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Archived: Ashton House Nursing Home

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Inspection report

Date of Inspection: 14 February 2014
Date of Publication: 7 March 2014
Inspection Report published 07 March 2014 PDF

The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care (outcome 16)

Meeting this standard

We checked that people who use this service

  • Benefit from safe quality care, treatment and support, due to effective decision making and the management of risks to their health, welfare and safety.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 14 February 2014, observed how people were being cared for and talked with people who use the service. We talked with carers and / or family members and talked with staff.

Our judgement

The provider had an effective system to regularly assess and monitor the quality of the service that people received.

Reasons for our judgement

We saw that a comprehensive system of quality assurance was in place. We saw the provider's quality assurance check folder which was detailed and current to confirm this. In addition senior staff carried out monthly care plan and infection control audits. A health and safety audit was also recently carried out and we saw details of this.

People who use the service along with family members and staff were asked for their views about the care and treatment provided. Any comments or complaints were acted on. We were told that there was an annual residents and family meeting where any issues were discussed and addressed. We saw a copy of the minutes of the last meeting that was held. We were told that no residents meeting were held as the provider had an 'open door' policy whereby people could speak to staff or management at any time regarding a complaint, concern or suggestion.

We saw that the provider's complaints procedure was given to people and their relatives as part of the residents guide. A copy of this was always located in the hall of the premises.

We saw that the provider had a system in place for recording and analysing accidents. The general manager told us that all accident reports were analysed on a monthly basis and trends looked for. Action plans would then be put in place as appropriate. Incidents were also recorded and investigated. The results of action plans and accident analysis were fed back to staff at meetings in order for staff to learn from these events.