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Inspection Summary


Overall summary & rating

Good

Updated 17 April 2020

About the service

The Ashton Care Home is a residential and nursing home providing personal and nursing care to 53 people aged 65 and over at the time of our inspection. The service can support up to 72 people. Accommodation is provided on three floors. Residential care on the ground floor, dementia care on the first floor and nursing care on the second floor.

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

Shortfalls in quality monitoring had not led to an adverse impact on people.

Enough staff were deployed to meet people’s needs in a timely way. Minor concerns over staffing levels on the ground floor had been acted on.

Care and support were delivered in a person-centred way, and planned with the person or their relative, but records did not always reflect this.

People received their medicines when they needed them but not all were stored securely. The environment was well maintained and free from infection and most equipment was appropriately checked.

People were safe and protected from abuse and avoidable harm by staff who had been recruited safely.

People were supported by kind and compassionate staff who usually knew them well. They had time to spend with people and involved them in making decisions about their care and support.

People were provided with a comfortable place to live and there were appropriate spaces to enable them to either spend time with others, or on their own.

People had their needs assessed and staff had the training and support they required to carry out their roles. People had access to the healthcare services they required. Staff worked closely with healthcare professionals and followed their advice and guidance.

People’s nutritional needs were met, and they enjoyed their meals, and were given a choice of what that they liked.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Complaints were taken seriously and used as an opportunity to learn and improve. People and staff were supported by their managers and were engaged and involved in service development.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update:

The last rating for this service was requires improvement (published 25 January 2019) and there were multiple breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.

Why we inspected

This was a planned inspection based on the previous rating.

This inspection was carried out to follow up on action we told the provider to take at the last inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for The Ashton Care Home on our website at www.cqc.org.uk.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas

Safe

Good

Updated 17 April 2020

The service was safe.

Details are in our safe findings below.

Effective

Good

Updated 17 April 2020

The service was effective.

Details are in our effective findings below.

Caring

Good

Updated 17 April 2020

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 17 April 2020

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 17 April 2020

The service was not always well-led.

Details are in our well-Led findings below.