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Ashleigh Nursing Home Requires improvement

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Inspection report

Date of Inspection: 21 February 2012
Date of Publication: 27 March 2012
Inspection Report published 27 March 2012 PDF | 46.26 KB

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Not met this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We reviewed all the information we hold about this provider, carried out a visit on 21/02/2012, observed how people were being cared for, looked at records of people who use services and talked to people who use services.

Our judgement

The process of assessing and reviewing people’s needs was not robust. This had the potential for people not to receive the care and support they needed.

User experience

We spoke with someone who was visiting a relative at Ashleigh Nursing Home. We

asked them for their views about the care and support provided to their relative. They told us "They're very good here I can't fault them."

We inspected the service in January 2012, and spoke with people who were visiting

relatives all of which expressed satisfaction with the care and support provided by the service.

Other evidence

We saw during our inspection staff spending time with people who used the service

providing reassurance and talking with them.

We found that issues identified at the previous inspection with regards to the

management of a person's diabetes had been addressed with clear guidelines detailing what action should be taken to manage their care and support being documented within their care plan. At our earlier inspection we found that people were not always being weighed at the frequency their care plan stated. We found this had been acted upon.

We looked at the care plans and records of three people. We found that assessments had been carried out on a range of topics which included moving and handling, pressure area care, nutrition and hydration. The assessments were not always dated. This meant there was no assurance that the current needs of people were being met. We found no clear link between the assessments which had been carried out and people’s care plans. Care plans did not provide a clear picture of a persons needs and did not include the views of people using the service.

A person's records included a mental capacity assessment that had been carried out on the person, the outcome of the assessment stated that the person did not have capacity. We found no additional action had been taken following the outcome of the mental capacity assessment.

We were made aware that someone using the service had recently, on occasions, declined to take their medication. We looked at their medication administration records and noted they had declined to take their medication on three days over a period of a month and on the same day on each occasion. The registered manager had not noted the pattern. This showed that information is not looked at to find out whether a person needs should be reassessed.

The registered manager told us registered nurses were being recruited to work at

Ashleigh Nursing Home and that each nurse would be responsible for a number of

people using the service and it would be their responsibility to review the needs of

people and develop care plans.

The service is working with representatives of the Leicester City Council and the

Primary Care Trust who are supporting the service in the development of assessment tools and care plans.

The provider following our inspection in January 2012 provided an action plan detailing how the service would become compliant with outcome 4. The action plan detailed that issues identified at our previous inspection with regards to the promotion of people's dignity had been discussed at a team meeting. Issues with regards to individual care plans highlighted at the previous inspection had been addressed and that the registered manager would be reviewing a number of care plans weekly.