• Care Home
  • Care home

Ashview

Overall: Inadequate read more about inspection ratings

River View High Road, Vange Basildon, Essex, SS16 4TR (01268) 583043

Provided and run by:
Ashview House Limited

Latest inspection summary

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Background to this inspection

Updated 17 August 2023

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Health and Social Care Act 2008.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

This inspection was carried out by 2 inspectors and an Expert by Experience. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service.

Service and service type

Ashview is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. Ashview is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

What we did before the inspection

We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. We used the information the provider sent us in the provider information return (PIR). This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We used all this information to plan our inspection.

During the inspection

We spoke with 2 people who used the service and 4 relatives about their experience of the care provided. We spoke with 5 members of staff including the registered manager, senior support workers and support workers. We spent time observing people's care to understand the experiences of people who could not talk with us.

We reviewed a range of records. This included 4 people's care records and 3 people's medicines records. We looked at 3 staff files in relation to recruitment and staff supervision. A variety of records relating to the management of the service, including policies and procedures were reviewed.

Overall inspection

Inadequate

Updated 17 August 2023

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. ‘Right support, right care, right culture’ is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

About the service

Ashview is a residential care home providing personal care to 12 people at the time of the inspection. The service can support up to 13 people with a learning disability and autistic people.

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

The provider was not able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support

The provider did not focus on people’s strengths or promote what they could do, so people had a fulfilling and meaningful everyday life.

People were not supported to achieve their aspirations and goals.

People did not benefit from an interactive and stimulating environment. People were not always supported by staff to pursue their interests.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

People were not always supported with their medicines in a way that promoted their independence and achieved the best possible health outcome.

Right Care

The provider had not ensured staff were appropriately skilled to meet people's needs and keep them safe.

People’s care, treatment and support plans did not reflect their range of needs or promote their wellbeing and enjoyment of life.

People’s care was not focused on their quality of life and was not delivered in line with best practice.

People’s care was not always dignified or respectful.

Right Culture

People were not always supported by staff who understood best practice in relation to the wide range of strengths, needs or sensitivities people with a learning disability and/or autistic people may have. This meant people did not always receive compassionate and empowering care that was tailored to their needs.

The provider had not ensured people’s wishes, needs and rights were placed at the heart of everything they did. The provider had not created a culture of improvement and inclusivity.

People and those important to them, were not involved in planning their care.

The provider had not effectively monitored and evaluated the quality and safety of the support provided to people.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update

The last rating for this service was requires improvement (18 July 2022) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve.

At this inspection we found the provider remained in breach of regulations.

Why we inspected

This inspection was carried out to follow up on action we told the provider to take at the last inspection. We also received information of concern about management oversight at the service and the quality and safety of the care people received.

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 COVID-19 and other infection outbreaks effectively. We also assessed whether the service was applying the principles of Right support, right care, right culture.

We have found evidence the provider needs to make improvements. The overall rating for the service has changed from requires improvement to inadequate based on the findings of this inspection.

Enforcement

We have identified breaches in relation to safe care and treatment, safeguarding, staff training, person-centred care, treating people with dignity and respect, supporting people's nutritional needs, management oversight and requirements relating to the registered manager.

Please see the action we have told the provider to take at the end of this report.

Follow up

We will meet with the provider following this report being published to discuss how they will make changes to ensure they improve their rating to at least good. We will work with the local authority to monitor progress. We will continue to monitor information we receive about the service, which will help inform when we next inspect.

The overall rating for this service is ‘Inadequate’ and the service is therefore in ‘special measures’. This means we will keep the service under review and, if we do not propose to cancel the provider’s registration, we will re-inspect within 6 months to check for significant improvements.

If the provider has not made enough improvement within this timeframe and there is still a rating of inadequate for any key question or overall rating, we will take action in line with our enforcement procedures. This will mean we will begin the process of preventing the provider from operating this service. This will usually lead to cancellation of their registration or to varying the conditions the registration.

For adult social care services, the maximum time for being in special measures will usually be no more than 12 months. If the service has demonstrated improvements when we inspect it, and it is no longer rated as inadequate for any of the five key questions it will no longer be in special measures.