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Inspection Summary

Overall summary & rating


Updated 19 September 2019

Ashmead Nursing Home is a residential care home providing personal and nursing care for up to 110 people. At the time of the inspection 104 people were receiving a service at the home.

Ashmead is a purpose built home accommodating people on three floors; each floor is divided into two units with accommodation and related facilities. The two ground floor units, known as Primrose and Bluebell, specialise in supporting older people with nursing care needs; the two first floor units, known as Lavender and Buttercup and the third floor unit called Rose support older people living with dementia. The second floor unit called Daffodil is a specialist step-down unit that provides intermediate short-stay support to people. A step-down unit is traditionally used to provide people with the short-term care and support they need to enable them to return home.

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

At the last inspection we found people were not always kept safe at the home because some staff did not always follow risk management plans properly. At this inspection we found the provider had improved people’s risk management plans through regular assessments and reviews and staff were aware of these and were putting them into practice.

We also found at the last inspection staff did not always have all the right knowledge and skills to effectively carry out their roles and responsibilities. At this inspection we found the provider had improved the specialist training offered to staff so they could effectively meet people’s needs.

Also at the last inspection the service did not always support people to take part in social activities relevant to their social interests. At this inspection we found the provider had recruited a new activities team who were developing activities based on people’s preferences. However, we found the staff required further support to be able to provide meaningful activities for older people, those bedfast and people with disabilities.

We have recommended to the provider that activities staff receive training in this area and we will check progress at our next inspection.

People we spoke with were happy with the care they received and with the staff who assisted them. People were protected from avoidable harm, discrimination and abuse. Appropriate staff recruitment checks were made. Procedures were in place to reduce the risk of the spread of infection. Medicines were administered, stored and disposed of safely. Risks in the environment were very well managed, which helped to ensure the premises were safe.

Staff were suitably trained and supported. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were supported to maintain a healthy balanced diet and to stay healthy, with access to health care services as and when required.

People received support from staff who were kind and compassionate. Staff treated people with dignity and respect and ensured people's privacy was always maintained. People were supported to do as much as they could and wanted to do for themselves to retain control and independence over their lives.

The provider was exploring ways of ensuring they were meeting the Accessible Information Standard for communication. The provider had effective systems in place to deal with concerns and complaints and to assess and monitor the quality of the service people received.

The service had a registered manager who we found to be open and transparent. They were working in partnership with other health and social care professionals and agencies to plan and deliver an effective service that met the needs of the people they supported.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update

The last rating for this service

Inspection areas



Updated 19 September 2019

The service was safe.

Details are in our safe findings below.



Updated 19 September 2019

The service was effective.

Details are in our effective findings below.



Updated 19 September 2019

The service was caring.

Details are in our caring findings below.


Requires improvement

Updated 19 September 2019

The service was responsive.

Details are in our responsive findings below



Updated 19 September 2019

The service was well-led.

Details are in our well-Led findings below.