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CQC report explained · a residential care home

What the CQC found at Ashleigh

Outstandingpublished 9 June 2018, 8 years ago

Rated Outstanding: inspectors found the home performing exceptionally well.

The five questions inspectors ask
Safe?
Good
Inspectors were assured that the home was preventing infections, using personal protective equipment safely, providing testing and facilitating visits in line with current guidance. The provider also said it had measures to manage COVID-19-related staffing pressures.
Effective?
Good
Does the care work? Training, consent, food and drink, working with GPs and nurses.
Caring?
Outstanding
Are people treated with kindness and dignity?
Responsive?
Good
Is care built around the person? Care plans, activities, complaints.
Well-led?
Outstanding
Is the home run well? The manager, the culture, how problems get found and fixed.
The latest report, explained

What inspectors found, February 2022

Ashleigh was inspected but not rated; inspectors found good COVID-19 infection control arrangements.

This was a targeted, announced inspection on 18 January 2022. Inspectors looked at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected the home.

Inspectors were assured that the home used testing, screening, vaccination checks, personal protective equipment and social distancing measures. They also found that visits were being supported and that cleaning routines were in place.

The home was inspected but not rated. This report does not give an overall quality rating or ratings for the other four questions.

What inspectors praised
  • Up-to-date infection policies

    The home had detailed COVID-19 policies. Inspectors noted that these were regularly updated when national guidance changed.

    “The policies and procedures were updated regularly following any changes in national guidance.” from the report
  • Testing and visitor checks

    Regular testing was in place for people living in the home, staff and visitors. Visitors had to complete screening and show vaccination and negative test evidence before entry.

    “A programme of regular COVID-19 testing for both people in the home, staff, and visitors to the home was implemented.” from the report
  • PPE and staff practice

    There was enough personal protective equipment and hand sanitiser. Staff had updated training and were seen using PPE correctly.

    “Staff had received updated training on the use of PPE and we observed staff wearing it correctly during out inspection.” from the report
  • Cleaning arrangements

    Daily cleaning schedules were in place, with housekeepers and other staff involved in cleaning frequently touched areas.

    “Daily cleaning schedules were implemented by housekeepers and all staff were involved in undertaking touch point cleaning.” 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 COVID-19-related staffing pressures being managed now?
  2. 02What testing and screening arrangements are currently used for people living in the home, staff and visitors?
  3. 03How are visits being facilitated under the current guidance?
  4. 04How do you check that staff and visiting professionals meet vaccination requirements or have an exemption?
  5. 05How often are cleaning schedules and touch-point cleaning completed and checked?

This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19-related staffing pressures; the service was inspected but not rated. This explanation was written from the published report of 4 February 2022 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, June 2018

Rated Outstanding; inspectors found exceptionally caring, personalised support, with safe and effective care rated Good.

This was an unannounced inspection on 14 March 2018. The inspector spoke with people living there, relatives, staff and a visiting professional. They observed care and reviewed care plans, medicines records, staffing, recruitment, training, maintenance and quality checks.

The home was rated Outstanding overall. Caring and well-led were Outstanding. Safe, effective and responsive were Good. Inspectors found kind and patient staff, detailed person-centred plans, good support for independence, safe medicines arrangements and strong teamwork with other professionals.

The home was changing its accommodation. Its registered maximum had been reduced from 18 to 10 people, and work was taking place to create flats and bedsits. At the previous inspection in November 2015, the home was rated Good. This inspection found enough improvement for the overall rating to rise to Outstanding.

What inspectors praised
  • Kind and respectful care

    Inspectors saw calm, friendly interactions. People appeared relaxed and comfortable, and staff protected their privacy and dignity.

    “People were extremely well-cared for, relaxed and comfortable.” from the report
  • Personalised support

    Care plans reflected each person's needs, preferences and communication style. Staff adapted support to help people build trust and become more independent.

    “Care was completely centred and tailored to each individual.” from the report
  • Building independence

    People were supported to learn everyday skills, travel, work, follow interests and take part in the local community.

    “People were encouraged and supported to lead as fulfilled a life as possible.” from the report
  • Strong leadership

    Inspectors found a clear person-centred culture, good communication and effective quality checks that were used to improve the service.

    “There were robust and effective quality assurance systems in place designed to both monitor the quality of care provided and drive improvements within the service.” from the report
What inspectors were concerned about
  • Listening device guidance

    minor

    Listening devices were being used to help keep some people safe, but there was no general written protocol explaining their use. The manager said this would be addressed immediately.

    “A general written protocol was not in place for the use of any listening devices which were used to keep people safe” from the report
  • Controlled drugs records

    minor

    No controlled drugs were in use during the inspection. Inspectors advised that a loose-leaf file was not suitable for recording them, and the manager said a numbered hard-back book had been introduced.

    “However, we advised that a loose leaf file was not suitable for the recording of controlled drugs.” from the report
Questions to ask them, based on this report
  1. 01What written protocol is now used for listening devices, and how do you balance safety with privacy?
  2. 02What recording system is now used for controlled drugs, and how is it checked?
  3. 03How did the building work to create flats and bedsits affect residents during the inspection, and what disruption remains?
  4. 04How will the reduced maximum of 10 residents affect the people who live here and future placements?
  5. 05How would you support my relative's transition into the home, including visits, communication information and staff consistency?

This was an unannounced comprehensive inspection covering all five key questions and the overall rating. This explanation was written from the published report of 9 June 2018 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 report was longer than we could read in one go; the later sections may not be reflected.

The story over the years

Every inspection of Ashleigh

2 rated inspections over 2 years: the service has improved, from Good to Outstanding.

  1. February 2022Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ashleigh →

  2. June 2018Outstandingup from Good
    Safe: GoodEffective: GoodCaring: OutstandingResponsive: GoodWell-led: Outstanding

    Read what inspectors found at Ashleigh →

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

    Read this report on cqc.org.uk

  4. January 2014

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. February 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  7. January 2011

    Registered with the Care Quality Commission on 10 January 2011.

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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