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We are carrying out a review of quality at Ashgables House. We will publish a report when our review is complete. Find out more about our inspection reports.

Inspection Summary


Overall summary & rating

Good

Updated 1 November 2018

Ashgables House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Ashgables House accommodates up to 26 people in one adapted building. At the time of our inspection 18 people were living at the home.

This inspection took place on 4 October 2018 and was unannounced. We returned on 5 October 2018 to complete the inspection.

There was a registered manager in post at the service. A registered manager is a person who has registered with the Care Quality Commission 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 and associated Regulations about how the service is run.

People who used the service were positive about the care they received and praised the quality of the staff and management. We observed staff interacting with people in a friendly and respectful way. Staff respected people’s choices and privacy and responded promptly to requests for assistance.

People told us they felt safe when receiving care. People were involved in developing and reviewing their care plans. Systems were in place to protect people from abuse and harm and staff knew how to use them. Medicines were stored safely in the home and staff had received suitable training in medicines management and administration. People received the support they needed to take their medicines.

Sufficient staff were deployed to meet people’s needs. Staff had the right skills and knowledge to provide the care and support that people needed.

The service was responsive to people’s needs and wishes. People had regular meetings to provide feedback about their care and there was an effective complaints procedure. People were supported to take part in social activities they enjoyed and to keep in contact with friends and family.

Staff demonstrated a good understanding of their role and responsibilities. Staff had completed training to ensure the care and support provided to people was safe and effective to meet their needs.

The management team regularly assessed and monitored the quality of care provided. Feedback from people was encouraged and was used to make improvements to the service. The registered manager had a good understanding of improvements they wanted to make to the service and had plans in place to implement them.

Inspection areas

Safe

Good

Updated 1 November 2018

The service was safe.

People who used the service said they felt safe when receiving support.

There were sufficient staff to meet people�s needs.

Medicines were managed safely and people were supported to take the medicines they had been prescribed.

Systems were in place to ensure people were protected from abuse. Risks people faced were assessed and action taken to manage the risks.

Effective

Good

Updated 1 November 2018

The service was effective.

Staff had suitable skills and received training to ensure they could meet the needs of the people they cared for.

People�s health needs were assessed and they were supported by staff to stay healthy.

Staff understood whether people could consent to their care and treatment and supported people to make decisions.

Caring

Good

Updated 1 November 2018

The service was caring.

Care was delivered in a way that took account of people�s individual needs.

People�s dignity was maintained and their rights upheld.

People were treated with respect.

Responsive

Good

Updated 1 November 2018

The service was responsive.

People were involved in planning and reviewing their care. Staff had clear information about people�s needs and how to meet them.

There was a clear complaints procedure and action was taken in response to concerns people raised.

Well-led

Good

Updated 1 November 2018

The service was well-led.

There was a registered manager who promoted the values of the service, which were focused on providing person centred care. The registered manager ensured these values were implemented by the staff team.

Systems were in place to review incidents and audit performance. This helped to identify any themes, trends or lessons to be learned.

Quality assurance systems involved people who used the service, their relatives and staff. Their feedback was used to improve the quality of the service provided.