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Aston Manor Requires improvement

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 November 2019

About the service

Aston Manor is registered to provide nursing and residential care for up to 32 people, at the time of this inspection there were 26 people living at the home. The home provides accommodation across the ground and first floors in single en-suite bedrooms.

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

We identified gaps in staff refresher training in subjects including dementia awareness, safeguarding and the Mental Capacity Act (2005). Prior to our inspection, some training had been booked to address this.

On the day of our inspection, we witnessed an avoidable accident, although appropriate action was taken by staff in response. Risk assessments were sufficiently detailed. Staff were not aware of personal emergency evacuation plans, but were able to describe action they needed to take in the event of a fire.

Staff received regular supervision as well as meetings for them to raise issues and receive feedback.

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.

The administration of medicines was managed safely.

There were sufficient numbers of suitably deployed staff to meet people’s needs. The process followed for recruiting new staff was safe.

People felt safe and protected from harm living at this home. Staff knew how to identify abuse and told us they would report this.

People’s dietary needs were met. Mealtime audits had identified the need for staff to provide condiments. This was an issue found at our last inspection and remained a concern. Records showed people’s healthcare needs were met by a range of professionals.

Staff were caring in their interactions with people. Relatives confirmed this routinely happened. Staff respected people’s privacy and dignity as well as their equality, diversity and human rights.

Care plans contained enough information to guide staff. Relatives were involved in people’s care and told us staff knew their family members and their preferences well. One person’s end of life care needs were being well managed.

No complaints had been received at the time of our inspection. The registered manager told us activities were difficult to provide for the group of people they cared for. Some evidence of stimulation provided was evident.

A system of audit was taking place on a regular basis. The registered manager had actively looked to work in partnership with other services. Relatives and staff gave positive feedback about the registered manager.

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 16 August 2018) and there were multiple breaches of regulation. The registered 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 from the last inspection. However, a new breach of regulation 18 (Staffing) was found.

Why we inspected

This was a planned inspection based on the previous rating.

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

Requires improvement

Updated 1 November 2019

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 1 November 2019

The service was not always effective.

Details are in our effective findings below.

Caring

Good

Updated 1 November 2019

The service was caring.

Details are in our caring findings below.

Responsive

Good

Updated 1 November 2019

The service was responsive.

Details are in our responsive findings below.

Well-led

Requires improvement

Updated 1 November 2019

The service was not always well-led.

Details are in our well-Led findings below.