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Care Home: Aston House

  • 14 Lewes Road Eastbourne East Sussex BN21 2BT
  • Tel: 01323638855
  • Fax: 01323647287
  • Planned feature Advertise here!

Aston House is a care home registered to provide support for up to 15 older people with past or present mental health needs. The home is situated on a main road in a residential area, within walking distance of Eastbourne town centre and public transport, with GP and dental surgeries accessible. It is on two floors with thirteen single rooms and one double room, there are no en suite facilities; there are two bathrooms, with a shower cubicle in one and additional toilets on each floor. A lift provides access to the first floor with additional steps restricting access to some rooms. There are two lounges, one on the ground floor and one on the first floor, with a dining room to the rear of the building. There is and attractive garden at the rear of the home and a patio area at the side that are used when weather permits. There is a small parking area at the front of the building that can be accessed from the road. The current fees range from £423.86 to £451. Some costs, including hairdressing and chiropody are not included in these fees.

  • Latitude: 50.777000427246
    Longitude: 0.2790000140667
  • Manager: Mr Bhye Koomar
  • Price p/w: ~
  • UK
  • Total Capacity: 15
  • Type: Care home only
  • Provider: Mrs Fatmah Koomar,Mr Bhye Koomar
  • Ownership: Private
  • Care Home ID: 2263
Residents Needs:
mental health, excluding learning disability or dementia

Latest Inspection

This is the latest available inspection report for this service, carried out on 31st July 2008. CSCI 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 Aston House.

