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Ashleigh Court Rest Home Requires improvement

The provider of this service changed - see old profile

Inspection Summary


Overall summary & rating

Requires improvement

Updated 8 May 2021

About the service

Ashleigh Court Rest Home is a residential care home providing personal and nursing care to 17 people aged 65 and over at the time of the inspection. The service can support up to 22 people.

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

Risks to some people’s safety had not been assessed as the information about people’s needs was conflicting. Although medicines were given safely, staff were not always aware of guidance available on when to give ‘as and when required’ medicines. People were supported by staff who knew how to identify and report concerns of abuse. There were sufficient numbers of staff to support people safely. Actions had been implemented to improve infection control practices.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice. Some staff training had not been updated for a number of years. The provider had identified this but action to make improvements had not been effective. People were supported to have choice at mealtimes, although there was a lack of interaction between people and staff during meals. People’s healthcare needs were met.

Although staff had friendly relationships with people, this was task focussed and opportunities to engage with people outside of their care delivery was missed. People felt they had been involved in their care and people’s independence was encouraged.

The care provided was not consistently person centred, although work was ongoing to improve the personalised information held about people. People did not always speak positively about the activities provided. End of life care plans were in place, and people knew how to make a complaint if needed.

Systems in place to monitor quality had not been effective in identifying the areas for improvement found at this inspection. The culture at the service was not consistently person centred. People told us they were informally asked for their feedback on care. We saw that the provider had worked with other agencies to drive improvements in some areas.

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 18 February 2021) and there were three breaches of regulation. At this inspection enough improvement had not been made/ sustained, and the provider was still in breach of regulations.

The last rating for this service was requires improvement (published 18 February 2021). The service remains rated requires improvement. This service has been rated requires improvement for the last three consecutive inspections.

Why we inspected

The inspection was prompted in part by a notification of a specific incident following which a person using the service sustained a serious injury. This inspection did not examine the circumstances of the incident. The information CQC received about the incident indicated concerns about the management of sudden injuries. This inspection examined those risks. We found no evidence during this inspection that people were at risk of harm from this concern. Please see the safe sections of this full report.

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 coronavirus and other infection outbreaks effectively.

Enforcement

We are mindful of the impact of the COVID-19 pandemic on our regulatory function. This meant we took account of the exceptional circumstances arising as a result of the COVID-19 pandemic when considering what enforcement action was necessary and proportionate to keep people safe as a result of this inspection

Inspection areas

Safe

Requires improvement

Updated 8 May 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Requires improvement

Updated 8 May 2021

The service was not always effective.

Details are in our effective findings below.

Caring

Requires improvement

Updated 8 May 2021

The service was not always caring.

Details are in our caring findings below.

Responsive

Requires improvement

Updated 8 May 2021

The service was not always responsive.

Details are in our responsive findings below

Well-led

Requires improvement

Updated 8 May 2021

The service was not always Well-Led.

Details are in our Well-Led findings below.