CQC report explained · a nursing home
What the CQC found at Ashley Park Care Home
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- People told inspectors they felt safe. There were enough staff, risks were assessed, recruitment checks were completed, medicines were managed safely and the home was clean and well maintained.
- Effective?
- Good
- People's needs were assessed and staff received training and supervision. Inspectors found good support with health care, nutrition, consent and people's equipment needs.
- Caring?
- Good
- Staff were kind, respectful and considerate. People were involved in decisions about their care, supported to remain independent and able to personalise their rooms.
- Responsive?
- Good
- Care records contained detailed and current information about people's needs and preferences. People could take part in activities, plan their end of life care and raise complaints, which were investigated.
- Well-led?
- Outstanding
- Inspectors found exceptional leadership and a strong person-centred culture. People and staff were listened to, and quality checks led to practical improvements.
What inspectors found, November 2018
Rated Good overall, with Outstanding leadership and inspectors finding safe, caring and person-centred support.
This was an unannounced inspection on 7 November 2018. Inspectors spoke with people living at the home, relatives and staff. They reviewed care records, medicines records, staff recruitment and training records, and records about how the home was managed.
The home was rated Good for Safe, Effective, Caring and Responsive. Inspectors found enough staff, safe medicines practice, suitable care planning, good support with health and nutrition, and kind and respectful care.
The home was rated Outstanding for Well-led. Inspectors found strong leadership, good involvement of people and staff in decisions, and quality checks that led to improvements. The overall Good rating stayed the same as at the previous inspection, but the Well-led rating improved.
Exceptional leadership
Inspectors found that the leadership team was highly visible, approachable and focused on helping people have the best quality of life possible.
“The leadership team went above and beyond to ensure that people had the best level of care.” from the report
Kind and respectful care
Staff treated people with dignity and involved them in everyday choices. Inspectors saw staff checking consent and encouraging independence.
“Staff showed kindness and consideration towards the people that they cared for.” from the report
Good safety arrangements
Risks were assessed and managed, staffing levels were checked, and staff recruitment and medicines procedures were described as safe.
“There were sufficient staff to ensure that people received care when the needed it.” from the report
People's views lead to improvements
People were involved in decisions about the home. Their feedback led to changes such as delaying lift work, improving the garden path and providing a new out of hours phone.
“Where people's views were gained these were used to improve the quality of the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you assess and review my relative's individual risks, including mobility, falls, swallowing or nutrition?
- 02How will you keep me informed if my relative's health or care needs change?
- 03How do you support people to make choices about their daily routines, activities and independence?
- 04How will you record and follow my relative's wishes about end of life care?
- 05How can I raise a complaint, and how will you tell me what action has been taken?
This was an unannounced inspection looking at the overall quality of the home and all five CQC questions, including the accommodation and care provided; the overall rating remained Good and Well-led improved to Outstanding. This explanation was written from the published report of 30 November 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.
What inspectors found, April 2017
Ashley Park Care Home was rated Good; inspectors found that earlier problems with legal rights and staff support had been addressed.
This was an unannounced, focused inspection on 20 April 2017. Inspectors checked whether the home had fixed two breaches found in April 2016. They spoke with seven people, four staff and managers, and reviewed care plans, staff records and mental capacity assessments.
The home remained rated Good. Staff asked for consent before providing care and understood the Mental Capacity Act. Mental capacity assessments and best-interest meetings were in place where needed, and applications for restrictions had been submitted to the local authority.
Staff had regular training, supervision and appraisals. People had access to healthcare professionals, and their food, drink and weight were monitored. People said they were happy with the care and food.
This report only assessed whether the earlier breaches had been addressed. It did not provide ratings for Safe, Caring, Responsive or Well-led.
Respect for choices
Staff asked people's consent before providing care and understood how to support people who might lack capacity.
“People's legal rights were protected as staff were acting in accordance with MCA.” from the report
Staff training and support
The earlier problem with staff training and supervision had been addressed. Records showed regular supervision and appraisals.
“We saw that supervisions and appraisals took place with staff on a regular basis.” from the report
Healthcare access
People could see healthcare professionals when needed, and relevant professionals were involved in their care.
“People were supported to have access to healthcare services and healthcare professionals were involved in the regular monitoring of their health.” from the report
Food and nutrition
People had food choices, and the home monitored weight and recorded food and fluids when needed.
“People had enough to eat and drink and there were arrangements in place to identify and support people who were nutritionally at risk.” from the report
Inspectors raised no specific concerns in this report.
- 01How often are mental capacity assessments reviewed when a person's situation or decision changes?
- 02How do you make sure staff receive regular supervision and appraisals?
- 03How is clinical training kept up to date for nurses, including wound care, catheter care and falls prevention?
- 04How do you monitor people's weight and respond if someone is losing weight?
- 05Which parts of the service have been reviewed since this focused inspection?
This was a focused inspection to check that two previous breaches had been addressed; only Effective was rated and the other ratings were not assessed in this report. This explanation was written from the published report of 29 April 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.
Every inspection of Ashley Park Care Home
4 rated inspections over 4 years: the service has improved, from Requires improvement to Good.
- November 2018Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Outstanding
- April 2017Goodstayed GoodEffective: Good
- May 2016Goodup from Requires improvementSafe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good
- May 2015Requires improvementSafe: Requires improvementEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Requires improvement
- May 2013
Report published without a new overall rating.
- November 2012
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 15 November 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.
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