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Ashgrove House Nursing Home Outstanding

Inspection Summary


Overall summary & rating

Outstanding

Updated 16 December 2020

Ashgrove House is a nursing home registered to provide accommodation for up to 34 people who require nursing and personal care. There were 28 people living there at the time of our inspection.

We found the following examples of good practice.

In order to reduce the risk of infection, the service introduced zoning into Covid-19 and non-Covid areas. Staff were assigned to work in specific zones only to reduce spread of the pandemic. Staff working in the Covid-19 area was issued with masks, gloves, aprons, face shields, hair caps, sleeve covers and overshoes.

The service used IT equipment in order to reduce direct contact between members of staff working in different zones. An intelligent personal assistant, a sort of cloud-based voice service, was used for staff in different zones to communicate between them, the kitchen and the management team. This reduced the possibility of cross-infection and spread of Covid-19.

The service used whiteboards with people who needed to read lips to communicate and were unable to do it due to staff wearing face masks.

Staff used the most up-to-date guidance and best practice regarding the pandemic. This was shared through a live document that was updated according to the newest guidance published by Public Health England. The document was shared in the electronic form on a closed social media group and hard copies were given to all members of staff.

The service provider used fast-testing on top of regular tests to obtain faster test results when concerned about staff or people displaying symptoms of Covid-19. Test results were communicated to staff and the provider which resulted in positive outcomes. For example, the provider was able to obtain test results and to send home an infected member of staff who was working their shift.

There were appropriate arrangements for waste managements from all the zones with separate paths used for disposal of waste.

Staff maintained social distancing and the provider installed screens in the smoking area to protect staff from cross-infection. Perspex dividers had been fitted between seating spaces in the smoking shelter.

Meals for all the zones were covered, sealed and served from different areas of the kitchen.

Staff were using separate changing facilities provided to reduce the risk of infection.

Prior to the lockdown, the service was booking visitors in at a time that suited people and was spaced out to avoid potential infection transmission with other visitors. Outdoor visits took place and visitors were also provided with an infection prevention pack on arrival, including a mask, a face shield and disinfection gel. End of life visits were available for relatives in full personal protective equipment (PPE) for the length of 15 minutes.

The company vehicle was used with the driver in full PPE for hospital appointments. The vehicle was ventilated and disinfected after each use.

Further information is in the detailed findings below.

Inspection areas

Safe

Good

Updated 16 December 2020

Inspected but not rated

We were assured the service were following safe infection prevention and control procedures to keep people safe.

Effective

Outstanding

Updated 16 December 2020

Caring

Outstanding

Updated 16 December 2020

Responsive

Outstanding

Updated 16 December 2020

Well-led

Outstanding

Updated 16 December 2020