Updated 25 December 2020
The inspection
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.
As part of CQC’s response to care homes with outbreaks of coronavirus, we are conducting reviews to ensure that the Infection Prevention and Control practise was safe and the service was compliant with IPC measures. This was a targeted inspection, looking at the IPC practises the provider has in place.
Inspection team
This inspection was carried out by one inspector and an assistant inspector. The assistant inspector made telephone calls to relatives and staff who were not on duty at the time of the inspection.
Service and service type
Ashlee Residential Care Home is a ‘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.
The service did not have a manager registered with the Care Quality Commission. This means that the provider is legally responsible for how the service is run and for the quality and safety of the care provided.
Notice of inspection
This inspection was unannounced. We did however, check on entry what the status of the service was in relation to Covid 19.
What we did before the inspection
We reviewed information we had received about the service since the last inspection. We sought feedback from the local authority and professionals who work with the service. This information helps support our inspections. We used all of this information to plan our inspection.
During the inspection
We spoke with two people who used the service about their experience of the care provided. We spoke with three members of care staff, the cook, the deputy manager, and the provider.
We reviewed a range of records. This included four people’s care records and multiple medicine records. A variety of records relating to the management of the service, including policies and procedures were reviewed.
After the inspection
We continued to seek clarification from the provider to validate evidence found. We requested further documents to support our evidence including staff recruitments files and training matrix. We spoke with four relatives by telephone to ask about their experience of the service. We spoke with three members of staff who were not working on the day of the inspection.