Updated 5 September 2025
Date of assessment: 15 September to 8 October 2025. Ashbury Lodge is a residential care home providing support to up to 44 older people, including people living with dementia.The inspection was prompted due to concerns received about the management of falls, lack of monitoring of people’s needs, and delay in staff seeking medical treatment.We inspected 18 quality statements across the safe, effective, caring and well led domains.
During our visit, we identified concerns relating to health, safety and infection prevention and control. These included unclean communal bathrooms, broken equipment, and equipment used in unsafe ways. Leaders were not always knowledgeable about their regulatory responsibilities in relation to submitting notifications about incidents which occurred at the service. We also found leaders did not always have oversight of risks at the service, which put people at risk of harm.
We found breaches of legal regulations relating to safe care and treatment and governance. We have asked the provider for an action plan to address these issues.
However, staff were recruited safely and completed training relevant to their role. Staff were knowledgeable about how to support people and showed kindness and compassion to people they supported. Activities took place regularly within the service which were varied. Staff provided consistently positive feedback about the management team, and felt management were supportive, approachable and responsive. There was an open culture where staff were encouraged to raise any concerns. Leaders took action in response to the concerns found during the inspection.