11 June 2019
We carried out our inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. Our inspection checked whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.
The inspection was completed by one inspector.
Service and service type:
Ashcroft House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
The service had a registered manager. 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.
Notice of inspection:
The inspection was unannounced.
What we did:
Our inspection plan took into account information that the provider had sent to us. We also considered information about incidents the provider must notify us about. We obtained information from the local authority commissioners and members of the public. Prior to the inspection the registered manager had completed a Provider Information Return (PIR). The PIR gave the opportunity to record how the service was meeting the needs of people and their further plans for future improvements. We used all this information to plan our inspection.
We spoke with four people who used the service. We also spoke to four relatives to give us a greater understanding of people’s experiences of care at Ashcroft House.
We spoke with the registered manager, the deputy manager, a member of nursing staff and two care staff.
We reviewed three people's care records, three staff personnel files, audits and other records about the management of the service.
11 June 2019
About the service:
Ashcroft House is a residential care service that provides accommodation, nursing and personal care for up to 29 people. There were 24 people living at the service at the time of the inspection.
People's experience of using this service:
People told us they considered Ashcroft House as their home. They told us they felt safe living at the service and had confidence in the staff who took care of them.
People received care from staff who had been supported in their role with appropriate training and supervision. Staff were caring and compassionate and knew people's needs and preferences well.
Regular checks and audits were carried out to determine the quality and safety of the environment and the care being provided.
Risk to people was assessed and measures were put in place to support people safely. The service encouraged people to remain as independent as possible.
People were offered a range of activities both at the service and in the local community. Most activities were provided on a one to one basis which helped ensure people participated in activities which were meaningful to them.
Feedback was sought from people living at the service, their relatives and staff to ensure standards were being maintained and to help drive forward improvements.
The registered manager and registered provider had met their legal requirements with the Care Quality Commission (CQC). They promoted a person centred and transparent culture within the service.
Rating at last inspection:
At our last inspection, the service was rated "Good." (Report published October 2016).
Why we inspected:
This was a planned inspection based on the rating of the last inspection. The rating for this service remained ''Good'' overall.
This inspection was part of our scheduled plan of visiting services to check the safety and quality of care people received.
We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk.