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Inspection Summary


Overall summary & rating

Good

Updated 21 April 2021

Service type

Ashby Court Care Home is a two-storey nursing home providing personal and nursing care for up to 60 older people. At the time of the inspection there were 56 people using the service. On the ground floor there are bedrooms for people receiving residential care, a large dining room and two communal lounges. On the first floor, there is a separate unit for people living with dementia with bedrooms and there are bedrooms for people receiving nursing care.

We found the following examples of good practice.

The provider had reduced the number of external agencies visiting the service as much as possible. For example; the weekly GP round was completed by video conference unless people required urgent care. Staff covered shifts if there was a shortfall, removing the need for agency staff for the past year.

The provider was following best practice guidance when visitors came to the home. Information and instructions were given prior to arrival and all pre booked visits were tested and screened on arrival. Staff adhered to personal protective equipment (PPE) and social distancing guidance.

People were supported to see visitors in a designated room which had a floor to ceiling glass divider to ensure people's safety. Visits were limited to allow for 15 minutes of cleaning before the room was used again. There was a restriction of two visitors allocated to each person to reduce the number of people in the service. Between visits people were encouraged to use video calls and phones to maintain a connection with friends and relatives.

There was a designated wing of the building for new admissions where people arrived from hospital or the community and those who tested positive. These rooms had a rose on the door to ensure staff knew who was isolating. PPE stations were situated outside each person’s room. Only designated staff worked in this area of the service and there was a separate lift, lounge and kitchen to ensure separation.

All people had a weekly risk assessment completed to ensure they were safe to receive visitors. Staff also went through a weekly risk assessment to ensure they were safe to be at work. Where it was decided staff were at risk they had isolated at home, or put on duties classed as lower risk

All staff underwent a rapid COVID-19 test and a more comprehensive test once a week as well as being screened for any symptoms on arrival.

Dining had been reduced to two people per table as it was decided dining alone was a detriment to their wellbeing. The lounges and other areas had chairs removed and those remaining were distanced to ensure anyone sitting down was socially distanced.

Inspection areas

Safe

Good

Updated 21 April 2021

Further information is in the detailed findings below.

Effective

Good

Updated 21 April 2021

Caring

Good

Updated 21 April 2021

Responsive

Outstanding

Updated 21 April 2021

Well-led

Good

Updated 21 April 2021