You are here

Asheborough House Care Centre - Saltash Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 30 August 2019

About the service

Asheborough House Care Centre is a nursing and residential care home which predominately provides nursing care and support to people who have been diagnosed with a form of dementia. The home is registered to accommodate up to a maximum of 31 people.

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

Systems and records were had not been used effectively to identify risks to people or enable staff to reduce risks. Recruitment processes had not been used to provide assurance new staff were suitable to work with vulnerable adults.

Medicines were not always managed safely. People’s care plans lacked guidance for staff on the use of ‘as required’ medicines and records had not been accurately maintained.

The environment had not been designed or updated to reflect best practice in dementia care.

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. It was not possible for people to move freely about the service due to several locked doors. It was unclear why these locks were required or that they were the least restrictive option.

People’s care plans and how they spent their time, did not always reflect their personal preferences.

The provider’s governance system had not identified all the areas for improvement highlighted during the inspection. Where improvements had been identified these had not been implemented promptly to improve the service people received.

People told us they felt safe and staff told us they understood their responsibility for reporting any safeguarding concerns. Staff supported people to stay healthy. People told us they enjoyed the food. Systems were in place to help ensure people’s dietary needs were known and catered for.

Staff talked about people with affection. People and relatives valued the compassion shown by staff.

Staff had received regular training and assessments of their competence. The manager had planned more training and more in-depth staff supervision sessions.

The manager had identified some areas requiring improvement and was acting on these.

We made recommendations about staff recruitment and the environment.

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 31 January 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Enforcement

We have identified breaches in relation to keeping people safe, people’s consent, person centred care and the governance of the service.

Follow up

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 information we may inspect sooner.

Inspection areas

Safe

Requires improvement

Updated 30 August 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 30 August 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 30 August 2019

The service was caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 30 August 2019

The service was not always responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 30 August 2019

The service was not always well-led.

Details are in our well-Led findings below.