Inspection on 14/04/10 for Ashville House
Also see our care home review for Ashville House for more information
Due to difficulties updating our database, this is probably NOT the latest inspection report for this service. Please check the CQC website instead. We hope to resume regular updates of BestCareHome soon.
The following inspection below was carried out on 14th April 2010.
CQC found this care home to be providing an Excellent service.
The inspector found no outstanding requirements from the previous inspection report, but made 2 statutory requirements (actions the home must comply with) as a result of this inspection.
What follows are excerpts from this inspection report. For more information read the full report on the next tab.
What the care home does well
Before anyone moved into the home they were assessed to make sure their needs were understood and could be met at Ashville House. A new booklet, which contained information that residents thought was most important, had been designed for people moving into the home. Most people who returned surveys indicated that they were given enough information about the home, which helped them to make a choice about whether it was the right place. Staff took into account residents` preferences when they provided care. We noted that people were referred to relevant healthcare professionals where needed. People who returned surveys confirmed that they received the care and medical support they needed. One resident we spoke with said, "We are looked after wonderfully well, day and night." People were treated with respect and dignity. A member of staff commented that the staff team were polite and caring. Several people we spoke to told us they were happy with the home and their quality of life. Staff supported people to be as independent as possible and to make choices about their daily lives. Residents told us they had complete freedom and staff went along with what they wanted. There was a good range and amount of activities to help to stimulate people. One resident said, "There is something for everyone; I pick and choose what I want to do." Several of the staff who completed surveys also wrote that entertainment and activities was something the home did well. People were offered a varied diet and they had lots of opportunities to discuss meals and make suggestions for change, which were acted upon. There were some mixed comments about the meals but most people who completed surveys said they always enjoyed them. The home was well maintained. It was decorated and furnished to a good standard and all the residents we spoke to were happy with the environment and the gardens, which were also very well maintained. Residents were able to bring in items to personalise their bedrooms. There was equipment around the home to assist people to remain independent. The home was clean and fresh smelling and residents told us it was always like that. The manager made sure that new staff had background checks before they started working at the home. This was to make sure that they were suitable to work with people who use the service. Staff had training to help them to understand the needs of the people who use the service and to protect their health and safety. Over half of the care staff held an NVQ, which is a nationally recognised qualification in health and social care. The service was well managed. The manager was well supported by the owners of the home who took an active role in the day to day running of the service. Several staff and residents made comments about the organisation and management of the service. One resident wrote, "Very good management, I feel they really care about the residents."
What has improved since the last inspection?
At the time of our last inspection there were no requirements or recommendations to improve practice. The AQAA shows us that since the last inspection the service have identified areas where they felt they could do better and actions they have taken to improve the service.
What the care home could do better:
Some of the care plans would benefit from being more detailed to ensure that staff have specific instructions to work from and residents receive care in a consistent way. The progress notes should also contain more information about the care provided and the resident`s progress towards meeting their goals. This assists staff in their evaluation of care plans. There must be some improvements in the management of medicines to ensure that there is a clear audit trail of medicines received and administered. Everyone must receive medicines that are from their own supply and from the original containers provided by the pharmacist.