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Ashleigh House Requires improvement

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Inspection report

Date of Inspection: 19 August 2014
Date of Publication: 18 September 2014
Inspection Report published 18 September 2014 PDF | 76.7 KB

Overview

Inspection carried out on 19 August 2014

During an inspection in response to concerns

One inspector carried out this follow-up inspection. During the inspection, we spoke with the manager, three members of staff, four people who used the service and one relative.

This was a responsive inspection due to concerns raised and we looked to see if the service was safe and well led.

The summary is based on our observations during the inspection, speaking with people using the service, and the staff supporting them and from looking at records.

If you want to see the evidence that supports our summary please read the full report.

Is the service safe?

We looked through three care files out of a possible 14. This was due to concerning information stating that note keeping was poor and new staff were not able to follow care plans which put people at risk. We found the care files provided enough information to make sure people were supported in the way they wanted. Staff employed by Ashleigh House had the right qualifications, skills and experience.

We asked to see the services policy on behaviour that challenges, due to people who used the service having early onset dementia and mental health conditions. Ashleigh House did not have a policy for behaviour that challenges, they did have a policy on aggression towards staff but this did not cover the support for someone showing behaviour that challenges which is not always aggression.

Is the service well-led?

Minutes from staff meetings were available for us to see. Due to a number of issues within the home, staff meetings had not taken place as regularly this year. This was something the manager was aware of and told us they were going to rectify.

In the last 18 months, 26 staff had left the service's employment. Four of these staff had left due to their own choice, 22 staff had been released following unsuccessful probation periods or dismissed due to misconduct. The manager told us that removing some staff from the home had a positive impact on the remaining staff. New staff had been recruited correctly but there were gaps in staff training.

CQC monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care home. The home had proper policies and procedures in relation to the Mental Capacity Act and Deprivation of Liberty Safeguards. At the time of our inspection they had one DoLs safeguarding authorisation in place.

What people told us:

We spoke with four people who used the service, one relative, the manager and three members of staff. People who used the service said �I really like it here, I can do what I want,� and �I can get a cup of tea or something to eat whenever I want,� and �All the staff are fine.� Another person said �You get plenty of choice and can go where you want, I prefer to eat downstairs and I do.�

The relative we spoke with said �It�s always welcoming with a nice and friendly atmosphere,� and �I can come whenever I want, they have nice safe, friendly staff.�

Staff we spoke with said �I have not been here long, but I really enjoy it,� and �It�s a lovely place to work, all the staff and clients are lovely.� and �People who live here like to do their own thing but I try to think of things we can do together like movie quizzes.