Ashley House Residential Care Home

This report from the Care Quality Commission (CQC) provides an overview of Ashley House Residential Care Home, focusing on how well the service meets the needs of its residents. The inspection, which took place on 31 October 2017, assessed the care provided against five key areas to determine the overall quality and safety of the home. The findings offer insight into the daily experiences of residents, the effectiveness of care delivery, and the management practices in place.

On safety, the home has made significant improvements, particularly in medicine management, including controlled drugs, which are now handled securely with robust checking systems. While most medication records were complete, there was a minor oversight with some topical cream signatures, which was addressed immediately. Safeguarding training is in place, and risks like falls and pressure ulcers are well-assessed and managed through a variety of supportive measures and equipment. Staffing levels are considered sufficient, with effective recruitment procedures in place to ensure all new staff undergo thorough background checks.

In terms of how effective the care is, staff receive comprehensive induction and ongoing training, including specialized courses in areas like dementia care and oral health, preparing them well for their roles. Nutritional needs are met with adaptable meal options and fortification where necessary, and fluid intake is carefully monitored when needed. Staff actively support residents in accessing healthcare professionals, ensuring that guidance is followed to promote well-being.

Regarding caring practices, residents and their relatives consistently describe the staff as very caring and attentive. The home encourages personalization of living spaces, and staff demonstrate a deep understanding of residents' personal histories, fostering positive and engaging interactions. Attention is paid to residents' anxieties, and communication needs are met through accessible formats and personalised methods, ensuring dignity and respect are upheld in all aspects of personal care.

The service is recognised for its outstanding responsiveness, especially in innovative approaches to dementia care. Initiatives like 'Namaste Care' and adapted environments such as an on-site 'sweet shop/café' and a 'beach' in the garden significantly enhance residents' quality of life and provide meaningful stimulation. The home actively seeks and uses feedback to improve services and maintains strong connections with the wider community through various events and visits.

In its leadership, Ashley House promotes a positive and inclusive atmosphere, with the registered manager fostering a collaborative approach where all staff are involved in resident care. Residents' opinions are actively sought on aspects like the menu, and informal meetings allow for open communication of needs and preferences. Processes are in place to monitor and drive continuous improvement within the service.