CQC report explained · a residential care home
What the CQC found at Asra House Residential Care Home
Rated Outstanding: inspectors found the home performing exceptionally well.
- Safe?
- Good
- Inspectors were assured about infection prevention, PPE, testing, admissions, hygiene and visiting arrangements. The home was also meeting the COVID-19 vaccination requirement for non-exempt staff and visiting professionals.
- Effective?
- Good
- This question was not assessed in this targeted inspection.
- Caring?
- Good
- This question was not assessed in this targeted inspection.
- Responsive?
- Outstanding
- This question was not assessed in this targeted inspection.
- Well-led?
- Outstanding
- This question was not assessed in this targeted inspection.
What inspectors found, February 2022
Inspected but not rated; inspectors found strong COVID-19 infection controls and visiting arrangements.
Inspectors carried out a targeted, announced visit on 2 February 2022. They looked mainly at infection prevention and control, visiting arrangements, and whether COVID-19 staffing pressures affected care.
They found robust checks for visitors, including negative tests, temperature checks and risk assessments. Staff and visitors used personal protective equipment correctly. The home was clean, and cleaning of frequently touched areas was carried out regularly.
People were supported to keep in touch with family and friends through different types of visits and calls. Staff and residents took part in testing and vaccination programmes, and people's COVID-19 risks and support needs had been recorded.
The home was inspected but not rated. This was not a full inspection of the five CQC questions, so the report does not give an overall quality rating.
Visitor safety
Visitors had to show a negative COVID-19 test, have their temperature taken and complete a risk assessment before entering. Professional visitors also had to show vaccination evidence.
“All visitors were required to show a negative COVID-19 test, their temperature was taken, and a COVID-19 risk assessment was completed before they entered the service.” from the report
PPE and cleanliness
Inspectors found that staff and visitors used PPE safely and that the home was clean and hygienic, with regular cleaning of frequently touched areas.
“The service was clean and hygienic and infection prevention and control, best practice guidance was maintained.” from the report
Family contact
People were supported to keep in contact with family and friends through window visits, telephone calls, video calls and face-to-face visits in line with guidance.
“People had been supported to maintain contact with friends and family during the pandemic.” from the report
Staff training and support
Staff had infection control training, ongoing checks of their competence, and access to support and an employee wellbeing service.
“Staff had received training in infection prevention and control best practice guidance and their ongoing competency and compliance was assessed.” from the report
Inspectors raised no specific concerns in this report.
- 01What are the current rules for visiting, including testing, PPE and risk assessments?
- 02How do you check that staff remain competent in infection prevention and control?
- 03How do you manage isolation, cohorting and zoning if someone develops an infection?
- 04What staffing pressures are there now, and what measures are in place to prevent them affecting people's care?
- 05How are residents currently supported to keep in contact with family and friends?
This was a targeted inspection of infection prevention and control, visiting arrangements and COVID-19 staffing pressures; it did not provide ratings for the other four questions or an overall rating. This explanation was written from the published report of 17 February 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, February 2019
Rated Outstanding overall; inspectors found safe, kind and effective care, with especially strong personalised support and leadership.
This was a scheduled inspection on 4 December 2018 because of the previous Good rating. Inspectors spoke with people living in the home, relatives and staff. They observed meals and looked at care, medicines, staffing, incidents and quality records.
The home was rated Good for Safe, Effective and Caring. Inspectors found enough suitable staff, safe medicines arrangements, clean premises, appropriate healthcare support, well-trained staff and kind, respectful relationships.
The home was rated Outstanding for Responsive and Well-led. People and families were involved in care planning. Staff understood people's cultural, religious and communication needs, and the home offered varied activities, strong community links and a culture of learning and improvement. The overall rating improved from Good at the previous inspection in 2016.
Personalised care
People and families were involved in care plans, which were reviewed when needs changed. The home used creative ways to involve people in decisions about their care and daily life.
“Care and support was tailored to meet people's needs and to ensure flexibility, choice and continuity of care.” from the report
Cultural and religious support
Staff understood people's different backgrounds, beliefs, languages and customs. The home supported worship, celebrated different festivals and used staff to help with communication when needed.
“People told us that staff had an excellent understanding of their social and cultural diversity, values and beliefs” from the report
Activities and community links
Activities were varied and individual. People helped organise events, used their own skills and were supported to keep links with places of worship and community organisations.
“Arrangements for social activities were innovative, met people's individual needs, and followed best practice guidance so people could live as full a life as possible.” from the report
Kind and respectful care
People described staff as friendly, caring and respectful. Inspectors saw staff offering reassurance and supporting privacy, dignity and independence.
“People experienced positive caring relationships with the staff team.” from the report
Strong leadership
The home had a clear culture of person-centred care and continuous learning. People and staff were involved in decisions, audits and improvements.
“Governance systems were embedded into the running of the service.” from the report
Safe medicines and staffing
Inspectors found enough staff to meet people's needs and medicines were given, stored and recorded safely.
“People were provided with their medicines in a safe way.” from the report
Inspectors raised no specific concerns in this report.
- 01How would you support my relative's particular cultural, religious, dietary and language needs?
- 02How are staffing levels changed if a resident becomes unwell or needs extra support?
- 03How would my relative be involved in writing and reviewing their care plan?
- 04What activities and community links would be suitable for my relative's interests and abilities?
- 05How would you support my relative and our family with end-of-life wishes and religious preferences?
This was a scheduled inspection covering the care home, its premises and all five CQC questions; inspectors spoke with 10 people and two relatives, observed meals and reviewed four people's care records. This explanation was written from the published report of 13 February 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 Asra House Residential Care Home
3 rated inspections over 3 years: the service has improved, from Good to Outstanding.
- February 2022Inspected but not ratedcurrent ratingSafe: Inspected but not rated
Read what inspectors found at Asra House Residential Care Home →
- February 2019Outstandingup from GoodSafe: GoodEffective: GoodCaring: GoodResponsive: OutstandingWell-led: Outstanding
Read what inspectors found at Asra House Residential Care Home →
- December 2016Goodstayed GoodSafe: GoodWell-led: Good
- June 2016GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- July 2014
Report published without a new overall rating.
- July 2013
Report published without a new overall rating.
- June 2012
Report published without a new overall rating.
- September 2011
Registered with the Care Quality Commission on 30 September 2011.
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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