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Ashgate House Care Home Good

Inspection Summary


Overall summary & rating

Good

Updated 4 September 2021

About the service

Ashgate House Care Home is a residential care home providing personal and nursing care to 45 people aged 65 and over at the time of the inspection. The service can support up to 45 people.

The home is split into two units, the older original building with lift access to the second floor and a newer ground floor extension. Both areas had communal spaces and the rooms in the new extension had ensuite facilities.

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

The provider and registered manager had reviewed their auditing processes and we found there to be a robust system in place. These systems and audits enabled ongoing improvements and opportunities for changes.

People, relatives and staff felt supported by the management team. Staff had received a range of training to support their roles. These had provided a focused approach to dementia care and end of life. Staff were able to share the benefits of these. Staff were recruited safety in line with the providers recruitment policy. There were sufficient staff and when agency staff were used these were regulars to ensure consistency of care.

People were safe from harm and staff have received training in safeguarding and understood how to report any concerns. Risk assessments had been completed to cover all aspects of care and mitigation measures were in place. Medicines were managed safely and in line with people’s prescriptions.

Lessons had been learnt from the previous inspections and measures were now in place to review falls and incidents. Staff and management worked in partnership with health and social care professionals and people’s health care needs were met.

Peoples hydration and nutrition was monitored, and we saw a range of options and snacks available. The home had a range of spaces for people to use and there was an opportunity to use the garden.

Care was provided in a caring and dignified way. Ensuring peoples independence and personal daily choices were considered. Opportunities were provided for people to enjoy activities or pastimes old and new.

The home complied with all the infection, prevention and control measures. There was a complaints policy and any concerns raised had been addressed formally. The registered manager recognised the importance of duty of candour and this was reflected in the open approach and shared communication as required.

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.

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 2 September 2020)

Our last inspection was a focused inspection and only reviewed the domains of Safe and Well-led. The provider completed an action plan after the previous inspection to show what they would do and by when to improve. At this visit we completed a full inspection and found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating, further prompted in part due to concerns received about staffing levels and the care people were receiving.

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.

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 4 September 2021

The service was safe.

Details are in our safe findings below

Effective

Good

Updated 4 September 2021

The service was effective.

Details are in our effective findings below

Caring

Good

Updated 4 September 2021

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 4 September 2021

The service was responsive.

Details are in our responsive findings below

Well-led

Good

Updated 4 September 2021

The service was well-led.

Details are in our well-Led findings below.