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Inspection Summary


Overall summary & rating

Good

Updated 24 October 2019

About the service

Ashgrange House is a residential care home providing personal care for up to eight people who were living with a learning disability and may also be living with mental ill health. At the time of the inspection there were six people living there.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

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

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

People received support from staff who were kind and caring. Staff knew people well, understood their needs and how to communicate in a way that was meaningful to each person. People were involved in developing and reviewing their own care plans. This meant people received support that was person-centred and reflected their individual needs and choices.

People were protected from the risks of harm, abuse or discrimination because staff knew what actions they should take if they identified concerns. There were enough staff, who had been safely recruited, working each shift to provide the support people needed, at times of their choice.

Risks to people were well managed. Staff understood how to support people safely and risk assessments provided further guidance about individual and environmental risks. People were supported to receive their medicines when they needed them.

Staff received training and support that enabled them to deliver the specific support that people living at Ashgrange House needed. People's health and well-being needs were met. They were supported to see their GP and access healthcare services, in a way that suited them, when they needed to. People were supported to eat and drink a variety of food that they enjoyed and had chosen. Nutritional assessments were followed to ensure people received the support they needed.

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.

The registered manager had good oversight of the home, people and staff. They were able to tell us about people and their needs and interests. They were working to continually develop and improve the service. There was an audit system which helped the provider identify areas which needed to be improved.

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 requires improvement (published 16 October 2018).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 24 October 2019

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 24 October 2019

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 24 October 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 24 October 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Good

Updated 24 October 2019

The service was well-led.

Details are in our well-Led findings below.