Ash Tree House

Ash Tree House is a care home that provides residential support and specialist care for individuals with dementia. This inspection report details findings from a visit in February 2019, highlighting areas of strength and where further development could occur. The report covers how the home operates across five key areas to ensure the well-being of its residents.

In terms of safety, residents reported feeling secure, with staff consistently present and responsive. Robust safeguarding procedures are in place, and staff receive appropriate training. Risk assessments are regularly reviewed and updated to manage potential hazards effectively, and the home actively supports residents in taking positive risks to maintain their independence. Medication management systems are safe and well-understood by senior staff, though a minor adjustment was made to a self-medication lock system to enhance security. The premises are exceptionally clean, with strong infection control measures in place, and staffing levels are considered sufficient to meet residents' needs.

Regarding effectiveness, the care provided consistently achieves good outcomes for residents. Initial assessments are thorough, and care plans are comprehensive and kept up to date. Staff are knowledgeable and competent, benefiting from a thorough induction program and ongoing training. A champion scheme is in place to develop expertise in specific care areas. Residents enjoy the food, with plenty of choices and a calm, unhurried mealtime experience. The home collaborates well with other agencies, ensuring timely referrals and coordinated care. The environment is bright, well-maintained, and adapted to meet the needs of residents, including those with dementia.

The home is noted for its caring approach, with residents expressing high levels of satisfaction with the staff, describing them as lovely, kind, and always happy to help. Equality and diversity are integrated into the service, ensuring individuals are treated fairly and equitably. Staff use various communication tools to support residents according to their needs and are proactive in assisting with personal requests, such as repairing broken glasses. Residents are actively involved in planning their care and support, with their views and preferences taken into account.

In terms of responsiveness, Ash Tree House is commended for its outstanding approach. Activities are chosen by residents in consultation with the lifestyle manager, offering a wide range of options. The complaints procedure is clearly displayed, and complaints and concerns are handled appropriately, with numerous compliments also noted. End-of-life wishes are recorded in care records, and the service is committed to developing staff skills in specialist areas, including end-of-life care. The home also offers an inclusive policy, meaning no additional costs are incurred for extra services.

Finally, regarding leadership, the service is well-led, with a registered manager in place and CQC notifications handled appropriately. Staff feel well-supported, with plentiful training opportunities and encouragement for professional development. The registered manager is described as approachable and actively involved. Quality assurance systems are in place, including regular audits, and the service works collaboratively with other professionals. The premises themselves are decorated to a high standard, with thoughtful touches like coloured doors and signage to aid recognition, and a safe garden area. While the overall report indicates a high standard of care, a minor point for improvement was noted regarding the need to replace carpet in a communal area, with the process already initiated following the inspection.