What the care home does well The owners/mangers of Aston House have provided a relaxed and comfortable home for residents over a number of years. They work full time in the home and encourage residents to participate in decisions about the support hey receive. Residents spoken with said they are comfortable and feel they are given the support they need. The care staff said they enjoy working in the home, they feel they can offer appropriate support for the residents, and they feel well supported by the management. Communication between the staff and residents was friendly and relaxed, reflecting positive relationships. What has improved since the last inspection? The manager advised that the requirements following the last inspection have been met, with regard to health and safety checks in the home and the homes policy for residents smoking in their own rooms. The requirement regarding safe systems for keeping residents door open is being addressed as part of the re-decoration of the home. The manager will inform the Commission when this has been met. What the care home could do better: No requirements were made at this time. But some issues regarding staff training and care plans were discussed. The manager confirmed that training is being organised to update all staff, and a review of care plans will be undertaken by the managers over the next few weeks. CARE HOMES FOR OLDER PEOPLE Aston House 14 Lewes Road Eastbourne East Sussex BN21 2BT Lead Inspector Kathy Flynn Unannounced Inspection 31st July 2008 13.00 X10015.doc Version 1.40 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 Aston House DS0000021035.V367332.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 Older People. 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. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 3 SERVICE INFORMATION Name of service Aston House Address 14 Lewes Road Eastbourne East Sussex BN21 2BT 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) 01323 638855 01323 647287 Mr Bhye Koomar Mrs Fatmah Koomar Mr Bhye Koomar Mrs Fatmah Koomar Care Home 15 Category(ies) of Mental Disorder, excluding learning disability or registration, with number dementia - over 65 years of age (15) of places Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. 3. 4. The maximum number of service users to be accommodated is fifteen (15). That service users should be aged sixty five (65) years or over on admission. That service users should have a mental disorder, excluding learning disability or dementia. From time to time the home may admit service users under the age of sixty-five (65) years. 5th September 2006 Date of last inspection Brief Description of the Service: Aston House is a care home registered to provide support for up to 15 older people with past or present mental health needs. The home is situated on a main road in a residential area, within walking distance of Eastbourne town centre and public transport, with GP and dental surgeries accessible. It is on two floors with thirteen single rooms and one double room, there are no en suite facilities; there are two bathrooms, with a shower cubicle in one and additional toilets on each floor. A lift provides access to the first floor with additional steps restricting access to some rooms. There are two lounges, one on the ground floor and one on the first floor, with a dining room to the rear of the building. There is and attractive garden at the rear of the home and a patio area at the side that are used when weather permits. There is a small parking area at the front of the building that can be accessed from the road. The current fees range from £423.86 to £451. Some costs, including hairdressing and chiropody are not included in these fees. Aston House DS0000021035.V367332.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. The reader should aware that the Care Standards Act 2000 and the Care Homes Regulations 2001 use the term ‘service user’ to describe those living in care home settings. However for the purposes of this report those living at Aston House will be referred to as ‘residents’. This unannounced inspection was carried out on the 31st July and took place over three and a half hours. The inspection included a tour of the home, a review of pre-admission assessments, care plans, staff records and training, medication records, activities, and menus. There were 11 residents at the home during the inspection. Six of the residents were spoken with and there were no visitors to the home at the time of the inspection. The managers and care staff were happy to discuss the care and support they provide at the home. The Annual Quality Assurance Assessment (AQAA) was completed by the manager, within the required timescale, and identified areas where improvements have been made, and where others are planned for the benefit of residents. What the service does well: The owners/mangers of Aston House have provided a relaxed and comfortable home for residents over a number of years. They work full time in the home and encourage residents to participate in decisions about the support hey receive. Residents spoken with said they are comfortable and feel they are given the support they need. The care staff said they enjoy working in the home, they feel they can offer appropriate support for the residents, and they feel well supported by the management. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 6 Communication between the staff and residents was friendly and relaxed, reflecting positive relationships. What has improved since the last inspection? 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. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 7 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 8 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 3, 4 and 5. Standard 6 is not applicable. Quality in this outcome area is good. This judgement has been made using available evidence including visits to the home. Appropriate pre-admission assessments are completed for all prospective residents and rooms are only offered if the home can meet their needs. EVIDENCE: All prospective residents are assessed prior to offering them a place, and they and their representatives are encouraged to visit the home before they move in, they can also stay for a trail period before they decide to take a room on a permanent basis. The assessments viewed showed that appropriate information is collected and the placements have been made with the involvement of the Community Mental Health Team, the resident and their relatives. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 9 Residents spoken with who expressed an opinion said that visits to the home had been arranged to assist them in reaching their decision about moving in, and they felt their needs were being well met. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 7, 8, 9 and 10. Quality in this outcome area is good.. This judgement has been made using available evidence including visits to the home. The staff have a good understanding of the residents’ support needs. This is evident from the positive relationships, which have been formed between the staff and the residents. EVIDENCE: The care planning system provides information for staff to support residents appropriately, however some of the four care plans viewed were not up to date.. One residents care plan had not been update following a fall and admission to hospital for repair of fractured hip. Staff spoken with were aware of his needs and the additional support that is required. Although they have yet to complete moving and handling training, and it was not clear if they were using appropriate systems when helping him use a walking aid. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 11 The manager advised that he will be reviewing the care plans over the next few weeks to ensure they contain relevant information, and confirmed that moving and handling training has been arranged for next month. The daily progress notes are completed by staff and show clearly how their needs are met on a day-to-day basis. Residents spoke positively about the support provided they said, ‘I am comfortable here’; I enjoy playing dominoes’ and ‘I like my own room and enjoy watching the TV or reading’. Training in the ordering, storage and administration of medicines is provided for staff, and the medicines are kept secure in a lockable cupboard. There are no controlled medicines in the home at this time, and the management are aware of the new requirements regarding their storage, and will be able to install a separate lockable cupboard if required. The medicine administration record sheets were viewed and were completed appropriately. The management of the home is relaxed and communication between staff and residents was friendly, with staff treating residents with respect, asking them if they needed assistance or what they would like to do. Attention was given to individual residents who responded well to the one to one time. