bought 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 The mission of the Care Quality Commission is to make care better for people by:  Regulating health and adult social care services to ensure quality and safety standards, drive improvement and stamp out bad practice  Protecting the rights of people who use services, particularly the most vulnerable and those detained under the Mental Health Act 1983   Providing accessible, trustworthy information on the quality of care and services so people can make better decisions about their care and so that commissioners and providers of services can improve services. Providing independent public accountability on how commissioners and providers of services are improving the quality of care and providing value for money. Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report Care Quality Commission General public 0870 240 7535 (telephone order line) 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. www.cqc.org.uk Internet address Information about the care home Name of care home: Address: Ashton Lane 47 Ashton Lane Sale Cheshire M33 5PA 01619620978 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Stockdales of Sale Altrincham & District Limited Name of registered manager (if applicable) Ms Catherine Horton Ms Catherine Horton Type of registration: Number of places registered: Conditions of registration: Category(ies) : Number of places (if applicable): Under 65 Over 65 5 5 0 0 care home 5 learning disability physical disability Additional conditions: The registered person may provide the following category/ies of service only; Care home only - Code PC To service users of the following gender: Either Whose primary care needs on admission to the home are within the following categories; Learning disabilities - code LD, Physical Disabilities - code PD. The maximum number of service users who can be accommodated is 5. Date of last inspection A bit about the care home This home is registered to provide care and accommodation to five people with learning disabilities, who may have additional physical disabilities. The home is located near to the centre of Sale and close to public transport routes into Manchester, Altrincham and surrounding areas. People are accommodated in single bedrooms, fitted with tracking hoists, and specialised bathing facilities are provided to meet peoples assessed needs. Accommodation on the first floor is accessible via a lift and staircase. The garden area is attractive and private and raised beds provide people with the opportunity to become involved in gardening activities. The fees charged for this service can be obtained by contacting the manager at the home. Summary This is an overview of what we found during the inspection. The quality rating for this care home is: Our judgement for each outcome: two star good service How we did our inspection: This is what the inspector did when they were at the care home This was the first time we have visited Ashton Lane. We did not tell the manager that we were coming to visit. We also visited the head office to look at staff records. We looked round the home to see if it was clean and safe. We spent time talking to people living in the home. We talked to staff and the manager. What the care home does well People using this service are treated as individuals. People are supported to do the things that they like to do. People are treated with dignity and respect. People are supported to make decisions about things that are important to them. Staff make sure that people are safe from harm. People living in the home like the staff. What has got better from the last inspection This was the homes first key inspection. What the care home could do better If you want to read the full report of our inspection please ask the person in charge of the care home If you want to speak to the inspector please contact Val Bell CQC North West Citygate Gallowgate Newcastle upon Tyne NE1 4PA 03000 616 161 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 4. The report of this inspection is available from our website http:/www.cqc.org.uk/. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line - 0870 240 7535. Details of our 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) Outstanding statutory requirements Requirements and recommendations from this inspection Choice of home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People are confident that the care home can support them. This is because there is an accurate assessment of their needs that they, or people close to them, have been involved in. This tells the home all about them, what they hope for and want to achieve, and the support they need. People can decide whether the care home can meet their support and accommodation needs. This is because they, and people close to them, can visit the home and get full, clear, accurate and up to date information. If they decide to stay in the home they know about their rights and responsibilities because there is an easy to understand contract or statement of terms and conditions between the person and the care home that includes how much they will pay and what the home provides for the money. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. A robust process for assessing and reviewing needs enables people using this service to achieve their preferred lifestyles. Evidence: We looked at the support plans belonging to three people using this service. Before moving into the home each person had a thorough assessment of their needs. This made sure that they had enough information to decide if the home would be a good place for them to live and that their needs would be met. This assessment process places emphasis on recognising that each person has different needs and that the best way to meet those needs is to provide a service that responds to the person and supports them to achieve their preferred lifestyle. Following admission each person had a review of their needs on a regular basis and support plans had been accurately updated where necessary. Individual needs and choices These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People’s needs and goals are met. The home has a plan of care that the person, or someone close to them, has been involved in making. People are able to make decisions about their life, including their finances, with support if they need it. This is because the staff promote their rights and choices. People are supported to take risks to enable them to stay independent. This is because the staff have appropriate information on which to base decisions. People are asked about, and are involved in, all aspects of life in the home. This is because the manager and staff offer them opportunities to participate in the day to day running of the home and enable them to influence key decisions. People are confident that the home handles information about them appropriately. This is because the home has clear policies and procedures that staff follow. