CQC report explained · a residential care home
What the CQC found at Ashwood House Limited (Leyton)
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors found people were protected from abuse and avoidable harm. Risk assessments, staffing, recruitment, medicines, infection control and learning from incidents were all found to be managed safely.
- Effective?
- Good
- People's needs were assessed before they moved in, and staff had suitable induction, training and supervision. People were supported with food, healthcare, communication and decisions about their care.
- Caring?
- Good
- People said staff treated them with kindness and respect. Inspectors found that people's privacy, dignity, independence, cultural needs and choices were supported.
- Responsive?
- Good
- Care plans reflected people's individual needs and were reviewed with them. People were supported to communicate, maintain relationships, follow interests, take part in activities and raise complaints.
- Well-led?
- Good
- Inspectors found an open, person-centred culture and clear management arrangements. Audits, meetings and feedback were used to monitor quality and make improvements.
What inspectors found, November 2023
Ashwood House Limited (Leyton) was rated Good in all five areas; inspectors found safe, respectful and personalised care.
This was an unannounced inspection over three visits. One inspector reviewed care records, staff files, training, risk assessments, surveys, audits and other management records. They spoke with people using the service, relatives, staff and the registered manager.
The home supported 14 people at the time of the inspection and was registered for up to 17 adults with mental health needs. Inspectors found people were protected from abuse and avoidable harm, staffing was suitable, medicines were managed safely, and the home was clean and well maintained.
Inspectors found staff had the training and support needed for their roles. People were involved in their care, treated with kindness and respect, supported to develop independence, and helped to maintain relationships and access health services.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. This was the same overall rating as the previous inspection, published on 25 September 2017.
People felt safe
People told inspectors they felt safe and knew staff were available when they needed help. Relatives also gave very positive feedback about safety and support.
“People were safeguarded from abuse and avoidable harm.” from the report
Skilled and supported staff
Staff completed induction and regular training, including safeguarding, first aid, food hygiene, infection control and the Mental Capacity Act.
“The service made sure staff had the skills, knowledge and experience to deliver effective care and support.” from the report
Respect and independence
People were involved in decisions about their care and encouraged to try new experiences and develop skills.
“People's privacy, dignity and independence were respected and promoted.” from the report
Personalised support
Care plans included people's needs, preferences and communication methods. People were involved in reviewing their plans and could invite family members to meetings.
“People were supported as individuals, in line with their needs and preferences.” from the report
Open management
The manager used meetings, feedback, audits and spot checks to monitor the service and support learning.
“There was a positive and open culture at the service.” from the report
Inspectors raised no specific concerns in this report.
- 01How will you assess and review my relative's mental health needs before they move in?
- 02How will my relative be involved in writing and reviewing their care plan?
- 03What support is available to help my relative develop independence and maintain relationships?
- 04How will you support my relative with medicines, and how will you monitor this?
- 05How can my relative or family raise a concern, and how will the home respond?
This was an unannounced inspection covering all five key questions, including infection prevention and control under Safe. This explanation was written from the published report of 9 November 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.
What inspectors found, September 2017
Ashwood House Limited (Leyton) was rated Good; inspectors found safe, respectful and personalised care, and said a previous medicines problem had been fixed.
This was an unannounced inspection on 30 August 2017. One inspector spoke with four people and six staff, observed care, and checked care plans, medicines records, staff files, meetings and quality checks.
The home supported 15 people at the time, with places for up to 17 adults with mental health needs. People said they felt safe, staff were caring, and there were enough staff to meet people's needs.
All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. The previous inspection in September 2016 found a breach because medicines were not always managed safely. Inspectors said this issue had been addressed.
Medicines were improved
The previous inspection found medicines were not always managed safely. At this inspection, records matched the medicines checked, stock counts tallied and there were no unexplained gaps in the charts.
“During this inspection we found this issue had been addressed and the service was compliant with regulations.” from the report
Personalised support
Care plans included people's individual needs, preferences and risks. They were reviewed monthly and people were involved in developing them.
“Care plans were in place which set out how to meet people's needs.” from the report
Choice and independence
People could make daily choices, cook their own food where they wished, manage some medicines safely and take part in activities at home and in the community.
“People were able to choose what they ate and drank and people told us they frequently cooked their own meals.” from the report
Respect and dignity
People said they were treated respectfully. Staff understood the importance of privacy, including knocking before entering bedrooms, and supported people to remain independent.
“People told us they were treated with respect and in a caring manner by staff.” from the report
Quality checks
The home used audits, meetings and feedback to monitor care. Inspectors saw that an issue with out-of-date first aid items had been corrected.
“We saw that areas highlighted through the quality assurance systems were acted upon.” from the report
Inspectors raised no specific concerns in this report.
- 01How do you make sure medicines records and stock counts remain accurate?
- 02How will you involve my relative in creating and reviewing their care plan?
- 03What choices can residents make about food, daily routines and activities?
- 04How do you make sure there are enough staff when someone is absent at short notice?
- 05How can my relative or family raise a complaint, and how will it be handled?
This was an unannounced inspection of the overall service, covering all five CQC questions and giving ratings for each one. This explanation was written from the published report of 23 September 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 Ashwood House Limited (Leyton)
3 rated inspections over 7 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Ashwood House Limited (Leyton) →
- September 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
Read what inspectors found at Ashwood House Limited (Leyton) →
- October 2016GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- January 2014
Report published without a new overall rating.
- February 2013
Report published without a new overall rating.
- April 2011
Report published without a new overall rating.
- November 2010
Registered with the Care Quality Commission on 25 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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