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Inspection Summary


Overall summary & rating

Good

Updated 3 September 2020

Ashdowne Care Centre is registered to provide accommodation with nursing or personal care, for up to 60 people. There were 51 people using the service on the first day of our inspection, two of these people were staying at the home for a respite stay.

The service is in the town of Tiverton. It comprises of two detached, two storey buildings linked by a corridor. The home is divided into two units, one in each building, Ashdowne and Pinnexmoor. The Ashdowne unit is primarily used for people with physical disability and the Pinnexmoor unit is for people with dementia or a mental health need. Each of these units has its own staff team, communal spaces and secure outside garden for people to use as they choose.

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

The service has had a new registered manager since our last inspection. They have a dual registration with one of the providers other homes. They had a good understanding of the provider’s processes and systems and were working well with the provider to implement changes at the home. Quality assurance processes remained in place which included regular audits undertaken by the management team and the provider’s operations manager. Where concerns were identified action was taken to try and resolve.

Staff spoke positively about the new registered manager and said they felt supported. Two staff members comments reflected all spoken with. One said “I trust our manager; he is very approachable. He is one of best managers I've ever had. I feel confident that he will take appropriate actions and make sure that every possible issue that may arise, will be dealt with professionally and in a timely manner.” The other said, “He has changed so much since he has been here. If we need something done, he will sort it… he is trying to change bad habits.”

Improvements had been made and action was being taken to ensure there were enough staff on duty at all times to keep people safe and meet their needs. Staff sickness levels had improved since our last inspection and action was being taken by the registered manager to improve it further as there were still shortfalls. The provider had put in place an additional role of team leaders on the Ashdowne unit to ensure a good skill mix was deployed on each shift. The recruitment process at the service continued to be robust.

Medicines continued to be safely managed and the environment and equipment continued to be safe and well maintained.

The registered manager understood their responsibilities and had made appropriate referrals to the local authority safeguarding team and followed their guidance.

Accident and incident reporting continued to be thorough. Staff had a good understanding of how to keep people safe and their responsibilities for reporting accidents, incidents or concerns.

As part of this inspection we looked at the infection control and prevention measures in place. This was conducted as part of our Thematic Review of infection control and prevention in care homes. We found that staff were following up to date infection prevention and control guidance to help people to stay safe.

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. (report published July 2019). The provider completed an action plan after the last inspection to show what they would do and by when to improve. During this inspection the provider demonstrated that improvements have been made. The service is no longer rated as requires improvement overall.

Why we inspected

We carried out an unannounced comprehensive inspection of this service in July 2019. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to ensure there were enough staff deployed to meet people’s needs. We undertook this focused inspection to check they had foll

Inspection areas

Safe

Requires improvement

Updated 3 September 2020

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 3 September 2020

Caring

Good

Updated 3 September 2020

Responsive

Good

Updated 3 September 2020

Well-led

Good

Updated 3 September 2020

The service was well-led.

Details are in our well-Led findings below.