The Care Quality Commission
  • Care Home
  • Care home

Archived: Ashdale Lodge Residential Care Home

Overall: Good read more about inspection ratings

2 Wheeler Street, Anlaby Road, Hull, Humberside, HU3 5QE (01482) 352938

Provided and run by:
Sanctuary Care Limited

All Inspections

13 November 2017

During a routine inspection

Ashdale Lodge Residential Care Home is registered to provide care and accommodation for 37 people, some of whom may be living with dementia. The service has four communal lounge areas, some of which are designated as quiet areas, a dining room, conservatory and a garden. Bedrooms are mainly for single occupancy but there are three shared rooms for couples or people who wish to share. The service is situated about a mile west of Hull City Centre and is close to a range of community facilities. It is on major bus routes and has a small carpark.

At the last inspection on 19 October 2015, the service was rated Good. At this inspection, we found the service remained Good. This inspection took place on 13 and 22 November 2017 and was unannounced.

At the time of our inspection, 30 people were using the service and there was a registered manager in post. 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 2008 and associated Regulations about how the service is run.

We found best interest meetings did not always include all relevant people and did not always consider least restrictive options. We have made a recommendation for the provider to use the Mental Capacity Act 2005 code of practice to inform their policies and procedures regarding best interest decision-making.

People told us they felt safe living at the service. Staff were clear about their responsibilities to protect people from the risk of harm and abuse, and had completed training in safeguarding vulnerable people.

People received their medications as prescribed. However, the provider had recently identified issues in the recording of medicines and had put steps in place to reduce the reoccurrence of this.

People’s nutrition and health needs were met. Referrals to healthcare professionals were completed in a timely manner and people were involved in making decisions regarding their own treatment and care where possible.

Although some care plans were not fully up-to-date, staff were responsive to people’s needs and we found no detrimental impact on people. Pre-admission assessments enabled staff to provide care for people from the day of their admission and assessments were person-centred.

We found staff were recruited safely and received an induction, which was linked to the Care Certificate. Staff received training, supervision and appraisal as required, and there were sufficient staff on duty to meet people’s individual needs. Staff were trained in infection control and the service was safe, clean and tidy. Business continuity plans and personal emergency evacuation plans (PEEPs) gave staff clear guidance on how to keep people safe in the event of emergencies.

The environment supported people who were living with dementia and catered for people’s individual needs. We saw the décor, activities and many communal areas enabled people to spend time as they wished. Activities were tailored to people’s needs and preferences. Newsletters kept people updated with relevant information.

We found people were supported by staff who were caring, patient and compassionate. People were treated with dignity and respect, and were enabled to be independent. There were no restrictions on visits, and accessing the community was encouraged. Local community groups, such as schools, were invited to the service and there had been a recent open day where the community could attend the service.

We found the culture of the provider to be open and inclusive. Comments regarding the provider and registered manager were positive, and everyone said that they were approachable. People told us any complaints would be addressed and we saw the provider had responded to feedback. The registered manager understood and fulfilled their duty to report notifiable incidents to the Care Quality Commission as required under legislation. The provider had developed quality assurance and governance systems to highlight shortfalls and drive improvements within the service.

Further information is in the detailed findings below.

19 October 2015

During a routine inspection

Ashdale Lodge is registered with the Care Quality Commission [CQC] to provide care and accommodation for a maximum of 37 older people, some of whom may be living with dementia. It is a purpose built service and has 31 single and three shared rooms. Communal rooms consist of a large dining room, conservatory, four lounges and a small seating area on the first floor landing.

This inspection took place on 19 October 2015 and was unannounced. The service was last inspected January 2014 and was found to be complaint with the regulations inspected at that time.

At the time of the inspection 29 people were living at the service.

There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission [CQC] to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have a legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Staff understood their responsibility to keep people who used the service safe and knew how to recognise and report abuse. Staff were recruited safely and provided in enough numbers to meet people’s needs. People’s medicines were handled and administered safely by staff who had received training in this area.

