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Inspection Summary


Overall summary & rating

Good

Updated 9 November 2019

About the service

Ashby Court Care Home is a nursing home providing personal and nursing care to 53 older people at the time of the inspection. The service can support up to 60 people.

The service is provided over two floors. 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. The service also has a hairdressing room, sensory room and a dedicated room for relatives who want to be near family members when they are ill or receiving end of life care. The service has a garden for people to use with features that have been designed for people living with dementia.

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

People felt safe and risks had been identified and managed to reduce the risk of harm. There was suitable staffing to meet the needs of people and staff understood their role and how to support people safely. People received their medicines at the right time and systems were in place to ensure medicines were managed safely. Accidents and incidents were recorded appropriately, and steps taken to minimise the risk of similar events happening in the future.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were supported to make decisions about their care and support. Where people had restrictions placed upon them, these had been identified and applications had been made to ensure these restrictions were lawful.

The staff received training to help them support people in line with best practice guidance. They had support to enable them to identify personal development opportunities and to raise any concerns they had. People were encouraged and supported to eat and drink and there was a varied choice of meals. Special dietary requirements were met and where concerns were identified, people’s weight was monitored, and specialist diets catered for. Health care was accessible for people and appointments were made for regular check-ups as needed.

The staff team were committed to ensuring people’s views were respected and they had opportunities to engage in meaningful activities that interested them. People chose how to spend their day and staff created opportunities for people to be involved with activities to fulfil their wishes. Staff recognised people’s individual preferences and organised care that reflected their individual cultural preferences. People felt well looked after and supported and had developed good relationships with staff who they felt were kind and caring and were dignified and respectful when providing their care. Staff worked in partnership with other organisations to ensure they could support people whilst receiving end of life care. People could express how they wanted to be supported during the end of their life and the service had developed a room where friends and family could stay in the home to be near people when ill or at the end of their life.

People felt listened to and any concerns or issues they raised were addressed. Quality assurance reviews were completed in the home and monitored by the provider to measure and monitor the standard of the service and drive improvement.

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. (This report was published on 1 March 2017)

Why we inspected

This was a planned inspection based on the previous rating.

Inspection areas

Safe

Good

Updated 9 November 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 9 November 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 9 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Outstanding

Updated 9 November 2019

The service was exceptionally responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 9 November 2019

The service was well-led.

Details are in our well-Led findings below.