Archived: Ashview Nursing Home

Ashview Nursing Home provides accommodation and care to 32 older people including those who require nursing care and/or live with dementia. There were 24 people using the service on the day of this inspection.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

When we last inspected the service on 09 February 2017 we found that the provider was in breach of regulation 12 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because the provider had failed to ensure that people were always protected from risks and avoidable harm. Staff had not always operated safe moving and handling practices and had not always identified concerns and reported them appropriately. Following the inspection, the provider wrote to us to tell us how they would make the improvements to meet the legal requirements. At this inspection we found that the provider had made the necessary improvements to help ensure that staff operated safe moving and handling practices and that concerns were reported appropriately and acted upon.

People told us that they felt safe living at Ashview Nursing Home. Staff demonstrated they understood how to keep people safe and we noted that risks to people's safety and well-being were identified and managed. The home was calm throughout the inspection and people's needs were met in a timely manner by sufficient numbers of skilled and experienced staff. The provider operated robust recruitment processes which helped to ensure that staff employed to provide care and support for people were fit to do so. People's medicines were managed safely.

Staff received regular one to one supervision from a member of the management team which they told us made them feel supported and valued. People received support they needed to eat and drink sufficient quantities and their health needs were well catered for with appropriate referrals made to external health professionals when needed.

People and their relatives complimented the staff and management team for being kind and caring. Staff members were knowledgeable about individuals' care and support needs and preferences and people had been involved in the planning of their care where they were able. Visitors to the home were encouraged at any time of the day.

The provider had arrangements in place to receive feedback from people who used the service, their relatives, external stakeholders and staff members about the services provided. People were confident to raise anything that concerned them with staff or management and were satisfied that they would be listened to and taken seriously.

There was an open and respectful culture in the home and relatives and staff were comfortable to speak with the registered manager if they had a concern. The provider had arrangements to regularly monitor health and safety and the quality of the care and support provided for people who used the service.

Ashview Nursing Home provides accommodation and care to 32 older people including those who require nursing care and may live with dementia. There were 29 people accommodated at the home at the time of this inspection.

The home did not have a registered manager at the time of this inspection however; there was a recently recruited manager in post who had started the process of registering with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

When we last inspected the service on 12 August 2015 we found the home was meeting the required standards at that time with some areas of improvement required to ensure that people continued to receive a safe service. At this inspection we found that improvements had been made in the previously identified areas however we noted that staff did not always use safe moving and handling practices and did not always escalate issues of potential concern to nursing staff as prompted to by care plans.

People felt safe living at Ashview Nursing Home. The home was calm and people's needs were met in a timely manner by sufficient numbers of skilled and experienced staff. The provider operated robust recruitment processes which helped to ensure that staff employed to provide care and support for people were fit to do so. People's medicines were managed safely.

Staff received regular one to one supervision from a member of the management team which made them feel supported and valued. People received support they needed to eat and drink sufficient quantities and their health needs were well catered for with appropriate referrals made to external health professionals when needed.

People and their relatives complimented the staff team for being kind and caring. Staff were knowledgeable about individuals' care and support needs and preferences and people had been involved in the planning of their care where they were able. Visitors to the home were encouraged at any time of the day.

The provider had arrangements to receive feedback from people who used the service, their relatives, external stakeholders and staff members about the services provided. People were confident to raise anything that concerned them with staff or management and were satisfied that they would be listened to.

There was an open and respectful culture in the home and people who used the service, their relatives and staff were comfortable to speak with the manager if they had a concern. The provider had arrangements to regularly monitor health and safety and the quality of the care and support provided for people who used the service.

We found that people's views were sought to ensure their dignity was maintained. One person's relative told us, "I was apprehensive at first having people know my business but these girls are smashing, they are just so calm and respectful towards me and all the others here."

People we spoke with were positive about the care they received from the home. People told us they felt involved in the planning of their care, and that their relative's views were also incorporated. One person who used the service told us, 'I feel safe and happy here, the staff know what I need and I have never had any complaints about that.'

People were not always protected against the risk of abuse as staff were not aware of what constituted abuse and the procedures in place to report this.

The home had an effective system to regularly assess and monitor the quality of service that people receive. One person who used the service told us, "It's important for us to go to the meetings, the management do listen and we have been able to suggest things that they have adjusted for us."

We checked four care plans and saw that people's consent to care was sought from them or their relatives.

We checked medication processes and saw that all guidance and procedures were followed and that people were protected.

We saw that staff worked in an organised and effective way and that they had enough time to stop and chat to people which was much appreciated by all the people we saw.

People were aware how to make a complaint, but there were no recent complaints.