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Inspection Summary


Overall summary & rating

Good

Updated 1 August 2019

About the service

Ashgrove Nursing Home is a residential care home that is registered to provide nursing and personal care and accommodation for a maximum of 57 older people and younger adults. 39 people were using the service at the time of the inspection. The home is separated into two individual units, Ashgrove and Coppice. Some people living in the Coppice unit experience dementia.

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

People felt that more staff were needed to meet their needs effectively. The deployment of staff was not always effective. People were supported by staff to remain safe. Risk assessments were in place to minimise any potential risk to people’s wellbeing. Staff were required to have checks in place before commencing their employment. People received their medicines as expected and people were supported with their skin care needs.

Audits were in place and these provided a clear overview of any patterns or trends. We received notifications as required to enable us to see what action the provider took to keep people safe, except for one occasion where this was sent in later and all other actions had been completed to keep the person safe. Checks were carried out on people’s satisfaction with their care using questionnaires. People knew the registered manager and felt they were visible around the home and were approachable.

Rating at last inspection

The last rating for this service was Good (published 04 July 2018)

Why we inspected

We received concerns in relation to the management of skin care. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service has not changed from Good. This is based on the findings at this inspection.

We found no evidence during this inspection that people were at risk of harm from this specific concern. The provider had taken action to mitigate any risks to people regarding their skin care and this has been effective.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Ashgrove Nursing 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Inspection areas

Safe

Requires improvement

Updated 1 August 2019

The service was not always safe

Details are in our safe findings below.

Effective

Good

Updated 4 July 2018

The service was effective.

Staff had the knowledge and skills required to meet people’s individual needs and promote their health and wellbeing. People were supported to make their own decisions wherever possible and staff had a good understanding of how to support people who lacked the capacity to make some decisions for themselves. Food and drinks were provided to a good standard and in line with people’s eating and drinking guidelines. People were supported by staff who worked well across organisations to ensure safe admission, discharge and transfer of care. People's needs were being continually assessed and improvement work undertaken to ensure people’s needs were met by the adaptation design and decoration of the premises.

Caring

Good

Updated 4 July 2018

The service was caring.

Staff were kind and caring towards people, knew them well and respected their dignity and privacy. People were consulted about their care and enabled to express their views. Staff understood the importance of people’s relationships and visitors were made welcome.

Responsive

Good

Updated 4 July 2018

The service was responsive.

People received personalised care that was responsive to their changing needs and preferences. People’s social and recreational interests had been considered and the registered manager had identified further work was required to meet the needs of people with dementia. Complaints procedures were in place in formats to empower people in raising any concerns they had so these were responded to and addressed. People were supported to plan and make choices about their care at their end of life.

Well-led

Good

Updated 1 August 2019

The service was well-led.

Details are in our well-Led findings below.