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Inspection Summary

Overall summary & rating


Updated 22 March 2019

About the service:

Ashfield Care Ltd provides care and support to people in their own homes in the Ross on Wye area. At the time of the inspection the service supported 39 people.

People’s experience of using this service:

People told us they felt well cared for by staff who treated them with respect, dignity and encouraged them to maintain relationships and keep their independence for as long as possible. One person who used the service said, “They all bar none are so kind and take an interest in me, so yes they do treat me so well.”

People who used the agency and relatives told us they felt confident in the management team and how the service operated. They told us good staffing levels afforded people responsive and dignified support.

Staff liaised with other health care professionals to ensure people's safety and meet their health needs.

Staff responsible for assisting people with their medicines had received training to ensure they had the competency and skills required.

Risk assessments had been developed to minimise the potential risk of harm to people. These had been kept under review and were relevant to the care provided.

Care plan information focused on a person-centred method of supporting people. Also, information contained what support was required for the person and consent to care evidence was seen throughout care documentation.

People’s care and support had been planned in partnership with them. People felt consulted and listened to about how their care would be delivered. We confirmed this by talking with people and relatives who used the agency.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

The management team used a variety of methods both formal and informal to assess and monitor the quality of the service. This enabled Ashfield Care to be monitored and improve systems and processes that were identified through their quality monitoring programme.

Rating at last inspection: Good (16 August 2016)

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

Follow up: The next scheduled inspection will be in keeping with the overall rating. We will continue to monitor information we receive from and about the service. We may inspect sooner if we receive concerning information about the service.

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

Inspection areas



Updated 22 March 2019

The service remained safe

Details are in our Safe findings below.



Updated 22 March 2019

The service remained effective

Details are in our Effective findings below



Updated 22 March 2019

The service remained caring

Details are in our Caring findings below.



Updated 22 March 2019

The service remained responsive

Details are in our Responsive findings below



Updated 22 March 2019

The service remained well-led

Details are in our Well-Led findings below.