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Ashleigh House Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 August 2019

About the service:

Ashleigh House is a residential care home providing personal care for up to 24 older people aged 65 and over. At the time of our visit, 15 people lived at the home and one of these was in hospital. Accommodation is provided over three floors in one adapted building.

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

There had been an increase since the last inspection of audit checks completed to monitor the quality and safety of the service to help drive improvement. However, these had not been consistently effective in identifying risk and areas needing improvement. Quality checks included feedback from people, their relatives, and staff, through quality questionnaires and meetings.

Health and safety checks were carried out to make sure equipment and the environment was safe although we identified some areas needing improvement which were addressed during our visit. Arrangements were in place to keep the home clean, but staff did not always follow good infection control practice.

People's needs were assessed before they moved into the home to make sure their needs could be met, and it was the right place for them to live. People told us they felt safe living at Ashleigh House and spoke positively about the staff that supported them. We found there were some inconsistencies in regards to risks associated with people’s care being identified, recorded and reviewed, to ensure people were kept safe.

Staff understood what they needed to do to keep people safe from the risk of abuse and we had been informed of potential safeguarding incidents in a timely manner. Staff had improved their understanding of the Mental Capacity Act but where people lacked capacity, this had been not always been identified within records. However, staff said they supported people with decision making to ensure they had choice and control of their lives and aimed to support people in the least restrictive way possible and in their best interests.

Health professionals were contacted where appropriate to support people’s healthcare needs. At our last inspection we identified improvements in the management of people’s prescribed topical creams were needed. At this inspection, these improvements had been made. People received their medicines from trained staff when they needed them.

Staff were recruited safely and there were enough staff to meet people’s needs. Staff completed on-going training and supervision to be effective in their roles.

Staff knew people well and people had access to some social activities to maintain their wellbeing. People said there was not enough social stimulation for them. A new activity organiser had been appointed and was developing activities in accordance with people’s preferences. This included building further links with the local community.

Staff were caring in their approach and understood how to respect people’s privacy, dignity and independence and people told us this was maintained. Care plans contained information to support staff in providing personalised care. Some people had contributed to end of life care plans which were being developed to help ensure people’s wishes were followed at this time.

At our last inspection it had not been clear people's nutritional and hydration needs were met. At this inspection, this had improved. People were offered a choice of meals and snacks on a daily basis and staff understood and supported people's dietary needs.

People and their relatives knew how to raise a complaint and felt at ease to raise any concerns with staff. Complaint records showed the registered manager had investigated those received and taken action to address them.

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 22 June 2018). The provider completed an action plan after the last inspection to show what they would do and by when

Inspection areas

Safe

Requires improvement

Updated 8 August 2019

The service was not always safe.

Effective

Good

Updated 8 August 2019

The service was effective.

Caring

Good

Updated 8 August 2019

The service was caring.

Responsive

Requires improvement

Updated 8 August 2019

The service was not always responsive.

Well-led

Requires improvement

Updated 8 August 2019

The service is not always well led.