You are here

Ashview Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 3 March 2021

About the service

Ashview is a ‘care home’. People in care homes receive accommodation and personal care under a contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection. Ashview accommodates up to 13 people who may have a learning disability, in one adapted building. At the time of our inspection, eight people were using the service.

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

Staff did not always follow the provider’s COVID-19 policy or government infection and protection guidelines. This posed a risk of staff transferring infection.

Quality assurance arrangements and governance systems were in place to assess, monitor and improve the quality of the service. However, we found the quality assurance monitoring had not been completed or had been ineffective in identifying and managing concerns.

People’s medicines were managed safely. However, where people had been prescribed medicines that were taken when required, guidance for staff had not always been provided.

Peoples risks in relation to their health care needs had been assessed and were being managed safely.

People and staff were encouraged to share their views through regular meetings. Staff felt able to raise concerns with the management.

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 Good (published 30/01/2018).

Why we inspected

This was a planned inspection based on the previous rating and partly prompted by concerns reported by the service in relation to people's safety. A decision was made for us to inspect and examine those risks. As a result, we undertook a focused inspection to review the key questions of safe and well-led only.

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 coronavirus 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 changed from good to requires improvement. 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 Ashview 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 result of this inspection. We will continue to discharge our regulatory enforcement functions required to keep people safe and to hold providers to account where it is necessary for us to do so.

We have identified breaches in relation to safe care and treatment and governance at this inspection.

Full information about CQC's regulatory response to the more serious concerns found during inspections is added to reports after

any representations and appeals have been concluded.

We will request an action plan for the provider to understand what they will do to improve the standards of quality and safety. We will work alongside the provider and local authority to monitor progress.

We will return to visit as per our re-inspection programme. If we receive any concerning informati

Inspection areas

Safe

Requires improvement

Updated 3 March 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 3 March 2021

Caring

Good

Updated 3 March 2021

Responsive

Good

Updated 3 March 2021

Well-led

Requires improvement

Updated 3 March 2021

The service was not always well-led.

Details are in our well-Led findings below.