Care Home: Ashwood

Similar services:

• 2 Perhaver Park
• The Vicarage
• St George`s
• 5 Seafield Road
• Radfords
• Honeybourne House
• 32 Beaumont Way

What the care home does well The main strengths of this service are the fact that it is a family home and, as such, enables the people who live there to experience family life. Daily support is provided to residents by the registered provider, Mr Van Wyk, and his wife, both of whom know the residents very well and demonstrate an excellent understanding of their needs. The people who use the service benefit from the stability of having the same people supporting them each day offering them consistency and continuity of care. People who use the service benefit from leading an ordinary life in their home and community. They are enabled to be independent where they can be and exercise choice in what they do each day. People are given the support they need with their personal and health care that promotes their well-being and autonomy. People who use the service are supported to `have their say` by the provider and are consulted about changes to the household. The home itself is clean, comfortable and homely. The people who live there have been there for some time and have their own routines which suit them well. The home runs smoothly and the provider ensures that he and his wife undertake the training they need to manage the home effectively and provide care. What has improved since the last inspection? No requirements or recommendations were made at the last inspection. The home has continued to promote good outcomes for the people who live there. What the care home could do better: We noted that the home has taken a proportionate approach to some aspects of paperwork and health and safety practice which take into account the size of the home and the needs of the people who live there. We have made two recommendations as a result of this inspection around recordkeeping and health and safety which the provider should consider in order to ensure their processes fully protect the people who use the service. Inspecting for better lives Key inspection report Care homes for adults (18-65 years) Name: Address: Ashwood 12 Dudley Road Northbourne Bournemouth Dorset BH10 6BS     The quality rating for this care home is:   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 assessment of the service. We call this a ‘key’ inspection. Lead inspector: Heidi Banks     Date: 1 9 0 6 2 0 0 9 This is a report of an inspection where we looked at how well this care home is meeting the needs of people who use it. 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. that people have said are important to them: They reflect the things 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 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 Our duty to regulate social care services is set out in the Care Standards Act 2000. Care Homes for Adults (18-65 years) Page 2 of 27 Reader Information Document Purpose Author Audience Further copies from Copyright Inspection report CSCI General public 0870 240 7535 (telephone order line) Copyright © (2009) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. www.cqc.org.uk Internet address Care Homes for Adults (18-65 years) Page 3 of 27 Information about the care home Name of care home: Address: Ashwood 12 Dudley Road Northbourne Bournemouth Dorset BH10 6BS 01202770242 Telephone number: Fax number: Email address: Provider web address: Name of registered provider(s): Type of registration: Number of places registered: Conditions of registration: Category(ies) : jovanwyk@ntlworld.com Mr Jonathan Ashwood Van-Wyk care home 3 Number of places (if applicable): Under 65 Over 65 0 learning disability Additional conditions: 3 The maximum number of service users who can be accommodated is 3 The registered person may provide the following category of service only: Care home only - Code PC to service users of either gender whose primary care needs on admission to the home are within the following category: Learning disability (Code LD) Date of last inspection Brief description of the care home Ashwood is a semi-detached family house situated in Northbourne, a suburb of Bournemouth. It is registered to provide personal care for three adults with learning disabilities. The home is owned by Mr Jonathan Van-Wyk. Mr Van-Wyk and his wife live in the home with their family. The home is situated near a bus route from which the nearby towns of Bournemouth and Poole can be accessed. Care Homes for Adults (18-65 years) Page 4 of 27 Brief description of the care home Care Homes for Adults (18-65 years) Page 5 of 27 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 Choice of home Individual needs and choices Lifestyle Personal and healthcare support Concerns, complaints and protection Environment Staffing Conduct and management of the home peterchart Poor Adequate Good Excellent How we did our inspection: This was an announced key inspection of Ashwood. The inspection was undertaken as part of the Commissions routine inspection activity. As Ashwood is a small home the inspection lasted less than three hours. Although the inspection was carried out by one inspector, we have used the term we throughout this report to indicate that the report is the view of the Care Quality Commission. As part of our inspection we looked at a sample of records and held a discussion with the registered provider and his wife, both of whom work in the home. We had the opportunity to meet and talk with one person who uses the service and observe life in Care Homes for Adults (18-65 years) Page 6 of 27 the home. We received a total of two surveys before the inspection; one from a person who uses the service and one from a health care professional who has contact with people who live at the home. At the time of the inspection the provider told us that current fees charged by the home were in the region of £500 per week. Fees charged by the home are dependent on assessment of individuals needs. General information on fees and fair terms of contracts can be obtained from the Office of Fair Trading; www.oft.gov.uk. What the care home does well: What has improved since the last inspection? 