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service receive the right kind of support to make decisions that are important to them and to follow their chosen lifestyles. Evidence: Individual plans of care had been generated from information provided during the assessment of each persons needs. It was evident that the three people and their representatives had participated in this process. Support plans covered all aspects of healthcare and personal and social support being provided and detailed what tasks staff would undertake to meet each persons needs and personal preferences. Identified risks to the safe delivery of support had been carefully assessed and had been managed well. Decisions that restricted a persons choice and personal freedom had been taken in the best interests of the individual by following good practice guidelines and in consideration of the persons rights as a citizen. Support plans had been kept up to date by being reviewed on a regular basis. People using the service received the right amount of support to enable them to make decisions that affected their lives. Where necessary, alternative forms of communication had been used to support people to take control of matters that were important to them. Lifestyle These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: Each person is treated as an individual and the care home is responsive to his or her race, culture, religion, age, disability, gender and sexual orientation. They can take part in activities that are appropriate to their age and culture and are part of their local community. The care home supports people to follow personal interests and activities. People are able to keep in touch with family, friends and representatives and the home supports them to have appropriate personal, family and sexual relationships. People are as independent as they can be, lead their chosen lifestyle and have the opportunity to make the most of their abilities. Their dignity and rights are respected in their daily life. People have healthy, well-presented meals and snacks, at a time and place to suit them. People have opportunities to develop their social, emotional, communication and independent living skills. This is because the staff support their personal development. People choose and participate in suitable leisure activities. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are provided with a full range of opportunities that meet their preferred social, leisure, relationship and nutritional needs. Evidence: We looked at the support plans belonging to three people using this service. These told us that people accommodated in the home lead active lives by engaging in activities that develop their self-esteem and self-confidence and fulfill their rights to social inclusion. One person told us that she had enjoyed a recent holiday in Hereford. She confirmed that staff provide the right kind of support and that she is happy living in the home. Staff work very closely with relatives of the people accommodated and this ensures that these important relationships are maintained. One person had gone to stay with her mother for the weekend at the time of our visit. People using the service receive support to plan their menus and participate in the weekly food shopping at local shops and supermarkets. Menus are available in written, pictorial and multimedia formats. Each person has a nutritional risk assessment and their weight is monitored on a monthly basis to safeguard their welfare. Staff prepare the meals and encourage people to become involved in some aspects of meal preparation. Daily routines in the home are flexible and staff respect each persons right to decide when they want to particpate or spend time on their own. Personal and healthcare support These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People receive personal support from staff in the way they prefer and want. Their physical and emotional health needs are met because the home has procedures in place that staff follow. If people take medicine, they manage it themselves if they can. If they cannot manage their medicine, the care home supports them with it in a safe way. If people are approaching the end of their life, the care home will respect their choices and help them to feel comfortable and secure. They, and people close to them, are reassured that their death will be handled with sensitivity, dignity and respect, and take account of their spiritual and cultural wishes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service have their personal and health care needs met according to their personal preferences. Evidence: Support plans provided evidence that people receive personal and health care support in a way that suits their individual preferences. Personal hygiene plans were provided in easy read format after being agreed with the individual. Support is provided for people to access the full range of community and specialised health care services. The senior management team and Trustees regularly audit outcomes of the personal and health care support provided. This robust system of support and quality monitoring ensures that people continue to lead healthy lifestyles. The people using this service had been assessed as needing support to administer their prescribed medication. The monitored dosage system supplied by a local pharmacy had been stored securely and records detailing the administration of medicines were accurate and up to date. Stringent standards were applied to ensuring that staff were competent in administering medication following their training in these procedures. Concerns, complaints and protection These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: If people have concerns with their care, they or people close to them, know how to complain. Their concern is looked into and action taken to put things right. The care home safeguards people from abuse, neglect and self-harm and takes action to follow up any allegations. There are no additional outcomes. