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CQC report explained · a residential care home

What the CQC found at Ashwood Court - Unit 1

Goodpublished 23 November 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
People said they felt safe. Inspectors found enough staff, safe recruitment, organised safeguarding arrangements, appropriate risk assessments and medicines that were managed safely.
Effective?
Good
The home had improved from Requires Improvement in this area. Staff understood the Mental Capacity Act and Deprivation of Liberty Safeguards, and people were supported to have choice and control.
Caring?
Good
People described staff as kind, caring and respectful. Staff knew people's individual needs and supported privacy, dignity, independence and personal choice.
Responsive?
Good
Care plans were personal and included people's preferences, history, goals and interests. People were supported with daily activities, outings and access to the community.
Well-led?
Good
The home had a registered manager, an open culture and regular feedback from people and staff. Audits identified actions and were used to monitor and improve the service.
The latest report, explained

What inspectors found, November 2018

Rated Good; inspectors found safe, kind and personalised care, with improvements made since the previous inspection.

This was an unannounced inspection on 25 October 2018. The inspector reviewed care records, medicines records, staff files, rotas, complaints, surveys and audits. They spoke with people living at the home, staff and the manager, and observed care in communal areas.

The home was rated Good overall and Good in all five areas: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, safe medicine systems, suitable risk assessments and good recruitment checks.

People told inspectors they felt safe and well cared for. Staff knew people's needs and preferences, supported choice and independence, and provided activities and community access. The home had a clear complaints process and regular quality checks.

At the previous inspection, Effective had required improvement because of a recommendation about Deprivation of Liberty Safeguards. This inspection found that the recommendation had been addressed, with staff trained and applications made when needed.

What inspectors praised
  • Safe medicines

    Inspectors found that medicines were ordered, stored and given safely. Records were completed consistently and stock balances matched.

    “We found medicines had been managed safely. There were effective systems in place to ensure medicines were ordered, stored, received and administered appropriately.” from the report
  • Choice and independence

    People were involved in decisions about their care and encouraged to develop daily living skills. Staff supported people in the least restrictive way possible.

    “People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible” from the report
  • Personalised care

    Care plans included detailed information about people's lives, preferences, goals and support needs. Staff were reported to know people well.

    “People continued to receive care that was personalised and responsive to their needs.” from the report
  • Improved legal safeguards

    The home had acted on the previous recommendation about Deprivation of Liberty Safeguards. Staff had received relevant training and applications were made when required.

    “At this inspection we found the provider had addressed our recommendation.” 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 do you assess and review my relative's mental health needs and personal goals?
  2. 02How do you make sure medicines, including as-required medicines, are given safely and recorded correctly?
  3. 03What activities, outings and support for independence would be available for my relative?
  4. 04If my relative loses capacity to consent to care, how would you assess this and apply for the required safeguards?
  5. 05If my relative needed end-of-life nursing care, how would community nursing support be arranged?

This was an unannounced inspection of the overall service, covering all five key questions and including the premises and care provided. This explanation was written from the published report of 23 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.

The story over the years

Every inspection of Ashwood Court - Unit 1

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

  1. November 2018Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ashwood Court - Unit 1 →

  2. March 2016Good
    Safe: GoodEffective: Requires improvementCaring: GoodResponsive: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  4. October 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. December 2011

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 23 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.

Next steps

Weigh the report against the rest

Care at home

At least 100 live-in carers within about an hour of Wigan

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. 92 can care for a couple. 11 years' experience on average.

“Primrose is a very kind and compassionate healthcare professional”
Marion L., about Primrose N.
“He developed a close affinity with Terence, spending time talking with him before he retired to bed and looking after his needs during the night.”
John P., about Rodrigo Javier B.
See live-in carers near WiganProfiles, rates and reviews are free to look at.

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.