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Inspection Summary


Overall summary & rating

Good

Updated 20 October 2017

This comprehensive inspection took place on 4 and 7 September 2017. The first day was unannounced. It was our first inspection of the service since it was re-registered following a change of ownership in March 2016.

Ashley Court is a purpose built home and is registered to accommodate a maximum of 60 people who require either nursing or personal care. There were 53 people living there at the time of our inspection.

Accommodation is provided in individual bedrooms on the ground, first and second floors. Each room has ensuite facilities. Communal areas include a lounge and a kitchen dining room on each floor, a sensory room and an activities room. There is a secure, well maintained garden at the back of the building with garden furniture and shelters.

The service was led by a registered manager. 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.

All of the people we spoke with, and visitors, told us they felt safe and well cared for. We received only positive comments about Ashley Court throughout our inspection. Staff were also positive about the service they provided. They told us they felt well supported by the registered manager.

People told us that their care and support needs were met and that staff were kind, caring and respectful. People also said they felt safe and had confidence in the staff. People’s needs were assessed and plans were in place to ensure that their needs were met. People’s choices and decisions were respected and staff enabled people to retain their independence wherever possible.

Staff knew people well and understood their needs. Care plans were detailed and regularly reviewed. This meant that there was always information for staff to refer to when providing care for people.

The provider had satisfactory systems in place to recruit and train staff in a way that ensured relevant checks and references were carried out and staff were competent to undertake the tasks required of them. The number of staff employed at Ashley Court and the skills they had, were sufficient to meet the needs of the people they supported and keep them safe.

People were protected from harm and abuse wherever possible. There were systems in place to reduce and manage identified risks and to ensure medicines were managed and administered safely. Staff understood how to protect people from possible abuse and how to whistle blow. People knew how to raise concerns and complaints and these were investigated and responded to.

Observations and feedback from staff, relatives and professionals showed us that the home had an open and positive culture. There was a clear management structure in place. People and staff said was the registered manager was approachable and supportive.

There were systems in place to monitor the safety and quality of the service. This included the use of audits and surveying the people who used the service and their representatives.

Inspection areas

Safe

Good

Updated 20 October 2017

The service was safe.

Medicines were managed safely and staff competence was checked.

Risks were properly assessed and action was taken to reduce or manage any identified hazards.

Systems were in place to protect people from harm and abuse. Staff knew how to recognise and report any concerns.

Staff were recruited safely and there were enough staff to make sure people had the care and support they needed

Effective

Good

Updated 20 October 2017

The service was effective

Staff received induction and on-going training to ensure that they were competent and could meet people’s needs effectively. Supervision processes were in place to monitor performance and provide support and additional training if required.

People or their legal representatives were involved in care planning and their consent was sought to confirm they agreed with the care and support provided.

People were supported to have access to healthcare as necessary.

Caring

Good

Updated 20 October 2017

The service was caring.

People had good relationships with staff and there was a happy, relaxed atmosphere.

Staff respected people’s choices and supported them to maintain their privacy and dignity.

Responsive

Good

Updated 20 October 2017

The service was responsive.

People’s needs were assessed and care was planned and delivered to meet their needs. Staff had a good knowledge of people’s needs.

There was a programme of activities to keep people meaningfully occupied and stimulated.

The service had a complaints policy and complaints were responded to appropriately

Well-led

Good

Updated 20 October 2017

The service was well led.

There was a clear management structure in place. People and staff told us that the registered manager and management team were approachable and supportive and they felt they were listened to.

Feedback was regularly sought from people and actions were taken in response to any issues raised.

There were systems in place to monitor and assess the quality and safety of the service provided.