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Ashlands Care Home Requires improvement

We are carrying out a review of quality at Ashlands Care Home. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 September 2021

About the service

Ashlands Care Home is a residential care home providing personal care to 20 people aged 65 and over at the time of the inspection. The service can support up to 30 people. The service is in an extended two storey detached building, converted and adapted to provide care both for people with dementia and older people.

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

Risks to people in relation to their personal care were not always managed safely. PPE (personal protective equipment) was not always readily available throughout the building. Some areas of the home environment were not able to be effectively cleaned due to damage to surfaces. This put people at risk of preventable spread of infection.

The provider did not consistently assess, monitor and mitigate the risks in relations to the health, safety and welfare of people. Audits of the quality of care were not consistently effective at identifying or rectifying issues. The provider did not ensure that people were as fully involved as they could be in designing their care and support. People’s care plans and associated documents did not demonstrate that people and their relatives had been consistently involved in developing and reviewing care.

The provider was aware of the requirement to notify CQC of certain incidents, but our records showed that these notifications were not always sent in as required. The provider had not provided CQC with an up to date statement of purpose.

People and their relatives felt the service was safe. Relatives spoke positively about the caring attitude of the staff team. Staff understood how to recognise and report concerns or abuse. There were enough staff to keep people safe. People received their prescribed medicines safely. We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed. Accidents and incidents were reviewed and monitored to identify trends and to prevent reoccurrences.

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 Requires Improvement (published 1 April 2019). The service remains rated requires improvement. This service has been rated requires improvement for the last four consecutive inspections.

Why we inspected

We received concerns in relation to medicines management, food and fluids monitoring, pressure area care and monitoring and how safeguarding was managed. As a result, we undertook a focused inspection to review the key questions of Safe and Well-led.

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.

We reviewed the information we held about the service. No areas of concern were identified in the other key questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those key questions were used in calculating the overall rating at this inspection.

The overall rating for the service has remained the same. This is based on the findings at this inspection. We have found evidence that the provider needs to make improvements. Please see the Safe and Well-led sections of this full report.

You can see what action we have asked the provider to take at the end of this full report.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ashlands Care Home on our website at www.cqc.org.uk.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a r

Inspection areas

Safe

Requires improvement

Updated 30 September 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 30 September 2021

Caring

Good

Updated 30 September 2021

Responsive

Good

Updated 30 September 2021

Well-led

Requires improvement

Updated 30 September 2021

The service was not always well-led.

Details are in our well-Led findings below.