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Inspection Summary


Overall summary & rating

Good

Updated 31 May 2019

Ash Cottage provides accommodation and care and support for up to 24 older people, some of whom were living with dementia. The service does not provide nursing care. There were 20 people living in the home at the time of the inspection.

Ash Cottage is located on a quiet lane in Edenfield, Rossendale. It is an extended converted farm cottage and provides accommodation on four floors accessed by a passenger lift.

People’s experience of using this service

People were happy about the way the home was managed and were complimentary about the registered manager and staff. The registered manager considered people’s views about the quality of care provided and used the feedback to make improvements to the service. The registered manager and the provider monitored all aspects of the service and took appropriate action to improve the service.

People told us they felt safe and staff were kind and caring. The provider had safeguarding adults' procedures and staff understood how to protect people from abuse. Recruitment processes ensured new staff were suitable to work in the home. There were sufficient numbers of staff to meet people's needs and ensure their safety. People received their medicines when they needed them from staff who had been trained and had their competency checked. The temperature and security of medicine storage areas were not appropriate. The registered manager addressed this immediately. Risk assessments were carried out to enable people to retain their independence and receive care with minimum risk to themselves or others. People were protected from the risks associated with the spread of infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's care needs were assessed prior to them living in the home. Arrangements were in place to ensure new staff received induction training. Staff received ongoing training, supervision and support. The training records were not reflective of the training carried out. The registered manager provided an accurate record following the inspection. People enjoyed the meals and were supported to eat a nutritionally balanced diet. People had access to various healthcare professionals, when needed. People were happy with their bedrooms and the communal areas. We found areas of the home needed refurbishment and redecoration. Plans indicated extensive refurbishment work would be carried out from July 2019.

Staff treated people with dignity, respect care and kindness. They spoke with people in a friendly and patient manner. Staff knew people well. They knew about their backgrounds and about their routines and preferences. Whilst people received the care they needed and wanted, we found the care plans did not always fully reflect what staff knew about people's likes and dislikes; the registered manager agreed to review this in the new care planning system. People or their relatives, where appropriate, had been consulted about their care needs and had been involved in the care planning process. People’s access to a range of activities had improved recently. They told us they enjoyed the activities. People could raise any complaints or concerns if they needed to and had access to a complaints procedure.

Rating at last inspection

At the last inspection, the service was rated Requires Improvement (published 1 August 2018).

Why we inspected

This was a planned inspection based on the previous rating.

At our last inspection of July 2018, we found a breach of regulations as the quality assurance processes were not effective in identifying shortfalls. Following the inspection, the provider sent us an action plan advising how the service would be improved. During this inspection, we found sufficient improvements had been made. The registered manager was monitoring all aspects of the service and had taken appropriate action to add

Inspection areas

Safe

Good

Updated 31 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 31 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 31 May 2019

The service was caring

Details are in our Caring findings below.

Responsive

Good

Updated 31 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 31 May 2019

The service was well-led

Details are in our Well-Led findings below.