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 12 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 12, 13, 14 and 15. Quality in this outcome area is good. This judgement has been made using available evidence including visits to the home. Residents are encouraged to make decisions about all aspects of their day-today lives and activities are provided on this basis. The meals are good, offering choices and catering for special dietary needs. EVIDENCE: Residents are encouraged to choose how they spend their time, some were in their rooms or sitting outside on the patio, and a group enjoyed a game of dominoes with the manager. A people carrier has been purchased for trips and a group were able to enjoy a tour of Hastings, Battle and the surrounding areas, with afternoon tea. Some outside providers continue to offer activities on a regular basis, including an Occupational Therapist providing exercises, musical entertainers and there are links with local churches. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 13 There is open visiting at the home, although there were no relatives or friends visiting during the inspection. The residents spoke positively about the food, choices are available and the times are flexible depending on the needs of the residents. It was noted that if residents do not each the meal offered then alternatives are available and offered when appropriate. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 14 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be. JUDGEMENT – we looked at outcomes for the following standard(s): 16 and 19. Quality in this outcome area is good. This judgement has been made using available evidence including visits to the home. The home has appropriate complaints procedures, and training with regard to vulnerable adults is provided for staff to protect residents EVIDENCE: There have been no complaints since the last inspection, within the home or to the Commission, and the manager confirmed that appropriate complaints procedures are in place. Training in protecting vulnerable adults has been arranged for August, to ensure staff are up to date with current procedures, and the manager advised that all staff will be attending this. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 15 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 19 and 26. Quality in this outcome area is adequate. This judgement has been made using available evidence including visits to the home. The home provides residents with a comfortable and homely environment. Infection control procedures are in place and training is provided for staff to protect residents. EVIDENCE: Aston House provides comfortable, homely individual and communal space for residents, who are encouraged to personalise their rooms with small pieces of furniture, pictures and ornaments of their choice. The management are currently re-decorating parts of the building, the dining room has been painted and a new carpet has been ordered. The hall to the Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 16 rear of the home is being prepared for painting, and the residents are currently discussing what colour they would like the walls to be. The empty residents rooms are also being redecorated, and the manager advised that any furniture that is worn will be replaced as part of this process. He also advised that an audit of furniture in the home would identify any pieces that need replacing, such as small tables, because they are rusty and therefore staff are unable to ensure they are safe in terms of infection control. A room on the first floor was noted to be propped open using chairs, the manager said he is reviewing this as part of the improvements in the home, and will be installing safe systems for keeping residents doors open. Systems for the control of infection are in place, and the manager advised that all staff are required to attend appropriate training to protect residents. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 17 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 27, 28, 29 and 30. Quality in this outcome area is good. This judgement has been made using available evidence including visits to the home. Robust recruitment procedures are used to protect residents, and new staff are required to complete induction training to ensure they are aware of their roles and responsibilities. EVIDENCE: The managers/owners were both on duty, with one carer at the time of the inspection, and it was noted that staff were able to offer the support required with these staffing arrangements. The manager advised that staffing at the home is appropriate for the needs of the residents at this time, based on their assessed needs. Although more staff would be allocated if the needs of the residents change, or if the number of residents increased. All new members of staff are required to complete induction training, and they are encouraged to work towards National Vocational Qualifications (NVQ) when they have completed this successfully. The care staff member on duty explained that she intends to start the NVQ level 2 in January 2009. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 18 Staff files showed that relevant information if in place, including appropriate checks, POVA and CRB, as well as two references. The files also contain details of training programmes they have attended, clearly some of these should be updated, and the manager is organising a range of training days for August, which will include moving and handling. Staff spoken with said they enjoy working at the home and feel well supported by the management. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 19 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. 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 and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected. JUDGEMENT – we looked at outcomes for the following standard(s): 31, 33, 35 and 38. Quality in this outcome area is good. This judgement has been made using available evidence including visits to the home. The management approach to the home is open, and encourages the involvement of staff and residents in decisions taken about the services offered at the home. EVIDENCE: The managers/owners have many years experience of providing quality support for older people with a mental disorder. They are registered nurses and have completed the Registered Managers Awards. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 20 Questionnaires are used, in addition to daily discussions, about the services provided to obtain feedback from residents, relatives and health professionals. The manager advised they were sent out a short while before this inspection. The feedback is used as part of the quality assurance system to develop the service. The home is responsible for some of the residents finances in terms of purchasing personal items on their behalf, records are kept of any payments and receipts are available. The manager advised that the health and safety of residents is protected with regular environmental safety checks, including the lift, call bells and fire safety systems, as well as relevant training for staff. Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 21 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People 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 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X 3 3 3 N/A HEALTH AND PERSONAL CARE Standard No Score 7 2 8 3 9 3 10 3 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 3 13 3 14 3 15 3 COMPLAINTS AND PROTECTION Standard No Score 16 3 17 X 18 3 2 X X X X X X 3 STAFFING Standard No Score 27 3 28 3 29 3 30 2 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score 3 X 3 X 3 X X 3 Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 22 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. Refer to Standard Good Practice Recommendations Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 23 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. Extracts may not be used or reproduced without the express permission of CSCI Aston House DS0000021035.V367332.R01.S.doc Version 5.2 Page 24 - 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!

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