CQC report explained · a residential care home
What the CQC found at 134 Ashland Road
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured that the home was following safe infection prevention and control procedures. They found arrangements for visitors, shielding, social distancing, testing, protective equipment, cleaning and outbreak management.
- Effective?
- Good
- This was a targeted inspection and this question was not assessed.
- Caring?
- Good
- This was a targeted inspection and this question was not assessed.
- Responsive?
- Good
- This was a targeted inspection and this question was not assessed.
- Well-led?
- Good
- This was a targeted inspection and this question was not assessed.
What inspectors found, September 2020
134 Ashland Road was inspected but not rated; inspectors were assured about infection prevention and control.
This was an announced, targeted inspection during the coronavirus pandemic. Inspectors looked at infection prevention and control measures, rather than the full range of care provided.
Inspectors found examples of good practice. Visitors received clear information, hand washing was encouraged, and hand sanitiser, wipes and masks were available.
Staff used appropriate protective equipment and received infection control training. The home also had daily professional cleaning and extra cleaning of frequently touched surfaces.
The home was inspected but not rated overall. The Safe question was also recorded as inspected but not rated, so this report does not give an overall quality rating.
Visitor safety
Visitors were kept informed about changes and had access to hand hygiene products and masks when entering the home.
“Hand sanitiser, antibacterial wipes and face masks were available for all visitors.” from the report
Staff training and protective equipment
Staff received infection control and protective equipment training. They wore appropriate protective equipment and carried photographs to help people recognise them.
“Staff had received Covid19 related training internally and from external health professionals.” from the report
Cleaning arrangements
The home had daily cleaning by an external company, with extra cleaning of frequently touched areas by staff.
“An external company was contracted to clean the service daily.” from the report
Inspectors raised no specific concerns in this report.
- 01How are visiting arrangements currently explained to families and people entering the home?
- 02How often are high-touch areas such as handles and switches cleaned, and how is this checked?
- 03How do you arrange testing for residents and staff if someone may have an infection?
- 04What training do new and existing staff receive on infection control and putting on and removing protective equipment?
- 05How would you manage an infection outbreak in the home?
This was a targeted inspection of infection prevention and control under the Safe question; the other quality questions were not assessed and no overall rating was given. This explanation was written from the published report of 26 September 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
What inspectors found, April 2020
Rated Good; inspectors found safe, respectful and personalised care, with one issue about recording fluid intake.
This was an unannounced inspection on 27 February and 2 March 2020. One inspector spoke with people living at the home, relatives, staff and health professionals. Records about care, medicines, staffing and management were also checked.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. People were supported to make choices, build independence, join activities and keep relationships. Inspectors found the home calm, clean and welcoming.
There was one shortfall. Fluid charts were not always completed correctly, and it was unclear how much one person had drunk. The manager said the charts had been reviewed and amended during the inspection.
The overall Good rating means inspectors found care that met the expected standard in all five areas. Caring changed from Outstanding at the previous inspection to Good because the inspection process had changed, rather than because the report described a specific decline in care.
People felt safe
People and relatives said people were safe. Staff understood people's needs and safeguarding systems were in place.
“People told us they felt safe living at the home.” from the report
Respect and choice
People were involved in their care and supported to make choices in ways they could understand. Staff promoted privacy, dignity and independence.
“Staff asked people's permission before they entered their bedroom or provided care and support.” from the report
Meaningful activities
People had many opportunities to take part in hobbies, work-related activities and community life. Activities were adapted so everyone could be involved.
“There was an excellent opportunity for people to participate in hobbies, interests and work-related activities.” from the report
Accessible communication
The home used pictures and different communication methods to help people understand information and express their views.
“Resident meetings and the service newsletters were communicated to people in picture format.” from the report
Learning from problems
The provider improved cleaning after an infection and replaced unsafe paths after an audit identified a risk.
“The provider demonstrated they did learn lessons from incidents.” from the report
Fluid records
needs fixingFluid charts were not always completed correctly. The records did not show clearly how much one person had drunk or what amount staff were aiming for.
“However, we found fluid charts were not always completed correctly. It was unclear what fluid intake a person had.” from the report
- 01How are fluid charts completed and checked now, and how do you make sure each person drinks enough?
- 02How will you communicate with my relative if they use pictures, gestures or other non-verbal methods?
- 03What activities, work opportunities or community visits could my relative take part in?
- 04How are people and families involved in care reviews and decisions about support?
- 05How would you support my relative and other residents if someone they knew at the home died?
This was an unannounced inspection covering all five rating areas, including the premises and care provided; the previous overall rating was Good in 2017. This explanation was written from the published report of 22 April 2020 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.
Every inspection of 134 Ashland Road
3 rated inspections over 5 years: the service has held its Good rating throughout.
- September 2020Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- April 2020Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- August 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Good
- August 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2015
Registered with the Care Quality Commission on 1 April 2015.
Ratings and report dates from the Care Quality Commission, Open Government Licence v3.0. A home can also be visited without a new rating being published, so the timeline shows published inspections.
Weigh the report against the rest
Fees, photos and reviews from families
How to read CQC ratings and reports
What to check when you visit
75 live-in carers within about an hour of Nottinghamshire
These are self-employed carers on PrimeCarers, the introductory agency that runs this directory. Each has a profile with their own rates and reviews from families, and you choose who to talk to.
Most charge £980 to £1,260 a week. 63 can care for a couple. 10 years' experience on average.
“Ernest is an amazing professional carer who delivers care from the heart.”
Every carer has had an enhanced DBS check in the last 18 months, ID and right-to-work checks and an online interview. Their skills and training are for you to check with them. Carers set their own rates, and who is free changes week to week.