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What the CQC found at Ashcott Bungalow

Goodpublished 12 October 2023, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People had individual risk assessments, medicines were managed by trained staff, and checks were made on the building, equipment and emergency arrangements. Inspectors were also assured about infection prevention and control.
Effective?
Good
Staff received regular training, supervision and support. Care plans recorded people's health needs, dietary requirements and choices, and the home worked with health professionals when needed.
Caring?
Good
People were treated with kindness, dignity and respect. Staff supported people to make decisions, maintain independence and take part in everyday activities.
Responsive?
Good
Care was personalised around people's histories, preferences and goals. People were supported with communication, family relationships, holidays, individual activities and complaints.
Well-led?
Good
The home had a positive, person-centred culture. The management team used audits, meetings, feedback and partnership working to monitor quality and make improvements.
The latest report, explained

What inspectors found, October 2023

Ashcott House: Rated Good; inspectors found kind, personalised care with suitable staff, medicines checks and strong management oversight.

Inspectors visited on 31 August 2023. They met people living in the home, observed care, spoke with staff, relatives and health professionals, and checked care records, medicines records, risk assessments and recruitment files.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found that people were protected from abuse, supported by trained staff, involved in decisions and treated with dignity and respect.

The home supported people to make choices, develop independence and take part in activities. Care plans were reviewed, relatives and professionals were involved, and the management team used checks and feedback to improve the service.

The overall Good rating was unchanged from the previous inspection, published in November 2017. This inspection also considered infection prevention and control, and inspectors found suitable arrangements in place.

What inspectors praised
  • Choice and independence

    People were supported to make choices and control their daily lives. Staff encouraged people to take part in cooking, cleaning and other activities.

    “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;” from the report
  • Kind and respectful care

    Inspectors found that people were treated with compassion and that staff understood their individual needs, privacy and dignity.

    “People received kind and compassionate care from staff at the service.” from the report
  • Trained staff

    Staff had regular training, refresher courses, supervision and support. Training included areas linked to the needs of people living in the home.

    “Regular training and refresher courses helped staff continuously apply best practice.” from the report
  • Personalised activities

    People were supported to maintain relationships, go on holidays and choose individual activities, including shopping, meals out and cinema trips.

    “People had a 1:1 day each week when they were supported with household tasks and any requested individual activities.” from the report
  • Management oversight

    The management team used audits, feedback and meetings to monitor the service and identify improvements. A new electronic care planning system was being introduced.

    “The management team had auditing systems to maintain ongoing oversight and continued development of the service.” from the report
What inspectors were concerned about
  • Staffing may need to increase

    minor

    The manager was discussing increasing the overall staffing level as people's needs increased. Families should ask what decision was made and whether staffing has since changed.

    “The registered manager confirmed they were speaking with the provider and social services with a view to increasing the overall staffing level as people's needs increased.” from the report
Questions to ask them, based on this report
  1. 01Have staffing levels increased since the inspection as people's needs changed?
  2. 02How will the new electronic care planning system affect the way relatives see and contribute to care plans?
  3. 03How are medicines checked, and how are any discrepancies followed up?
  4. 04How will you support my relative's communication needs, including the use of easy-read information, pictures or Makaton if needed?
  5. 05How often will my relative's care and support needs be reviewed, and how will the family be involved?

This was a comprehensive inspection covering all five key questions, including the premises, care provided, infection prevention and control, records and staff recruitment. This explanation was written from the published report of 12 October 2023 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 2017

Ashcott House: Rated Good; inspectors found safe, kind and personalised care, with all five areas remaining Good.

This was an unannounced, comprehensive inspection on 20 October 2017. The home supported seven people with a learning disability, and inspectors spoke with people, staff and the manager. They also observed care and checked care records, recruitment, training, medicines and quality records.

Inspectors found that people were safe and supported by enough staff. Medicines were handled safely, risks were assessed, and staff had suitable training. People were helped with their health, diet, choices and independence.

People had kind relationships with staff and were involved in decisions about their care. Their care plans were personalised, and they were supported with activities, day services, outings and family relationships. The home had a complaints process and systems to check and improve its work.

The overall rating was Good, with Good ratings for Safe, Effective, Caring, Responsive and Well-led. This was unchanged from the previous inspection on 20 October 2015.

What inspectors praised
  • Safe staffing and risk management

    Inspectors found enough staff to meet people's needs safely. Risks involving mobility, equipment, outings and fire safety were assessed and checked.

    “We saw that staff were available when people needed them and they responded to people's requests for assistance promptly.” from the report
  • Kind and respectful care

    People had positive relationships with staff. Staff listened, respected privacy and dignity, and encouraged independence and personal choice.

    “Staff interacted with people in a kind and caring way.” from the report
  • Personalised support

    Care records described people's individual needs, preferences, communication and support requirements. People were supported to take part in activities they enjoyed.

    “The service continued to ensure that people's care records were personalised and their care was tailor made to meet their needs.” from the report
  • Meaningful activities and family links

    People were supported with day services, outings, holidays and activities at home. The home also supported important family relationships.

    “The service continued to provide people with the opportunity and support to maintain links with the community and undertake meaningful activities that they enjoyed.” from the report
  • Quality monitoring

    The manager and provider carried out audits and used them to identify and address shortfalls. The home also sought views from people, relatives and staff.

    “Where shortfalls were identified, records demonstrated that these were acted upon, including in action plans.” 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. 01What is the current position of the Deprivation of Liberty Safeguards referrals that were awaiting authorisation at the inspection?
  2. 02How would you support my relative's specific mobility, communication, health and dietary needs?
  3. 03What activities, day services and community outings would be available for my relative?
  4. 04Has the planned bathroom refurbishment been completed, and if not, when is it expected?
  5. 05How would my relative and our family be asked for feedback or raise a complaint?

This was an unannounced comprehensive inspection covering all five questions, with all ratings remaining Good from the previous inspection. This explanation was written from the published report of 10 November 2017 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 Ashcott Bungalow

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. October 2023Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ashcott Bungalow →

  2. November 2017Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ashcott Bungalow →

  3. November 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. June 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. November 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  8. July 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  9. January 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  10. December 2010

    Registered with the Care Quality Commission on 2 December 2010.

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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