People who used the service were provided with a wholesome and nutritious diet which was of their own choosing. People’s weight, food and fluid intake was monitored by staff and other health care professionals were involved when required. People’s human rights were protected by staff who had received training in the Mental Capacity Act 2005 [MCA]. People were cared for by staff who had been trained to meet their needs. Staff were supported to gain further qualifications and experience and received regular supervision. People were supported by staff to access their GP and other health care professionals when required.

People were cared for by staff who were kind and caring and understood their needs. People and others who had an interest in their support were involved with the delivery of care and review meetings were held on a regular basis to monitor people’s wellbeing. Staff respected people’s privacy and dignity.

Staff had access to documents which described the person and their preferences. The registered provider had a complaints procedure which people could access if they had any concerns or complaints. There was a wide range of activities provided daily for people to choose from.

People and others who had an interest were consulted about the running of the service and their opinions were sought on regular basis. The registered manager undertook a range of audits to ensure people lived in a well-run and safe service which met their needs.

14 January 2014

During a themed inspection looking at Dementia Services

Each person with dementia had their needs assessed prior to their admission to the home by the local authority, social workers and the home itself. Each assessment contained information from the person and their families about their needs, choices and health problems.

We observed members of staff gave people with dementia choices about what they wanted to do, where they wanted to sit, and what they wanted to eat. One person told us, 'I can do what I want really.' Others commented, 'It's up to you when you want to get up or go to bed' and 'They [staff] don't rush me. I like to do as much as I can for myself; they are very good at supporting me with my independence.'

People we spoke with told us they or their relative was treated with dignity and respect. One person said, 'They [the staff] are very nice, they never talk down or anything to you. I would say something if they did.' One relative told us, 'They don't talk down to him or give him platitudes; the atmosphere is calm, he likes that

We saw the home kept discharge letters and summaries from the hospital within people's care plans. We confirmed care plans had been reviewed and amended as a result of changes made by the hospital, to medication for example.

One person with dementia who had recently been discharged from hospital told us about their positive experience, 'The hospital staff were very good, they helped me with my independence.'

We observed staff encouraged people to be as independent as possible. People were encouraged to eat without assistance and to mobilise themselves if possible. We observed staff giving people with dementia positive encouragement to undertake activities of everyday living without assistance. One person told us, 'I get ready for my bath myself and then I ring them [the staff], they usually come straight away; I am never left waiting.' People told us they did not have to wait long of they needed a member of staff. One person said, 'There is always a member of staff around, I just ring the buzzer if I need to and they come.

23 January 2013

During a routine inspection

We spoke with four people and three visitors. People said they were very happy with the care that they were receiving and that staff were nice. Visitors said that they were very satisfied with the care that their relatives were getting and that staff were always pleasant. They said their relatives had access to healthcare professionals if they needed them and that they were kept informed about any changes in their relative's condition. They said staff were very good at contacting them if they had any concerns.

Some comments were, 'They are as nice as can be' I like living here and the food is very good' and 'Staff are very nice'.

25 November 2011

During an inspection looking at part of the service

One person spoken with told us they liked the home so much during a short stay that they decided to move in when the time was right. People said they could make choices and their health care needs were met. They told us they could see their GP when required and said they had visits from district nurses, a chiropodist, an optician and a hairdresser.

Some comments were, 'They are very good to us ' when my legs were bad they told me to stop in bed and you are glad to when you are not well', 'The staff are all very good' and 'I can't fault the home.'

One person said, 'Sometimes the lift breaks down and you have to stay downstairs until it's fixed.' They went on to say, 'Apart from the lift, it's fine, the staff are alright and we are well fed ' they do look after you.'

12 July 2011

During a routine inspection

People told us their privacy and dignity was respected when staff delivered care. They said that doors were closed during personal care and staff knocked on doors prior to entering.

Some people said that their choice for activities and rising and retiring had not been recognised.

People told us they were happy with the care they received and that they saw a range of health care professionals.

People spoken with were very positive about the staff team. They told us they liked the staff and that they were kind and caring and supported them in a nice way.

People told us they felt able to make a complaint and that it would be listened to and sorted out. They also confirmed they had completed surveys and attended meetings so they could express their views.