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Inspection Summary


Overall summary & rating

Good

Updated 23 May 2019

About the service: Aston House Care Home is a care home providing accommodation with nursing care for up to 48 older people. There were 41 people living at the service at the time of our inspection. Aston House Care Home is a purpose-built building which accommodated people over two floors. People who used the service were older people with nursing needs and/or living with the experience of dementia.

People’s experience of using this service:

¿ The provider had systems in place to help ensure people who used the service were safe from avoidable harm and these were effective.

¿ Where there were risks to people who used the service, these had been assessed and management plans included clear guidelines to help ensure people were safe from harm.

¿ People’s nutritional and healthcare needs were met and we saw that staff took appropriate action when concerns were identified.

¿ The provider had robust systems in place to monitor the quality of the service and put action plans in place where concerns were identified. People’s care records were reviewed and updated monthly or more often if their needs changed.

¿ People received their medicines safely and as prescribed. Staff received training in the administration of medicines and had their competency at managing medicines safely checked.

¿ Care plans were developed from pre-admission assessments and contained relevant and up to date information about people’s needs and preferences, so staff knew how to care for and support them.

¿ People were supported by staff who were suitably trained, supervised and appraised.

¿ Where possible, people had an end of life care plan in place which stated their individual wishes when they reached the end of their lives.

¿ Recruitment checks were carried out before staff started working for the service and included checks to ensure staff had the relevant previous experience and qualifications.

¿ People were protected by the provider’s arrangements in relation to the prevention and control of infection. The home was clean, tidy and well maintained throughout.

¿ The environment was tailored to the individual needs of people who used the service, including those living with the experience of dementia.

¿ The provider acted in accordance with the Mental Capacity Act 2005. People had their mental capacity assessed before they moved into the home. Where necessary, people were being deprived of their liberty lawfully.

¿ The provider had processes for recording and investigating incidents and accidents. We saw that these included information about the actions which had been taken and lessons learned.

¿ People were engaged in a wide range of meaningful activities. People were consulted about what they wanted to do and were listened to. People reported they were very happy with the activities on offer.

¿ Staff were responsive to people’s individual needs and knew them well. They supported each person by spending time with them and listening to them. They ensured that each person felt included and valued as an individual.

¿ The manager led a caring and dedicated team. Together, they met people’s individual needs and improved their quality of life.

Rating at last inspection: At the last inspection on 3 and 4 October 2016 the service was rated good.

Why we inspected: This was a planned inspection based on the previous rating.

Follow up: We will continue to monitor information we receive about the service until we return to visit as per our re-inspection program. If any concerning information is received, 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

Good

Updated 23 May 2019

The service was safe

Details are in our Safe findings below.

Effective

Good

Updated 23 May 2019

The service was effective

Details are in our Effective findings below.

Caring

Good

Updated 23 May 2019

The service was safe

Details are in our Safe findings below.

Responsive

Good

Updated 23 May 2019

The service was responsive

Details are in our Responsive findings below.

Well-led

Good

Updated 23 May 2019

The service was well-led

Details are in our Well-led findings below.