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. This service has systems in place that afford protection to the welfare and safety of the people accommodated. Evidence: This service had an appropriate system in place for dealing with concerns and complaints. No complaints have been received about this service. The home had received several letters and cards from nursing and social work students complimenting the staff and the service they provided. Staff told us they had been trained in how to recognise the signs and symptoms of abuse and what action they must take if they suspect people might be at risk of harm. This service adopts a robust policy and procedures to ensure that people accommodated in the home are safeguarded from harm. These include independent advocacy services, vetting procedures during the recruitment of staff, regular audits of systems and financial procedures and comprehensive risk assessments. Environment These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People stay in a safe and well-maintained home that is homely, clean, comfortable, pleasant and hygienic. People stay in a home that has enough space and facilities for them to lead the life they choose and to meet their needs. The home makes sure they have the right specialist equipment that encourages and promotes their independence. Their room feels like their own, it is comfortable and they feel safe when they use it. People have enough privacy when using toilets and bathrooms. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service are provided with a clean, safe, and homely environment that meets their individual needs. Evidence: We had a look round the home to assess health and safety, cleanliness, hygiene and general maintenance of the equipment and fabric of the building. We found the environment to be fresh, clean and hygienic and well maintained. The building had been appropriately adapted to meet the physical needs of the people living in the home and people had been supported to personalise their bedrooms to reflect their personalities and interests. People had access to an attractive and private garden area. Raised beds in this area provided people with opportunities to participate in gardening activities. Suitable laundry facilities were provided and staff had been trained in infection control procedures. The manager planned to make improvements in this area by developing infection control risk assessments that were specific to individuals accommodated in the home. Staffing These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have safe and appropriate support as there are enough competent, qualified staff on duty at all times. They have confidence in the staff at the home because checks have been done to make sure that they are suitable. People’s needs are met and they are supported because staff get the right training, supervision and support they need from their managers. People are supported by an effective staff team who understand and do what is expected of them. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People using this service can be confident that the staff providing their support will have the right skills, knowledge and personal qualities to meet their needs in a safe way. Evidence: We visited the organisations head office to assess the systems in place for recruiting and training staff. We looked at three staff files and found that the required pre-employment checks had been obtained before staff had been selected to work in the home. Candidates for employment undertake a two-stage interview process to assess their suitability for the post and they must either have a National Vocational Qualification at Level 2 or 3 or be willing to achieve this. Staff files also provided evidence that newly recruited members of the team undertake induction training programmes following their appointment. Each member of staff has a training and development plan that identifies further training needs. During our visit to the home a member of staff told us that she received good support from the management and ongoing training to develop her knowledge and skills. Conduct and management of the home These are the outcomes that people staying in care homes should experience. They reflect the things that people have said are important to them: People have confidence in the care home because it is run and managed appropriately. People’s opinions are central to how the home develops and reviews their practice, as the home has appropriate ways of making sure they continue to get things right. The environment is safe for people and staff because health and safety practices are carried out. People get the right support from the care home because the manager runs it appropriately, with an open approach that makes them feel valued and respected. They are safeguarded because the home follows clear financial and accounting procedures, keeps records appropriately and makes sure staff understand the way things should be done. This is what people staying in this care home experience: Judgement: People using this service experience excellent quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People living in the home are empowered to influence the way the service is provided and this ensures that it is managed in their best interests. Evidence: The registered manager is suitably qualified and experienced and she undertakes regular training to ensure that she continues to develop the skills and knowledge required to meet the assessed needs of people using the service. The manager has developed good relationships with members of her team and meets with them regularly to discuss outcomes and future development of the service. Staff told us that the manager is approachable and supportive and that decisions are taken in the best interests of the people using the service. A comprehensive quality assurance system has been developed to monitor outcomes experienced by people using the service. Satisfaction surveys are completed by people in the home, their relatives and professionals with an interest in the service. An annual report captures this information and this is used to inform the homes business and development plan. We examined a sample of health and safety records during our visit to the home and found these to be accurate and up to date. Staff working in the home have been trained to take responsibility for health and safety audits and this ensures that the welfare and safety of people in the home continues to be safeguarded. Are there any outstanding requirements from the last inspection? Yes  No  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, Care Homes Regulations 2001 and the National Minimum Standards. No Standard Regulation Requirement Timescale for action 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 Description Timescale for action Statutory requirements These requirements set out what the registered person must do to meet the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The registered person(s) must do this within the timescales we have set No Standard Regulation Description 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 Helpline: Telephone: 03000 616161 or 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. 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