The inspection took place 24 and 25 April 2018 and was unannounced. Ashwood Care Centre is a purpose built care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Ashwood Care Centre provides accommodation and personal care for up to 82 people. At the time of our visit, 76 people were using the service.
The home was last inspected on 24 April 2017 and was previously rated as Requires Improvement. Action had been taken to address the breaches in regulation identified at the previous inspection. At this inspection we found the service to be rated as Good in all domains and Good overall.
There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission 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.
There was an activities team and eleven volunteers working with the service to ensure social inclusion. We saw a broad range of activities were in place, including clubs based on hobbies and interests such as photography. Staff also had time in their day to ensure that people received quality social interactions either in groups, or on a one to one basis.
Medicines were managed safely. Staff were knowledgeable and received training around the management and administration of medicines. There were good relations with local healthcare services and the service utilised the contacts for advice. For example, phoning the district nurses to discuss changes in people’s needs and to ensure they received timely advice to address these concerns.
People told us they felt safe. We saw that there were pro-active measures in place to monitor people’s safety, such as observation charts and analysis of falls data to identify and address risks. There were risk assessments in place where needs had been identified, for example when a person was at risk of falling.
People were supported to attend healthcare appointments. The service also had visiting healthcare professionals that they could make referrals to, for eyesight, hearing and dental checks.
Care plans were written using person centred details, care staff referred to these for guidance and updated them regularly in the event of a person’s needs or preferences changing. Records were well documented and there was clear involvement with health professionals in a timely manner when assessed and required.
People spoke positively about the care they received, they praised the care staff for being kind and caring. Each interaction we observed was positive, with care staff taking time to ensure people were listened to and supported at their own pace.
Choices were offered visually, or using ‘flash cards’ for people who benefitted from visual aids to support them in the decision making process.
At meal times people had a visual menu. People were also offered visual choices of the plated meals. If a person did not want an option from the menu, they could choose an alternative of their preference. There was a range of snacks and drinks available and offered throughout the day.
Care staff understood their responsibilities with identifying abuse and reporting safeguarding concerns.
Complaints were responded to thoroughly and efficiently by the registered manager. We saw that complaints were investigated and the registered manager was quick to liaise with people and their relatives following any concerns they raised.
The home was clean and free from odours throughout. Maintenance checks were completed on the building and equipment, with any areas for repair addressed promptly.
There were thorough quality monitoring processes in place. The registered manager had an overview of audits from the whole service and completed detailed checks around any issues raised, to ensure these were addressed in fine detail.