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Inspection Summary


Overall summary & rating

Good

Updated 13 July 2018

This inspection took place on 26 June 2018 and was unannounced.

At the last inspection in May 2017 the service was rated ‘Requires Improvement’. There was a breach of the Health and Social Care Act 2008 (Regulated Activities) 2014. We asked the provider to complete an improvement plan to show what they would do and by when to improve the key questions of Safe and Well-Led to at least ‘Good’. At this inspection we found that improvements had been made and the breach in Regulation had been met. Improvements had been made to maintain the standard of the environment.

Ashdene House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

Ashdene House provides care for up to 18 adults with a learning disability, in Ramsgate. At the time of our inspection there were 11 people using the service. Eight people lived in the house and three in a cottage within the grounds. A day centre unit in the grounds was used for various activities. During the day everyone spent time together or taking part in activities outside the service.

The registered manager worked at the service each day and was supported by a deputy manager. A registered manager is a person who has registered with CQC to manage the service. Like registered providers they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People told us and indicated that they felt safe living at Ashdene House. They were protected from discrimination, abuse and the risk of avoidable harm. Staff knew how to keep people as safe as possible. Risks to people were managed and monitored. People received their medicines safely from staff who were competent to do so. The registered manager reviewed accidents and incidents and checked to make sure people received the support of health care professionals when they needed it.

People were supported by staff who had been recruited safely. Staff knew people well, kept their knowledge up to date and met with the registered manager for one to one supervision meetings.

The service was clean and tidy and the garden was maintained. Checks were completed to make sure the environment and any equipment were safe and well maintained. People had access to private space and communal areas, including a garden. Visitors were welcome at any time.

People were involved, as far as possible, with planning their care and support. Their needs were assessed prior to moving to Ashdene House to ensure staff could meet their care and support needs. People were supported to have maximum control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice. They were supported by relatives and advocates when they needed additional help to make decisions about their care.

People were offered choices of healthy home-cooked meals. They were supported to stay as healthy as possible and staff worked collaboratively with health care professionals to promote this.

People were supported by staff who were patient, kind and caring. Their privacy and dignity were respected and their independence promoted. People, their relatives and staff had developed strong, trusting relationships. Staff understood the importance of confidentiality and made sure people’s records were stored securely.

Each p

Inspection areas

Safe

Good

Updated 13 July 2018

The service was safe.

People were protected from discrimination, abuse and the risks of avoidable harm. Risks were monitored and managed to keep people as safe as possible.

People were supported by staff who had been recruited safely. They received their medicines safely and when they needed them.

People lived in a service that was clean and there was a plan to continue making improvements with the environment.

The registered manager monitored accidents and incidents. These were discussed with the staff to ensure that, when possible, lessons could be learned and improvements made.

Effective

Good

Updated 13 July 2018

The service was effective.

People�s health care and social care needs were assessed, managed and reviewed to ensure they received the support they needed in the way they preferred.

People were supported by staff who were knowledgeable and completed training to keep up to date with best practice. Staff had one to one supervision meetings to discuss their performance and personal development.

People were supported to eat healthily and to stay as healthy as possible. Staff worked closely with health care professionals to make sure people received consistent and co-ordinated care.

People had access to private space and communal areas, including a garden.

People were supported to make decisions and choices about their daily life. Staff understood the Mental Capacity Act and people were not restricted unlawfully.

Caring

Good

Updated 13 July 2018

The service was caring.

People were supported by staff who were patient, kind and caring and who knew them well.

People and those who knew them best were involved in the planning and reviewing of their care.

People�s privacy and dignity were respected. They were encouraged to remain as independent as possible.

Responsive

Good

Updated 13 July 2018

The service was responsive.

People received care and support in the way they preferred. Each person had a care and support plan, written with them and their relatives, which gave staff the guidance they needed about how to provide the right support.

People did not have any complaints and were confident the registered manager and staff would take action if they had a concern.

People�s preferences for their end of life care were recorded to make sure their wishes could be followed. Staff worked with health care professionals to ensure people were supported to have a comfortable, dignified and pain-free death.

Well-led

Good

Updated 13 July 2018

The service was well-led.

People, relatives and staff felt the service was well-led. The leadership was visible. Staff worked closely with each other and with health care professionals to promote joined-up care.

The registered manager understood their regulatory responsibilities and had notified CQC in line with guidance. The most recent CQC report was displayed in the service and on the provider�s website in line with guidance.

Regular checks and audits were completed to monitor the quality of service. People relatives, staff and health care professionals were asked to give feedback on the quality of service to drive improvements.