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Ashview House Residential Care Home Requires improvement

We are carrying out checks at Ashview House Residential Care Home. We will publish a report when our check is complete.

Inspection Summary


Overall summary & rating

Requires improvement

Updated 1 May 2018

We undertook an unannounced focused inspection of Ashview House Residential Home on 28 March 2018. This inspection was completed to check that improvements to meet legal requirements planned by the provider after our comprehensive inspection in January 2018 had been made. The team inspected the service against two of the five questions we ask about services: is the service well led and is the service safe? This is because the service was not meeting some legal requirements in these areas and people were at risk. At this inspection we found that improvements had been made in these two areas, however further improvements were required.

Ashview House is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. This care home is registered to provide care to up to 22 people. At the time of the inspection six people were using the service, however two of these people were in hospital on the day of the inspection.

There was a registered manager in post. 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.'

Although significant improvements to the quality of care had been made over a period of time, further improvements were required. The registered manager had put systems in place to monitor and improve the quality of service and some of these had been effective.

The registered manager had acted upon issues of concern and managed staff performance to ensure people received appropriate care.

The registered manager knew their requirements in relation to their registration with CQC and the provider was carrying out quality checks on the service.

People's medicines were not being consistently well managed and staffing levels had not been assessed as sufficient to meet people's needs and keep them safe.

Risks of harm to people were minimised and lessons were learned following incidents that had resulted in harm to people.

People were safeguarded from the risk of abuse as staff followed safeguarding procedures when they suspected abuse.

New staff were employed through safe recruitment procedures.

There were infection control procedures in place to prevent the spread of infection.

Inspection areas

Safe

Requires improvement

Updated 1 May 2018

The service was not consistently safe.

People's medicines were not being consistently well managed.

Staffing levels had not been assessed as sufficient to meet people's needs.

Risks of harm to people were minimised and lessons were learned following incidents that had resulted in harm to people.

People were safeguarded from the risk of abuse as staff followed safeguarding procedures when they suspected abuse.

New staff were employed through safe recruitment procedures.

There were infection control procedures in place to prevent the spread of infection.

Effective

Requires improvement

Updated 28 March 2018

The service was not always effective.

People were not always supported appropriately with their dietary requirements and there were mixed views about the food.

Staff felt more supported however training was not always effective.

People's health needs were not effectively monitored and managed and professional advice was not always sought or followed to promote people's health, safety and wellbeing.

The requirements of the Mental Capacity Act 2005 were not always followed to ensure people's ability to consent to their care was assessed however improvements had been made from the last inspection.

Caring

Requires improvement

Updated 28 March 2018

We could not improve the rating for caring from requires improvement because to do so requires consistent good practice over time. We will check this during our next planned comprehensive inspection.

The service was not always consistently caring. People's right to choose was not always respected.

People and relatives told us the staff were kind and caring and people were encouraged to be independent. Staff knew people well.

People could access private areas of the home when they wished to do so.

Responsive

Requires improvement

Updated 28 March 2018

The service was not always responsive.

A system was in place to ensure all complaints were recorded, people told us they felt they could complain however the policy required updating.

Reviews of plans were not always effective.

Activities were available for people to partake in and trips out of the home were taking place.

People and relatives were involved in planning of care.

Well-led

Requires improvement

Updated 1 May 2018

The service was not consistently well led.

Although significant improvements to the quality of care had been made over a period of time, further improvements were required.

Systems had been put in place to monitor and improve the quality of service.

The registered manager acted upon issues of concern and managed staff performance to ensure people received appropriate care.

The registered manager knew their requirements in relation to their registration with CQC.

The provider was carrying out quality checks on the service.