CQC report explained · a residential care home
What the CQC found at Ashwood Place
Rated Good: inspectors found the home performing well and meeting their expectations.
- Safe?
- Good
- Inspectors were assured about most infection prevention arrangements, including PPE, testing, visiting and outbreak management. They were only somewhat assured about the cleanliness of the premises because some areas needed cleaning.
- Effective?
- Good
- This area was not assessed in this targeted inspection.
- Caring?
- Good
- This area was not assessed in this targeted inspection.
- Responsive?
- Good
- This area was not assessed in this targeted inspection.
- Well-led?
- Good
- This area was not assessed in this targeted inspection.
What inspectors found, March 2022
Inspected but not rated; inspectors found mostly good infection control but identified cleaning needed in the sensory room and outside areas.
This was an unannounced, targeted inspection on 16 February 2022. Inspectors looked at infection prevention and control during a COVID-19 outbreak, and asked about staffing pressures.
The home had measures to manage COVID-19 risks. Staff used protective equipment correctly, visitors were tested and checked before entry, and people were supported to keep in touch with relatives when visits were restricted.
Inspectors were assured about most infection control arrangements. However, they were only somewhat assured about the cleanliness of the premises because the sensory room needed deep cleaning and rubbish needed clearing from the garden and driveway.
The service was inspected but not rated. This means the inspection did not give an overall quality rating or a rated result for Safe.
Use of protective equipment
Staff had training in using PPE and inspectors found they used it correctly. Staff also said they had enough supplies.
“Staff had received training on how to use PPE. Staff used PPE correctly and told us they had access to plenty of supply.” from the report
Visiting and contact
The home followed guidance when visits were restricted during the outbreak. People were supported to keep in touch with relatives by telephone and video calls.
“Maintaining contact by use of telephone and video calls was also used.” from the report
Infection control arrangements
Inspectors were assured about testing, admissions, shielding, social distancing, PPE and managing outbreaks.
“We were assured that the provider was making sure infection outbreaks can be effectively prevented or managed.” from the report
Clean internal areas
Most internal areas were clean and tidy, with frequent cleaning of surfaces that people often touch.
“The service was clean and tidy in most internal areas. Staff regularly cleaned frequently touched surfaces.” from the report
Cleaning needed
needs fixingThe sensory room needed deep cleaning. Rubbish also needed clearing from the garden and driveway.
“the sensory room required deep cleaning and external areas of the home required cleaning to clear rubbish that had collated in the garden and driveway.” from the report
- 01Has the sensory room now been deep cleaned, and how is this checked?
- 02Has the rubbish been removed from the garden and driveway?
- 03How does the home manage visiting during an infection outbreak?
- 04How will people keep in touch with relatives if visits have to be restricted?
- 05What are the current staffing arrangements when there are COVID-19-related staff pressures?
This was a targeted inspection of infection prevention and control and COVID-19-related staffing pressures; it did not rate the other four areas of care. This explanation was written from the published report of 4 March 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.
What inspectors found, November 2019
Rated Good; inspectors found safe, kind and personalised care, with only a minor issue about lounge curtains.
This was an unannounced planned inspection. One inspector visited on 22 October, 25 October and 4 November 2019. They spoke with people, relatives, the manager and staff, observed care, and checked care, medicines, recruitment and management records.
The inspectors found that people were safe and received kind, respectful and personalised care. Staff understood people's needs, supported their choices, and provided activities and opportunities to go out. People and relatives were happy with the service.
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 27 April 2017.
Enough staff
People, relatives and staff said there were enough staff. Inspectors saw staff responding promptly and spending time with people.
“On the day of inspection, we saw that people received support in a timely manner and staff were able to spend time with people.” from the report
Kind and respectful care
Staff knew people well and treated them with kindness, dignity and respect. Interactions were positive and reassuring.
“Staff engaged with people frequently and spent time with them chatting and laughing.” from the report
Personalised support
Care plans described what mattered to people and how they preferred to be supported. Staff understood these needs and communication methods.
“They were person centred, easy to follow and captured what was important to people.” from the report
Activities and going out
People had individual activity planners and took part in activities such as karaoke, cooking and day centre visits. Staff said people were getting out more.
“Everyone had individual activity planners displayed listing all the activities planned for each day.” from the report
Good oversight
The manager and provider used checks, audits, meetings and action plans to monitor the home and respond to shortfalls.
“Where these checks had identified shortfalls, action plans were implemented to address the areas.” from the report
Lounge curtains
minorThe inspectors noted that some hooks were missing from the lounge curtains. This was a minor environmental issue discussed with the home.
“We discussed the need to get the lounge curtains fixed as they were missing some hooks.” from the report
- 01Have the missing hooks on the lounge curtains been repaired?
- 02How many staff are usually on duty at different times of day, and how does this support people to go out?
- 03How will you support my relative's particular communication needs and choices?
- 04What activities and opportunities to go out would be available for my relative?
- 05How would you involve our family in reviewing care and responding to any concerns?
This was an unannounced planned inspection covering all five key questions, including the care provided and the care home environment. This explanation was written from the published report of 13 November 2019 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 Place
3 rated inspections over 5 years: the service has held its Good rating throughout.
- March 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
- November 2019Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- April 2017Goodstayed GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- March 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: Requires improvementWell-led: Good
- July 2014
Report published without a new overall rating.
- March 2014
Report published without a new overall rating.
- January 2014
Report published without a new overall rating.
- November 2013
Report published without a new overall rating.
- June 2013
Report published without a new overall rating.
- June 2012
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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