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 4. The report of this inspection is available from our website www.cqc.org.uk. You can get printed copies from enquiries@cqc.org.uk or by telephoning our order line –0870 240 7535. Care Homes for Adults (18-65 years) Page 8 of 27 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 Care Homes for Adults (18-65 years) Page 9 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Suitable procedures are in place to ensure that individuals needs can be met by the home before they are admitted. Evidence: The two people who were living at Ashwood at the time of the inspection had both been living there for several years. There have been no new admissions to the home since the last inspection of the service in 2007. At previous inspections we have found that the home ensures that peoples needs are assessed before they come to live there and that they are admitted on the basis of a trial period at which point a review takes place with a view to making the placement permanent if all parties are satisfied with the arrangements. This ensures that the home is able to meet individuals needs. Care Homes for Adults (18-65 years) Page 10 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home promotes peoples independence and choice with due regard for their safety and welfare. Evidence: We looked at the care plans in place for both people who were using the service. Each plan gave basic information about the individuals needs and identified risks to their welfare. Plans also showed evidence of being updated where individuals needs had changed. The homes strength, however, is not in their written documentation but the quality of knowledge that the provider and his wife have about the residents who they support. It was clear from our discussion with them that they know both residents very well and showed excellent awareness of their support requirements, preferences, capabilities and limitations. The provider described in detail how they promoted the independence of one person while simultaneously forming a network of support around them to keep Care Homes for Adults (18-65 years) Page 11 of 27 Evidence: them safe. Records we looked at showed an individualised approach to peoples support, for example, each person engaging in different day-time activities to meet their needs. This was confirmed by a resident we spoke with who told us they could also make choices about how they spent their free time. We looked at the minutes of a residents meeting held in April 2009 which demonstrated that they had been given the opportunity to express their views and talk about future plans such as holidays and activities. It was evident from discussion with the provider that while respecting individuals rights to make choices in their everyday lives they were also mindful of their duty of care to support individuals in making appropriate choices. Care Homes for Adults (18-65 years) Page 12 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service are supported to live an ordinary life and take part in activities that meet their needs and preferences. Evidence: Observation of life in the home and discussion with the provider indicated that both people who use the service lead an ordinary lifestyle. Ashwood is the family home of the provider and the two residents are part of family life. The residents are encouraged to take responsibility for tidying their rooms, doing domestic tasks and go on holidays with the family. The timetables we looked at for each resident showed that they have the opportunity to attend work placements, college and adult education courses and day services to meet their needs. The provider has known each resident for several years and Care Homes for Adults (18-65 years) Page 13 of 27 Evidence: demonstrated a sound knowledge of each persons activities, what they enjoy and where there might be potential shortfalls. One resident who responded to our survey told us that they were always able to make decisions about what they did each day, in the evenings and at weekends. A resident told us that they enjoyed going to a local shopping centre in their spare time and also referred to enjoying a recent trip to the cinema with the provider. At the time of the inspection the residents were preparing for a holiday in Weymouth. We are aware from previous inspections that the provider arranges regular holidays with the residents which has included trips abroad. We noted that there is a payphone in the home which residents can use to maintain contact with their family and friends. A resident we spoke with confirmed this, telling us they enjoyed regular contact with their family and this was important to them. The provider showed awareness of this. We observed that people have access to their bedrooms and all communal areas of the home at any time. One resident showed us their bedroom which they said they liked very much. The room was personalised with their own items which reflected their interests. We were informed that the provider takes responsibility for meal preparation in the home. We were also informed that meals are