19 May 2021
During an inspection looking at part of the service
Ashwood Rest Home is a 'care home' which can accommodate up to 39 people in one adapted building. At the time of inspection there were 19 older people living at the service, some of whom were living with dementia.
People’s experience of using this service and what we found
Since our last inspection, the provider had made improvements to quality and safety which meant they were no longer in breach of regulations.
The provider had introduced a new medicines management system in the home. This helped ensure there were safe arrangements in place for the ordering, storage, administration and disposal of medicines.
The provider had effective systems to manage environmental risks such as fire safety, legionella and maintenance of equipment.
The registered manager had improved systems and processes to monitor the quality of care. This included developing audits and action plans to help ensure any areas of improvement were implemented and sustained.
The provider worked in partnership with other stakeholders to help ensure their policies and procedures were in line with best practice guidelines.
Safeguarding concerns were investigated and reported appropriately by the provider. Changes had been made to improve people's safety in response to incidents or when concerns about their welfare were raised.
Staff ensured people lived in a clean environment. Infection prevention and control measures followed government guidance.
There were enough staff in place to meet people’s needs. Staffing arrangements were regularly reviewed when people’s needs changed.
The provider had made appropriate recruitment checks for new staff and provided them with training to help them meet people’s needs.
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 24 October 2018) where we identified three breaches in 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
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-Led which contain those requirements.
The ratings from the previous comprehensive inspection for those key questions not looked at on this occasion were used in calculating the overall rating at this inspection. The overall rating for the service has changed from requires improvement to good. This is based on the findings at this inspection.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ashwood Rest 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.