We carried out a review of the data available to us about Ashleigh Residential Home Limited on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about Ashleigh Residential Home Limited, you can give feedback on this service.
About the service
Ashleigh Residential Home is a residential care home that provides personal care for up to 25 people, some of whom are living with dementia. The accommodation is split over two floors, with a chair lift available to the second floor. There are two communal lounges and a dining area and accessible outdoor space. There are several bathrooms and toilets throughout the building. At the time of inspection 22 people were using the service.
People’s experience of using this service and what we found
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
People remained safe at the service and risks about their well-being were assessed, recorded and reviewed. People told us that when they needed assistance, staff responded promptly. People were supported to take their medicines safely. Incidents and accidents were investigated, and actions taken to prevent reoccurrence. The premises were clean, and staff followed infection control procedures.
People’s needs had been assessed, plans developed, and they received care and support from staff who had the skills and knowledge to demonstrate a full understanding of their care needs. People were provided with a nutritious and varied diet and were complimentary about the food and the choices offered. Staff were safely recruited and received the training and support needed to undertake their role.
Staff always treated people with kindness and respect and people told us they felt involved and supported in their care. There was a friendly and welcoming atmosphere for people using the service and people and their relatives gave positive comments about the staff and the care provided.
Staff were responsive to people’s individual needs and were seen to engage well. Activities and entertainment were organised on a regular basis, which people said they enjoyed. People, visitors and staff views were listened to and actions were taken to improve the service for all.
The service was led by clear leaders who conducted quality assurance audits to monitor the running of the service. These systems were in place to continue to drive and improve the level of the service. The registered manager was praised by many for their positive and supportive approach. The management team and staff engaged well with other professionals to support the needs of the service.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection
The last rating for this service was Good (published 12 May 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
At the last inspection, the service was rated Good. At this inspection we found the service remained Good.
People were kept safe by staff who knew how to mitigate risk and to provide safe care. They also knew how to respond should they suspect abuse. There was sufficient staff on duty to meet people’s needs and wishes in a timely manner.
Medicines were stored and administered safely. Staff had clear information on medicines and were able to explain to people why they needed to take them.
Staff were trained to meet people’s needs and care was delivered in a kindly manner. People’s right were protected because staff knew and followed the requirements of the Mental Capacity Act. Where appropriate people’s mental capacity was established and people where they lacked mental capacity to make safe decisions for themselves were protected. Deprivation of Liberty was used appropriately.
People’s heath was promoted through good nutrition and people had access to health and social care professionals to ensure their ongoing mental and physical health.
People were cared for by staff who knew them and cared for them in a kind and compassionate manner. People dignity and independence was promoted and staff always got consent before they delivered care.
People’s needs were assessed and care plans were drawn up; where possible this was done with the person or their relative or representative. Social needs were considered and people had the opportunity to partake in community activities such as outing to local beauty spots or in-house entertainment. Those people who were not able to partake in these activates had one to one time with staff.
There was a complaints system in place and the service had received many complements. Visitors were welcome to the service at a time to suit people they were visiting.
The service was well led. There was an established workforce and little staff turnover. The registered manager led by example, regularly delivering care to people, this enabled them to be aware of people’s changing needs and staff’s development. Systems were in place to review and where necessary improve the service. Accidents and incidents were monitored and where appropriate mitigation action taken.
Staff were positive about how they were managed and staffs’ morale was good.
People found the registered manager easy to talk to said they were available should they be needed. No one we spoke with had any concerns or worries about the service.
Further information is in the detailed findings below
This was an unannounced inspection that took place on 25 September 2015.
Ashleigh Residential Home is a care home with accommodation for older adults, some of whom may have dementia.
The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
People and their relatives thought a good service was provided, they enjoyed living at the home and there was enough staff to meet their needs. The staff team were friendly, caring, attentive and provided the care and support they needed in a way they liked. People found the home’s atmosphere was relaxed and enjoyable.
Records we looked at reflected people’s needs and wishes and were kept up to date. Staff had read and understood them. People and their relatives were encouraged to discuss health needs with staff if they wished and they had access to community based health professionals, as required. People were protected from nutrition and hydration associated risks with balanced diets that also met their likes, dislikes and preferences. People said there was a variety of well-presented meal choices, the quality of the food was good and it was the type of food they liked.
There were thorough staff recruitment processes in place that records showed were followed. The staff were knowledgeable about the people using the service and their likes, dislikes, wishes and needs. Staff had appropriate skills, training and were focussed on providing individualised care and support in a professional, friendly and supportive way. They said they were well supported by the management team who were approachable and easy to talk to. People and their relatives said they felt comfortable talking with the management team, who were responsive to their views and encouraged feedback from people. We saw that the provider consistently monitored and assessed the quality of the service provided.
We spoke with five people who used the service, two relatives, the provider, the registered manager, the deputy manager and four care staff. We looked at six people's care records and four staff files.
We found that the provider had systems in place to gain the consent to care and treatment of people who used the service. Where people did not have full mental capacity to consent, care was provided in their best interests.
We found that staff had an understanding of the needs of people who used the service. We found that care and treatment was planned and delivered in a safe way, which met people's individual care needs. People we spoke with were positive about the care they received. One person told us, "It's lovely here, I don't ever want to move."
We found that the provider worked well with other services to ensure the health and wellbeing of the people who used the service.
We found that there was an effective recruitment process in place to ensure that staff had the skills to meet people's needs.
We found that systems were in place to deal with complaints. One person told us, "The food is great, the people are nice and I get everything I need."
People told us the staff were supportive and we observed them carrying out their duties in a kind and patient manner. During lunch time, staff were seen assisting people in a dignified manner and at a pace that suited them.
Individual rooms were clean and tidy, and people were encouraged to bring in their personal belongings and furniture. Staff working at Ashleigh told us how much they enjoyed working for the service. One staff member explained, "It's a really nice place to work, the managers are supportive and we are encouraged to undertake further training'.