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Ashlands Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 2 April 2019

About the service: Ashlands Care Home 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, both were looked at during this inspection.

The care home accommodates up to 30 people aged 65 and over in one adapted building. At the time of our inspection 21 people lived there.

People’s experience of using this service:

¿The provider had improved their systems to monitor and review the quality of care people received. This was an improvement from our last inspection and the provider was no longer in breach of Regulation 17 HSCA (Regulated Activities) Regulations 2014 good governance.

¿However, some risks were present in the general environment and these had not always been identified and mitigated. We have made a recommendation about health and safety risk management.

¿We found other areas required improvement. These included checks made during the recruitment of staff, the maintenance plans for the premises and information sharing.

¿Other risks and risks associated with people’s healthcare conditions were identified and managed. Procedures were in place and followed by staff, to ensure medicines were managed safely and infection protection and control practices were effective.

¿Sufficient staff were available to meet people’s needs and staff understood what actions to take to protect people from harm and abuse. The registered manager looked to learn from incidents and make improvements when things went wrong.

¿People’s needs were assessed and monitored and people’s diverse needs were supported. Policies and procedures helped to ensure care was delivered in line with current standards.

¿Staff received support and training to help them work effectively in their roles. Staff made referrals to other professionals for their advice and guidance regarding people’s care when needed. People had access to other healthcare services as required.

¿People had choices of food and drink to help them maintain a balanced diet. Staff supported people with their meals and drinks when needed.

¿People liked their home and were happy with the on-going work to re-decorate the premises.

¿People felt well looked after and liked the staff who cared for them. People’s views were taken into account when their care was planned. Staff took steps to ensure people’s privacy and dignity was respected. People’s independence was promoted.

¿People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

¿People received personalised and responsive care and enjoyed how they spent their time at the service. No-one had a complaint to make however, people knew how to complain should they have need to. People’s communication needs were identified and met.

¿Quality of care was checked by the registered manager through spot checks and audits. The registered manager was keen to ensure care promoted positive outcomes for people. The registered manager was considered to be open and approachable and was keen to ensure the service continuously improved. People and staff felt listened to and had opportunities to be involved in the service; more information is in the full report.

Rating at last inspection:

At our last inspection, the service was rated as 'Requires Improvement.' (Published 12 July 2018). At this inspection we found the service had improved and was no longer in breach of the Act however, the service was still rated 'Requires Improvement.' This is the fourth inspection where the service has been rated 'Requires Improvement.'

Why we inspected:

This is a scheduled inspection based on the previous rating. The previous inspection found there was a breach of Regulation 17 of the Health and Social Care Act 2008(Regulated Activities) Regulations 2014.

Follow up:

We

Inspection areas

Safe

Requires improvement

Updated 2 April 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 2 April 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 2 April 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 2 April 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Requires improvement

Updated 2 April 2019

The service was not always well-led

Details are in our Well-Led findings below.