Ashley Phoenix Home

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question requires improvement. At this assessment the rating has changed to good.

This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Shared direction and culture during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Workforce equality, diversity and inclusion during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.

At our last assessment, we found the provider’s quality assurance systems were not always effective in identifying issues and driving improvements. We also found some incidents had not always been notified to CQC and other relevant stakeholders when required. At this assessment, we found the provider had made improvements to notifying CQC and other relevant stakeholders of incidents and these had been embedded into practice.

The provider now had effective systems to assess, monitor and improve the quality of the service. Audits and checks were completed regularly, and action was taken when issues were identified. Care plans and risk assessments were up to date and reflected people’s current needs.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people.

Improvements had been made in the provider’s approach to safeguarding, and incidents were now routinely recognised, reported and shared with the appropriate authorities when required. This helped to promote people’s safety and ensure concerns were addressed promptly.

Relatives told us they felt listened to and valued. They said managers responded to concerns and acted on suggestions to improve people’s care and support. This demonstrated a culture of openness and continuous learning.

The manager told us communication and collaboration across the organisation and integration with local services had improved. Managers shared learning from incidents, good practice and resources with one another to support consistent improvements in the quality and safety of care.