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Inspection Summary


Overall summary & rating

Good

Updated 25 October 2017

Ashtree House is registered to provide accommodation and personal care for up to 27 older people, including people living with dementia. The registered provider also offers day care support in the same building as the care home although this type of service is not regulated by the Care Quality Commission (CQC).

We carried out our inspection on 30 August 2017. The inspection was unannounced. There were 26 people living in the home on the day of our inspection.

The home had a registered manager in post. A registered manager is a person who has registered with CQC to manage the service. Like registered providers (‘the provider’) they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in July 2015 we rated the home as Good. Following this inspection the rating remains as Good.

Action was required to improve the provision of activities and other forms of stimulation and occupation. In all other areas however, the provider was meeting people’s needs effectively.

There was a calm, relaxed atmosphere and staff supported people in a kind and friendly way. Staff knew and respected people as individuals and provided responsive, person-centred care. People were provided with food and drink of good quality that met their individual needs and preferences. The décor and facilities in the home reflected the needs of people living with dementia.

There were sufficient staff to keep people safe and meet their care and support needs. Staff worked well together in a mutually supportive way. There was a varied training programme in place to provide staff with the knowledge and skills they required to meet people’s needs effectively.

People’s medicines were managed safely and staff worked closely with local healthcare services to ensure people had access to any specialist support they required. People’s individual risk assessments were reviewed and updated to take account of changes in their needs. Staff knew how to recognise and report any concerns to keep people safe from harm.

CQC is required by law to monitor the operation of the Mental Capacity Act, 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and to report on what we find. DoLS are in place to protect people where they do not have capacity to make decisions and where it is considered necessary to restrict their freedom in some way, usually to protect themselves. At the time of our inspection the provider had been granted DoLS authorisations for three people living in the home and was waiting for a further 11 applications to be assessed by the local authority. Staff had an understanding of the MCA and demonstrated their awareness of the need to obtain consent before providing care or support to people. Decisions that staff had made as being in people’s best interests were correctly documented.

The registered manager was well-known to everyone connected with the home and had the loyalty and respect of her team. A range of auditing and monitoring systems was in place to monitor the quality and safety of service provision.

Inspection areas

Safe

Good

Updated 25 October 2017

The service remains Good.

Effective

Good

Updated 25 October 2017

The service remains Good.

Caring

Good

Updated 25 October 2017

The service remains Good.

Responsive

Requires improvement

Updated 25 October 2017

The service was not consistently responsive.

The provision of activities and other forms of stimulation was inconsistent and did not fully meet people’s needs.

The provider's approach to care planning was effective.

The décor and facilities in the home reflected the needs of people living with dementia.

Any concerns or complaints were managed well.

Well-led

Good

Updated 25 October 2017

The service remains Good.