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Ashdene Care Home Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 12 October 2017

This inspection took place on 23 August 2017 and was unannounced. At our last inspection the overall rating for Ashdene Care Home was 'requires improvement'. Ashdene Care Home provides care for people who are living with dementia. It provides accommodation for up to 41 people who require personal and nursing care. The service provides care on two storeys. At the time of our inspection there were 40 people living at the home.

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.

On the day of our inspection staff interacted well with people. People and their relatives told us that they felt safe and well cared for. Staff knew how to keep people safe. The provider had systems and processes in place to keep people safe.

Medicines were administered safely however they were not consistently managed safely.

We saw that staff obtained people’s consent before providing care to them. Where people could not consent, assessments to ensure decisions were made in people’s best interest had not been consistently completed. This issue had been identified at our previous inspection and the provider had failed to fully address the issue.There was a breach of Regulation 11. You can see what action we told the provider to take at the back of the full version of the report.

We found that people’s health care needs were assessed and care planned and delivered to meet those needs. People had access to healthcare professionals such as the district nurse and GP and also specialist professionals. People had their nutritional needs assessed and were supported with their meals to keep them healthy. People had access to drinks and snacks during the day and had choices at mealtimes. Where people had special dietary requirements we saw that these were provided for.

There was sufficient staff available to meet people’s needs. Staff responded in a timely and appropriate manner to people. Staff were kind and sensitive to people when they were providing support. People were treated with respect.

Staff were provided with training on a variety of subjects to ensure that they had the skills to meet people’s needs. The provider had a training plan in place. Staff had received regular supervision and appraisals People were provided access to a range of leisure and social activities. They were supported to maintain relationships that were important to them.

Staff felt able to raise concerns and issues with management. Relatives were aware of the process for raising concerns and were confident that they would be listened to. Regular audits were carried out and action plans put in place to address any issues which were identified. However the provider had failed to identify the issues we identified at our inspection regarding medicines. Accidents and incidents were recorded and investigated. The provider had informed us of notifications. Notifications are events which have happened in the service that the provider is required to tell us about.

Inspection areas

Safe

Requires improvement

Updated 12 October 2017

The service was not consistently safe.

Medicines were administered safely. Systems were not always in place for the safe management of medicines.

Risk assessments were completed.

There was sufficient staff available to provide safe care.

Staff were aware of how to keep people safe. People felt safe living at the home.

Effective

Requires improvement

Updated 12 October 2017

The service was not consistently effective.

The provider did not act in accordance with the Mental Capacity Act 2005.

Staff had received regular supervision.

Staff had received training to support them to meet the needs of people who used the service.

People had their nutritional needs met.

People had access to a range of healthcare services and professionals.

Caring

Good

Updated 12 October 2017

The service was caring

People had their dignity considered.

Care was provided in an appropriate manner.

Staff responded to people in a kind and sensitive manner.

People were involved in planning their care and able to make choices about how care was delivered.

Responsive

Good

Updated 12 October 2017

The service was responsive.

Care records were personalised.

People had access to a range of activities and leisure pursuits.

The complaints procedure was on display and people knew how to make a complaint.

Well-led

Requires improvement

Updated 12 October 2017

The service was not consistently well led.

Issues raised at the previous inspection had not been fully addressed.

There were systems and processes in place to check the quality of care and improve the service, however these had not identified the issues raised at this inspection.

Staff felt able to raise concerns.

The registered manager created an open culture and supported staff.