About the service Hill Ash House Care Centre is a 'care home'. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Hill Ash House Care Centre does not provide nursing.
Hill Ash House Care Centre accommodates 36 people in one adapted building in the village of Dymock. At the time of our inspection there were 28 people living at the home.
People’s experience of using this service and what we found
The service had made improvements in implementing safeguards to ensure safe recruitment practices were followed.
People and their relative spoke positively about the staffing team and the leadership in the home.
People were supported by a consistent staffing team who understood their needs and how to protect them for avoidable harm. Care documentation and risk assessments were in place, which provided staff with guidance on how to meet people's needs and manage identified risks.
People were supported to receive their medicines safely and as prescribed.
People were supported by staff who had been trained and supported to meet their needs.
The service had infection control processes and systems in place to reduce the risk of people contracting COVID-19.
Managers promoted a culture which enabled people, their representatives and staff to feel comfortable in giving feedback, raising a concern or where needed, to make a complaint.
There were quality monitoring systems and processes in place to ensure outcomes for people remained positive and that the service remained compliant with necessary regulations. Since our last inspection we found improvements were made to ensure that audits were fully effective in identifying and addressing quality and safety concerns in areas of infection control and staff recruitment.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was requires improvement (published 29 October 2021) and there were breaches of regulation. The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection we found improvements had been made and the provider was no longer in breach of regulations.
Why we inspected
We carried out an unannounced comprehensive inspection of this service on 24 August and 2 September 2021. A breach of legal requirements was found. The provider completed an action plan after the last inspection to show what they would do and by when to improve.
We undertook this focused inspection to check they had followed their action plan and to confirm they now met legal requirements. This report only covers our findings in relation to the Key Questions Safe and Well-led which contain those requirements.
For those key questions not inspected, we used the ratings awarded at the last inspection to calculate the overall rating. The overall rating for the service has changed from Requires Improvement to Good. This is based on the findings at this inspection.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link on our website at www.cqc.org.uk
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.