Ashlee Residential Care Home

Ashlee Residential Care Home is a care home providing personal care for up to 21 people. There were 19 people living at the home at the time of our inspection. The service provides support to older people with a range of support needs including complex health conditions and dementia. The service is provided in one adapted building over two floors.

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

Risks associated with people’s care and support and the environment were not always effectively monitored and managed. The service did not have a registered manager, they had recruited a manager, but the deputy was acting as manager at the time of our inspection.

Medicines were managed safely, they had an electronic system in place which effectively prompted times which medication should be administered.

There was enough staff to meet people’s needs and safe recruitment practices were followed.

The carpets required cleaning throughout the home, some needed to be replaced as they were worn out.

People were not always supported to have maximum choice and control of their lives; people were not always consulted on decisions within the home which would affect them.

People were supported with their health needs and had access to healthcare services. People were supported by staff who had not always had up to date training in current practises.

People were supported well by staff who cared for them and treated them with dignity and respect. Family members spoke highly of the staff team and felt that people were well looked after and kept safe.

People were not given a choice of activities, they shared an activities co-ordinator with another home and only had activities every other day. We were advised that staff carried out some activities but at the time of our inspection we did not see anyone engaged in meaningful activity.

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 (Report published 19 August 2019).

Why we inspected

We received information regarding the management and overall cleanliness of the service. There were also concerns about the staffing levels and lack of PPE during the pandemic.

Follow up

We will return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

The overall rating for this service is ‘Requires Improvement’.

About the service

Ashlee Residential Care Home provides personal care to older and younger adults and people living with dementia. The service is provided in one adapted building, over two floors. There were 21 people using the service at the time of the inspection. The service can accommodate up to 21 people.

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

There was enough staff to provide safe and effective care. People were safeguarded as staff received training and understood their role in reporting any concerns to protect people from harm. Medicines were managed safely to ensure people received them as prescribed. Risk assessments were completed, and staff were suitably recruited into the service. Staff were aware of how to reduce the risk of infection and cleaning schedules were in place to support this.

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. When needed people's capacity was assessed to ensure that decisions were made in their best interests where they lacked capacity. People were supported to eat a healthy balanced diet and provided with the support they needed to keep well from health care services. Staff were provided with training to develop the skills and knowledge and meet people's care and support needs.

People were cared for by staff who knew them well and understood how they wanted to be supported. Information was available in an accessible format when needed ,to help people understand information about the service. People had care plans which included information about how they wanted to receive their care which were reviewed regularly to reflect any changes. People knew how to raise concerns about the service and these were addressed following the provider’s procedure.

People knew who the manager was and were confident that the home was managed well, Quality monitoring systems were in place and effective in driving improvements.

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

Rating at last inspection

This service was registered with us on 24/07/2018 and this is the first inspection.

Why we inspected

This was a planned inspection.

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.