Latest Inspection
This is the latest available inspection report for this service, carried out on 10th December 2009. CQC found this care home to be providing an Good service.
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 Ashton Lodge.
What the care home does well The staff are kind and caring towards people who live at Ashton Lodge The manager listens to, and responds to concerns people have about the service being provided. What the care home could do better: The service should continue to look at how staff can engage with residents throughout the day to ensure that their social needs are being met more effectively. This is not just in relation to the provision of activities, but also how staff can use the time they are in the presence of residents to positively engage with them. The service should meet with the District Nursing Services to ensure that staff in the home work effectively with the District Nurses to meet the needs of people living in the home. Random inspection report
Care homes for older people
Name: Address: Ashton Lodge 3 Daneshill Road Leicester LE3 6AN two star good service 06/02/2009 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: Fiona Stephenson Date: 1 0 1 2 2 0 0 9 Information about the care home
Name of care home: Address: Ashton Lodge 3 Daneshill Road Leicester LE3 6AN 01162620075 01162620075T/F vimiseewooruthun@hotmail.com Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Name of registered manager (if applicable) Miss Vimla Devi Seewooruthun Type of registration: Number of places registered: Conditions of registration: Category(ies) : Mr Ramesh Dhunjaysingh Seewooruthun care home 27 Number of places (if applicable): Under 65 Over 65 0 0 27 0 dementia mental disorder, excluding learning disability or dementia old age, not falling within any other category physical disability Conditions of registration: 27 27 0 27 The maximum number of service users who can be accommodated is 27. The registered persons may provide the following category of service only: Care home only - Code PC to service users of the following gender: Either whose primary care needs on admission are within the following category: Mental disorder, excluding learning disability or dementia - Code MD. Old age, not falling within any other category - Code OP. Physical disability - Code PD. Dementia - Code DE Care Homes for Older People Page 2 of 8 Date of last inspection Brief description of the care home 0 6 0 2 2 0 0 9 Ashton Lodge Residential Home is a care home offering accommodation for up to twenty-seven older people. People who come to live at Ashton Lodge may have dementia and/or mental disorder, and/or they may be physically disabled. The home is located near to the centre of Leicester. There are bus routes, which pass near to the home. The home itself is situated in a residential area. Ashton Lodge is a large Victorian property, which has been converted and extended. It has a large rear garden, which is well maintained. Accommodation is provided on the ground and first floors. There are fifteen single and six shared bedrooms. Bedrooms are located on both floors. All areas on the first floor are accessible via a slow moving lift. Residents have use of a number of lounges and communal spaces. Care Homes for Older People Page 3 of 8 What we found:
We visited Ashton Lodge because we had received information that people living in the home were not being supported well by staff (and one person in particular was not being supported). The information told us there were not enough staff on duty, and those on duty did not communicate well with people who live at Ashton Lodge. We were also told that people living in the home did not have a pleasant dining experience (some were facing the wall whilst they ate), did not have anything to do in the daytime, and that the environment was dark and unwelcoming. We were told of concerns regarding the staffs management of pressure area care. We undertook an unannounced visit to Ashton Lodge on the 10th December 2009. During our visit we watched the way staff supported people living in the home; we watched the dining experience; and we spoke with staff, residents, and visiting health care professionals about the care being provided to people who live at Ashton Lodge. We saw that there were sufficient staff on duty to meet the needs of people living at the home. We were informed that there had been issues regarding staffing, as the service had experienced a sickness and diarrhea bug which affected staff as well as residents. We checked the rota, and talked to staff, and were satisfied that there are enough staff on duty to meet the needs of people living in the home. We saw staff treat residents with dignity and respect, and we saw acts of kindness to residents. We did see that although staff treated residents well, their engagement with residents was mostly when undertaking tasks. There was little discussion with residents at other times, and staff appeared to be unsure about how to engage with them when not doing tasks. We looked at the communal areas of the home, and did not feel these were dark and unwelcoming. We saw that there had been improvements made since our last visit. We spoke with health care professionals during our visit. The professionals we spoke with were involved in the care of the resident that many of the concerns raised were about. They told us that although there had been concerns, the manager and staff had worked with them to improve care, and they were satisfied with the care this person now received. We spoke with one district nurse visiting the home at the time of our visit, and we spoke with another on the phone after our visit. They told us that they were satisfied with the way staff managed pressure area care, but they had concerns that staff did not always help take residents to their rooms in preparation for their arrival. They were also concerned about the amount of time residents were wet or messy when they visited. They had not voiced their concerns with the manager, who was unaware of these issues. She agreed to meet with the district nurses to listen and act upon their concerns. We watched the dining experience. The manager acknowledge that some people had in the past been facing the wall whilst they ate, but they had changed this to ensure this did not happen. We saw that those who needed one to one support whilst eating, were given this. We saw again, that whilst undertaking tasks, staff responded well to individuals, but
Care Homes for Older People Page 4 of 8 did not communicate much to those in the room they were not specifically with. We spoke with staff, who informed us that there are activities for residents, and these mostly happen in the afternoon. During the morning we saw that the TV was on for most of the time we were there, however this was turned off, and music was put on after lunch. Staff have recorded the activities they have undertaken and the residents involved in them. Although activities are being offered they tend to be at times of the day when staff have more time, and are not linked to the individual needs and preference of people living at the home. 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 1 2 8 12 The manager should meet with the District Nursing services to address the areas of concern raised by them. The service should continue to develop social contact and activities for people living at Ashton Lodge, particularly those with dementia, or physical disabilities. 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. 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. Care Homes for Older People Page 8 of 8 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. The policy of www.bestcarehome.co.uk is to use all legal avenues to pursue such offenders, including recovery of costs. You have been warned!