taken as a group although we observed one resident taking a yoghurt to his bedroom which they said they were allowed to do. The resident we spoke with told us they liked the food they were given although they were unsure whether they had a choice about their main meal, telling us that the provider plans the menu. However, the resident told us that they make their own packed lunch and can choose what items they have. Care Homes for Adults (18-65 years) Page 14 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who live in the home benefit from care that meets their individual needs while promoting their independence. Evidence: From the care plans we looked at we noted that both residents are able to manage some of their personal care independently, this being encouraged by the provider. This was confirmed with the resident we spoke with who told us they could do things for themselves but knew that the provider and his wife were on hand if they needed support. The resident also told us that if they needed to go to the doctor or dentist the provider would help them make the appointment and take them there. The providers wife told us that they have a positive working relationship with the local doctors surgery. A survey we received from a health care professional confirmed this stating that when patients attend surgery their care needs have always been identified and brought to our attention. The health care professional also indicated that the care service responded to the different needs of individuals with sensitivity and care and told us that the provider understands their needs and concerns. Care Homes for Adults (18-65 years) Page 15 of 27 Evidence: We looked at the records for one person who uses the service which indicated that they had last visited their doctor and dentist in the past three months. The outcome of each appointment had been documented. Discussion with the provider indicated that one of the people who lives in the home takes regular medication. A system was reported to be in place for the service user to be able to administer their own medication. Previous inspection reports show that this has been the case for several years. The providers wife told us that an audit trail is in place which the resident themselves maintains and which is periodically checked by the provider. There have been no reported incidents of the resident taking their medication incorrectly. A health care professional indicated in a survey that, in their view, the care service always supports individuals to administer their own medication or manage it correctly where this is not possible. Care Homes for Adults (18-65 years) Page 16 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Systems are in place to ensure that people who use the service are listened to and kept safe. Evidence: Since the last inspection of the service in 2007 the Commission has not received any complaints about the service and we are not aware of any safeguarding incidents arising in the home in the past two years. The survey we received from a health care professional indicated that they had never needed to raise concerns about the care received by residents at Ashwood. The homes policy file contained a flowchart on how to report abuse if it is witnessed or suspected. Following the inspection a copy of the most up-to-date adult protection policy issued by the countys local authorities was supplied to the provider by the Commission. We looked at the training records for the providers wife which indicated that she had undertaken safeguarding training in February 2009. A survey we received from a person who uses the service indicated that they know who to speak to if they were unhappy and knew how to make a complaint. This was confirmed with the individual at the time of the inspection. We also noted from minutes of the residents meeting held in April 2009 that the provider had checked with residents their awareness of who to go to if they had concerns. Care Homes for Adults (18-65 years) Page 17 of 27 Care Homes for Adults (18-65 years) Page 18 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. People who use the service live in a comfortable and homely environment which enables them to live an ordinary life. Evidence: Ashwood is the family home of Mr Van-Wyk, his wife, their foster-children and the people receiving a care service. The home has no features that distinguish it from other properties in the street. It is a homely and comfortable environment which has all the usual furnishings of a family home including domestic kitchen and laundry fittings. Bedroom accommodation for up to three residents is provided in single rooms on the first and second floors of the property. One resident was happy to show us his bedroom which he expressed his satisfaction with. Residents have shared bathroom and toilet facilities. There is also a lounge / dining area, kitchen and conservatory which residents share with the family. There are landscaped gardens to the rear of the property which residents have full access to. The home presented as clean at the time of the inspection. We are not aware of any outbreaks of infection in the home. A resident responding to our survey told us that the home is always clean and fresh and they are supported to contribute to domestic tasks in order to maintain this. An infection control policy was seen to be in place in Care Homes for Adults (18-65 years) Page 19 of 27 Evidence: the home and we noted from our inspection of records that the provider has recently undertaken infection control update training with the Health Protection Unit. Care Homes for Adults (18-65 years) Page 20 