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Inspection Summary


Overall summary & rating

Good

Updated 13 February 2021

About the service

Ashley Court is a residential care home providing personal care to 34 people aged 65 and over at the time of the inspection. The service can support up to 38 people.

The home is set over two floors. The second floor can be accessed via a lift. There is a communal lounge and dining room on each floor.

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

Assessing risks to people required some improvement to ensure that all risks were mitigated. A safety installation was required to windows to ensure they met health and safety executive requirements.

The providers policy and procedure for recruitment had not consistently been adhered to, though all staff had a disclosure and barring service (DBS) check.

Staff had received training, regular support and supervision.

Cleaning records had not consistently been completed to evidence good infection control practice. The home appeared clean and was free from malodour. Staff had access to personal protective equipment (PPE) and we saw this used appropriately throughout the inspection.

Systems and processes to manage the safety and quality of the service had not consistently identified gaps in record keeping found during the inspection. We have made a recommendation that current systems are reviewed.

Medicines were managed, stored and administered safely.

People were protected from the risk of abuse and told us they felt safe.

There was a positive inclusive culture in the home. People and their relatives spoke highly of the staff and management team and felt included and well supported. Care was person centred and people’s individual characteristics were considered and planned into care.

The registered manager and management team were open and transparent and focussed on improving the service. They worked in partnership with other health care professionals to achieve positive outcomes for people.

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.

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

Rating at last inspection

The last rating for this service was good (published 4 October 2019)

Why we inspected

The inspection was prompted in part due to concerns received about the safety and management of the service. A decision was made for us to inspect and examine those risks.

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.

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.

Inspection areas

Safe

Requires improvement

Updated 13 February 2021

The service was not always safe.

Details are in our safe findings below.

Effective

Good

Updated 13 February 2021

Caring

Good

Updated 13 February 2021

Responsive

Good

Updated 13 February 2021

Well-led

Good

Updated 13 February 2021

The service was well-led.

Details are in our well-led findings below.