• Care Home
  • Care home

Aston House

Overall: Requires improvement read more about inspection ratings

45 Hampton Park Road, Hereford, Herefordshire, HR1 1TJ (01432) 267996

Provided and run by:
Aston House Care Ltd

Important: The provider of this service changed - see old profile

Latest inspection summary

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Background to this inspection

Updated 12 November 2021

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection took place on 12 October 2021 and was unannounced. The membership of the inspection team consisted of one inspector.

Service and service type

Aston House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service did not have a manager registered with the Care Quality Commission. This means the provider is legally responsible for how the service is run and for the quality and safety of the care provided.

What we did before inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority, Healthwatch and professionals who work with the service. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England. The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report.

During the inspection

We spoke with five people who used the service about their experience of the care provided. We spoke with four members of staff including the provider, a health care professional, senior team leader, support worker and the chef. We used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who could not talk with us.

We reviewed a range of records. This included three people’s care records and multiple medication records. We looked at six staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with four relatives about their experience of the care provided..

Overall inspection

Requires improvement

Updated 12 November 2021

About the service

Aston House provides accommodation and personal care for up to 16 people who have mental health support needs. People who live at Aston House may need a long-term home or be planning to move towards a more independent way of life. At the time of our inspection there were 15 people living at the home.

People’s experience of using this service and what we found

People’s care and support was not always monitored and reviewed regularly to ensure staff had the most current information in order to support people.

The home environment required urgent repairs due to a leaking roof which had caused damp patches on walls and ceilings. The provider had taken action and repairs were due in the next few weeks.

The provider had a framework to monitor performance and drive improvement. This included the collection and analysis of data as well as regular audits. These systems however had not identified all the issues that we found at this inspection.

People’s medicines were managed safely. Medicines were being administered to people in a safe, respectful and caring way. Safe practice was carried out to reduce the risk of infection. Staff followed good practice in relation to wearing personal protective equipment (PPE).

Staff had received training, but many were due for the refresher training to ensure their knowledge and practice remained up to date.

People’s choices were respected by staff. Staff supported people to maintain their independence. People were encouraged to continue with their hobbies and interests. People had access to information on how to raise a complaint.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection (and update)

The last rating for this service under the previous provider was Good (published 14 November 2018).

Why we inspected

We received concerns in relation to staffing and management of the home.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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.