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. Residents benefit from consistent support from a small staff team who know them well. Evidence: Ashwood is owned and managed by Mr Van-Wyk who is supported by his wife. Mr VanWyk has been running the home since it opened approximately ten years ago. Only one other person is reported to be routinely employed to work in the home on the occasions when Mr Van-Wyk and his wife take a holiday. This individual has been employed on this basis for a number of years. Previous inspection reports indicate that their recruitment records have been checked and found to be satisfactory. We were informed by the providers wife that the care worker attends regular training courses with the local authority as part of her permanent employment. At the time of the inspection the provider did not have evidence of this in the home. We have made a recommendation that copies of the care workers certificates and training record are kept in the home in order to comply with the law. The providers wife agreed to action this. We looked at the training records for both Mr Van-Wyk and his wife, these demonstrating that both have undertaken suitable training to keep themselves up-toCare Homes for Adults (18-65 years) Page 21 of 27 Evidence: date. This includes undertaking National Vocational Qualifications in Care, an equality and diversity update, training in the Mental Capacity Act and risk assessment. Care Homes for Adults (18-65 years) Page 22 of 27 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 good quality outcomes in this area. We have made this judgement using a range of evidence, including a visit to this service. The home provides a consistent, stable service to the people who live there. The provider has taken a proportionate approach to health and safety within the home given its size and the needs of residents. Evidence: Mr Van-Wyk and his wife have several years experience of working with people with learning disabilities and running a residential care home. Discussion with them indicated that they are aware of the need for them to keep themselves up-to-date and there was evidence on record of them attending a range of training courses as part of their professional development. It was evident from discussion with Mr Van-Wyk that while the home is small, he and his wife take their responsibilities seriously and understand their duty of care to residents. Mr Van-Wyk told us that residents views are taken into account with regards to the running of the home both informally on an everyday basis and formally through residents meetings. We were told that meetings do not necessarily take place on a Care Homes for Adults (18-65 years) Page 23 of 27 Evidence: routine basis but will be arranged when there is something important to discuss. Mr Van-Wyk gave us an example of when residents views had been sought in relation to changes within the home to positive effect. A resident we spoke with confirmed this. As indicated in the previous section on Staffing we have made a recommendation under Standard 41 that where the provider employs a care worker to work in the home while they are away, the care workers training records should be held in the home as evidence of their knowledge and skills. Discussion with the provider indicated awareness of the need for basic health and safety processes to be in place. We acknowledge that these should be proportionate given the size of the home and the needs of the people who live there. We saw from our inspection of records that both Mr Van-Wyk and his wife have attended training in basic first aid in the past seven months, their certification being valid for three years. Risk assessments on file indicated that water and radiator temperatures are thermostatically controlled, these having last been reviewed in May 2009. Regular checks of water temperature were not reported to be undertaken, however, and it was suggested that this is given consideration particularly if new people move into the home to minimise risks of scalding. We observed at the inspection that the opening of a bedroom window on the second floor of the house was not restricted. We were informed that this was on the advice of the local fire and rescue service. We recommend that this is documented as part of a risk assessment to ensure risks are minimised. Care Homes for Adults (18-65 years) Page 24 of 27 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, Care Homes Regulations 2001 and the National Minimum Standards. No. Standard Regulation Requirement Timescale for action Care Homes for Adults (18-65 years) Page 25 of 27 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, 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 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 41 42 You should ensure that training records for any care worker employed to work in the home are kept in the home. You should ensure that a risk assessment is carried out with regards to window openings to ensure peoples safety is promoted. As new people are admitted to the home, you should ensure that all aspects of health and safety, including the checking of water temperatures, are given consideration in accordance with their individual needs. Care Homes for Adults (18-65 years) Page 26 of 27 Helpline: Telephone: 03000 616161 or Textphone: 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) Commission for Social Care Inspection (CSCI). 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 CSCI copyright, with the title and date of publication of the document specified. Care Homes for Adults (18-65 years) Page 27 of 27 - 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!