The inspection took place on 19 October 2016 and was unannounced.
Ashcroft House Nursing Home provides accommodation and nursing care for up to 31 older people. There are gardens to the front and the rear of the premises. A large car park area is located at the front. The service is located close to the centre of Formby and near to Formby train station
There was a registered manager in place. 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.
People told us they felt safe at the home. Each care file included a dependency tool to calculate the level of need for each individual. This was used to inform staffing levels to ensure there were sufficient staff on each shift. There were enough staff on the day of the inspection.
The recruitment process was robust to help ensure suitable staff were employed at the service.
Appropriate policies were in place with regard to safeguarding and whistle blowing. Staff had received training in safeguarding and those we spoke with were aware of the issues and confident of the reporting procedure.
Medication systems were robust and medicines were managed safely at the service. Individual and general risk assessments were in place. Equipment was fit for purpose and was regularly serviced and maintained to ensure it was in good working order.
The induction programme helped ensure new employees were equipped with the skills, knowledge and competence to work at the home. Training was on-going and mandatory training was refreshed regularly.
The service was working within the legal requirements of the Mental Capacity Act (2005) (MCA). Deprivation of Liberty Safeguards (DoLS) authorisations were in place where required and staff were aware of the implications of these.
People’s nutritional and hydration needs were assessed and recorded appropriately. Special diets were adhered to by the chef and people were given choice with regard to meals.
People we spoke with felt the care was good and staff were kind and caring. We observed good interactions between staff and people who used the service throughout the day. People who used the service and their families were involved in discussions about the delivery of their care. Staff respected people’s dignity and privacy.
People who were nearing the end of their lives were cared for, as far as possible, in accordance with their wishes. Staff had undertaken appropriate training in end of life care and people’s end of life care plans were thorough and comprehensive.
Care files we looked at evidenced that care was delivered in a person centred way, taking into account people’s preferences, likes and dislikes. People we spoke with said staff responded quickly to call alarms. There was a programme of activities at the home and people were encouraged to participate if they were able to. Some one to one interaction was undertaken with people who were unable to participate in group activities.
There was an appropriate complaints policy and this was displayed throughout the home. Concerns were responded to in a timely and appropriate manner and the service had received a number of compliments and thank you cards.
People told us the staff and management were approachable. Staff felt the manager was supportive towards them. Regular team meetings were held, and staff were given supervisions on a regular basis. Residents’ and relatives’ meetings were also held.
We saw evidence of regular checks and audits that took place at the service to help ensure continual improvement with regard to care delivery.