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CQC report explained · a nursing home

What the CQC found at Ashbrook Neuro Rehabilitation

Goodpublished 29 November 2019, 6 years ago

Rated Good: inspectors found the home performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Good
Inspectors were assured about infection prevention and control. This included PPE, testing, admissions, hospital returns, social distancing, hygiene and the infection control policy.
Effective?
Good
This question was not assessed in this targeted inspection.
Caring?
Good
This question was not assessed in this targeted inspection.
Responsive?
Good
This question was not assessed in this targeted inspection.
Well-led?
Good
This question was not assessed in this targeted inspection.
The latest report, explained

What inspectors found, February 2021

Ashbrook Neuro Rehabilitation was inspected but not rated; inspectors were assured about infection prevention and control.

This was an announced, targeted inspection on 4 February 2021. Inspectors checked the home’s infection prevention and control arrangements during the coronavirus pandemic.

Inspectors were assured that visitors, new admissions and people returning from hospital were managed safely. They were also assured about PPE, testing, social distancing, shielding, hygiene and the home’s infection control policy.

The home supported people to keep in touch with family and friends by video calls. A newsletter was also sent to families. Vaccinations had been offered to people who wanted them.

The service was inspected but not rated. This report does not give an overall quality rating or ratings for most of the five questions.

What inspectors praised
  • Infection control

    Inspectors were assured that the home had arrangements to prevent and manage infections, including visitor screening and the safe use of PPE.

    “We were assured that the provider was preventing visitors from catching and spreading infections.” from the report
  • Testing and vaccination

    The home was fully involved in coronavirus testing, and vaccinations had been offered to people who wanted them.

    “The service was fully engaged with the Covid-19 testing and vaccinations had been offered to people who wanted them.” from the report
  • Family contact

    People were supported to stay in contact with family and friends through video calls, and families received a newsletter.

    “People were supported to maintain contact with their families and friends through video calling” from the report
  • Hospital returns

    People returning after hospital admission were isolated in line with the government guidance in force at the time.

    “People returning to the home following hospital admission were isolated in line with current government guidelines.” from the report
What inspectors were concerned about

Inspectors raised no specific concerns in this report.

Questions to ask them, based on this report
  1. 01How are visitors currently screened for symptoms and given PPE?
  2. 02How do you currently arrange testing and vaccinations for people living in the home and staff?
  3. 03What is your current process for admitting someone or supporting them after a hospital stay?
  4. 04How do people currently keep in touch with family and friends?
  5. 05When was the infection prevention and control policy last updated?

This was an announced, targeted inspection of infection prevention and control during the coronavirus pandemic; the service was inspected but not rated and the other key questions were not assessed. This explanation was written from the published report of 19 February 2021 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.

An earlier report, explained

What inspectors found, November 2019

Ashbrook Neuro Rehabilitation was rated Good; inspectors found safe, kind and personalised rehabilitation, with end-of-life wishes still being recorded in more detail.

The inspection was unannounced and took place over 23 and 24 October 2019. One inspector spoke with people living in the home, staff, managers, professionals and a relative. They also reviewed care plans, medicines records, staff files, training records and management audits.

The home was rated Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from harm, received safe medicines support, had access to trained staff and health professionals, and were involved in their care and rehabilitation.

People had personalised care plans, meaningful activities and support to build independence. The home was clean and well managed. Staff were described as kind, supportive and approachable. The report noted that end-of-life wishes were being discussed, but plans to record these in more detail were still in progress.

What inspectors praised
  • Safe medicines and staffing

    Inspectors found no medicines errors and saw that staff were trained and checked for competence. Staff said there were enough people on duty to meet residents' needs.

    “The administration of medicines was safe. We checked the systems for ordering, storing, administering and disposing of medicines.” from the report
  • Skilled rehabilitation support

    The home had trained staff and specialist professionals to support people with acquired brain injuries, mobility, communication, nutrition and independence.

    “There was a team of staff (nurses, physiotherapists and occupational therapists) who were qualified to assess and plan support for people” from the report
  • Kind and respectful care

    Inspectors saw good relationships between staff and residents. Care plans included people's histories, preferences, interests and equality needs.

    “We observed staff during the inspection. Staff had a good rapport with people who used the service, were professional but also kind and caring.” from the report
  • Choice and independence

    People helped choose meals, plan activities and set rehabilitation goals. The service supported people to develop skills and move towards more independent living.

    “People were supported to make their own meals and plan what they wanted to eat.” from the report
  • Meaningful activities

    Activities included cooking, managing money, shopping, exercise, swimming, outings and therapy linked to people's personal goals.

    “Activities included maintaining and improving life skills such as cooking, managing finances and shopping.” from the report
  • Open management

    People and staff said managers were available and approachable. The home used meetings, surveys and audits to gather views and improve care.

    “The registered manager conducted audits to maintain and improve the service.” from the report
What inspectors were concerned about
  • End-of-life wishes still being developed

    minor

    The home did not provide palliative care at the time of the inspection. People's end-of-life wishes had been discussed, but the report said staff were still gathering information and planned to record wishes in more detail where people wanted this.

    “We saw people's end of life wishes had been discussed at a recent staff meeting and it was planned to record these in more detail if people wished to participate.” from the report
Questions to ask them, based on this report
  1. 01How would you assess and support my relative's particular brain injury, epilepsy, mobility, communication and dietary needs?
  2. 02What rehabilitation goals would my relative help to set, and how would you measure progress towards greater independence?
  3. 03How would you support my relative with end-of-life wishes, given that palliative care was not provided at the time of this inspection?
  4. 04How would my relative take part in activities and community outings if they could not join the main activities?
  5. 05How would you involve our family in care planning, therapy and reviews of changing needs?

This was an unannounced planned inspection that looked at the care provided and the premises, and rated all five CQC questions. This explanation was written from the published report of 29 November 2019 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.

The story over the years

Every inspection of Ashbrook Neuro Rehabilitation

Each visit the CQC has published, newest first, back to the day the home was registered.

  1. February 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ashbrook Neuro Rehabilitation →

  2. November 2019Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ashbrook Neuro Rehabilitation →

  3. October 2018

    Registered with the Care Quality Commission on 15 October 2018.

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.

Next steps

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