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What the CQC found at Ashwood Nursing Home - Spalding

Goodpublished 14 December 2018, 7 years ago

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

The five questions inspectors ask
Safe?
Good
Inspectors were assured that infection prevention and control measures were safe. This included PPE, testing, visitor screening, safe admissions, hygiene and outbreak arrangements.
Effective?
Good
This question was not covered by the targeted inspection.
Caring?
Good
This question was not covered by the targeted inspection.
Responsive?
Good
This question was not covered by the targeted inspection.
Well-led?
Good
This question was not covered by the targeted inspection.
The latest report, explained

What inspectors found, January 2021

Inspected but not rated; inspectors were assured that infection control arrangements were safe and met guidance.

This was an announced, targeted inspection on 23 November 2020. It looked at infection prevention and control because of the coronavirus outbreak.

Inspectors found sufficient protective equipment, regular testing for people and staff, safe admission arrangements and visitor screening. Staff had infection control training and were using protective equipment appropriately.

The home had a visiting room and used window, outdoor and technology-supported visits. Inspectors were assured that infection control measures were in place, but the service was inspected without an overall rating.

What inspectors praised
  • Protective equipment

    Inspectors found enough PPE, including masks, gloves, aprons, hand sanitiser and visors. Staff were wearing it appropriately.

    “Sufficient stocks of Personal Protective Equipment (PPE) were in place including masks, gloves, aprons, hand sanitiser and visors.” from the report
  • Regular testing

    People living in the home and staff were tested regularly so infections without symptoms could be identified and acted on.

    “People living in the service and staff were being tested regularly.” from the report
  • Safe visiting arrangements

    The home had a visiting room and also supported window, outdoor and technology-assisted visits.

    “The provider had set up a visiting room to facilitate safe visits between people and their relatives.” from the report
  • Staff training

    Staff received infection prevention and control training, including how to put on and remove PPE safely.

    “Staff were provided with training in infection prevention and control.” 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 people and staff tested for infections now?
  2. 02How do staff make sure PPE is used safely and correctly?
  3. 03How are visitors screened before entering the home?
  4. 04How are visits arranged if indoor visits are restricted?
  5. 05What arrangements are in place for admitting new people safely?

This was a targeted inspection of infection prevention and control under Safe; the service was inspected but not rated and the other questions were not assessed. This explanation was written from the published report of 1 January 2021 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, December 2018

Ashwood Nursing Home - Spalding was rated Good; inspectors found safe, kind and personalised care, with some call-bell delays previously reported.

Inspectors made an unannounced, comprehensive visit on 27 November 2018. They spoke with people living in the home, family members and staff. They observed care and checked care records, staff files, medicines and quality checks.

All five areas were rated Good: safe, effective, caring, responsive and well-led. People were protected from avoidable harm, received their medicines safely and had access to food, drink and healthcare.

Inspectors found staff to be kind and respectful. Care was personalised, people could make choices, and activities were available. The home had systems for listening to people and improving the service.

The overall Good rating was unchanged from the previous inspection on 5 April 2016. Inspectors found no evidence of serious risks or concerns.

What inspectors praised
  • Personalised support

    Care plans recorded people's preferences and staff understood what mattered to them. People were involved in daily choices and could receive individual activity support.

    “Care plans recorded people's preferences about how they liked to be cared for.” from the report
  • Safe medicines and risk management

    Risks were assessed and reviewed, staff followed risk plans and medicines records were completed. Regular medicine audits were used to identify and address issues.

    “People received their prescribed medicines safely.” from the report
  • Open management

    People, families and staff could raise concerns and give feedback. The home used audits, meetings and surveys to improve care and share learning.

    “There was an open and inclusive culture within the home.” from the report
What inspectors were concerned about
  • Previous call-bell delays

    needs fixing

    Some people and families had experienced delays in responses to call bells. Staffing levels had since been increased, and inspectors saw call bells answered in a timely way during the visit.

    “Some people and their family members told us they had experienced some delays in responses to call bells” from the report
  • Signage after refurbishment

    minor

    Easy-read and picture signage had not all been put back after refurbishment. The manager also identified a need to help people recognise their own bedrooms.

    “improvements were needed to help people better identify their own bedrooms” from the report
Questions to ask them, based on this report
  1. 01Have all call-bell delays been resolved, and how do you check response times now?
  2. 02Has the signage removed during refurbishment been replaced?
  3. 03What changes have been made to help people identify their own bedrooms?
  4. 04How are staffing levels reviewed against residents' changing needs?
  5. 05How will my relative's personal preferences, activities and end-of-life wishes be recorded and reviewed?

This was an unannounced comprehensive inspection covering all five areas, and the ratings for all five questions were Good. This explanation was written from the published report of 14 December 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 Nursing Home - Spalding

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

  1. January 2021Inspected but not ratedcurrent rating
    Safe: Inspected but not rated

    Read what inspectors found at Ashwood Nursing Home - Spalding →

  2. December 2018Goodstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ashwood Nursing Home - Spalding →

  3. June 2016Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. November 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. May 2012

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 3 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

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