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Robust recruitment processes were now being followed to make sure only suitable staff were employed. The accommodation is provided in a older style detached house in a residential street. There is a communal lounge, dining room, kitchen, communal bathrooms and bedrooms with ensuite bathrooms.
During this inspection we found one breach of the Health and Social Care Act Regulations. The provider had displayed the ratings from the last inspection, in February 2018, in a prominent place so that people and their visitors were able to see them. At the last inspection, we found the support of people’s rights within the basic principles of the Mental Capacity Act 2005 needed to be improved.
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The manager told us, “We have a good relationship with the GPs, district nurses, dieticians and the local hospice team who come and visit us and they respond quickly to our referrals”. The health professionals we spoke with agreed with this view. People we spoke with did not know about a complaints system and we did not see any information displayed in the home. Staff we spoke with were not aware of any information that had been given to people concerning how to raise concerns. They were also unaware that the home kept a log of complaints. We have asked the provider to tell us what improvements they will make to ensure people are aware of the complaints procedure at the home and records are kept concerning the outcome of complaints.
We have asked the provider to tell us what improvements they will make in relation to ensuring that there are sufficient numbers of suitably qualified, skilled and experienced staff. At this inspection, we found that sufficient improvement had not been made to the assessment used to determine the numbers of staff required to provide the level of care people needed. Staff did have the opportunity to meet with their line manager on a regular basis to discuss work related issues. At our last inspection, on 20 and 21 February 2018, the service was rated as ‘requires improvement’.
Dale Lodge
This means they are providing inadequate care for the residents who are frail, unwell and very elderly people. Ashley Down in Clarence Place was one of 14 homes named among the worst care providers in England by OlderLivingMatters4.net. Because of the strain on staff, those employed had not received all the necessary training and did not have any time to spend with residents, inspectors found. – the service is performing well and meeting our expectations. People living in the home said that staff asked them for their choices about day to day events, such as if they wanted a bath or a shower, and if they wanted it in the morning or evening. They also asked them if they wanted to stay in their own rooms, or go to the lounge or elsewhere.
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At this inspection, we found that some improvements had not been made since the last inspection. However, some of the areas for improvement had not taken place. The search engines crawl our site regularly to index our content, but because we have so much data it can take them some time to catch up. As a result, there will be links in some search results that point to pages that no longer exist. 'We are having a garden party with a barbeque on Saturday ' that will be a good time'. He was acting as manager while recruiting for a new manager; and has been referred to as 'the manager' in this report for ease of reading.
People’s interests were taken into account and catered for on an individual basis. During this inspection, people were not left unattended for long periods of time. People were supported to maintain their independence to help to keep them active.
Inspection Reports:
People in care homes receive accommodation and nursing and 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. Ashley Down Nursing Home provides accommodation and support for up to 19 older people. There were 11 people using the service at the time of our inspection. People had varying needs including diabetes and Parkinson's disease and some people were living with dementia. Some people required the use of a hoist to help them to move from their bed to a chair and vice versa and others required two staff to assist them to move around.
However the registered manager has failed to notify CQC of the authorisations. Staff had completed training in the Mental Capacity Act 2005 but there was no evidence that this training had been embedded in every day practice of caring for people. Staff had not received training in Deprivation of Liberty Safeguards . Staff were receiving supervision but not in line with the provider’s policy.
We inspected Ashley Down Nursing Home on the 22 and 24 November 2016 and the inspection was unannounced. The accommodation is provided in an older style detached house in a residential street. There is a communal lounge, dining room, kitchen, communal bathrooms and bedrooms with en-suite bathrooms. Outside there is a good size garden that people have access to.
One member of staff has not taken a day off in eight months because they were “concerned about what would happen if they did not come in”. Not enough changes had been made and the Care Quality Commission has now said it requires improvement in almost every area. Ratings are provided by Care Quality Commission and reflects the most recent report for this care home, which was published on 17 April 2018. The Care Quality Commission is required by law to monitor the operation of Deprivation of Liberty Safeguards .
There was no oversight of what training needed to be completed and when it should be completed. We looked at care plans and found that these contained information staff would need to know to be able to support a person’s needs. People had personal evacuation plans and staff had received fire training and knew how to support people to evacuate the building in an emergency. At the last inspection we found breaches of Regulations 12, 18 and 19 of the Health and Social Care Act Regulations 2014. We set out to answer our five questions; Is the service caring? The summary is based on our observations during the inspection, discussions with people using the service, their relatives, the staff supporting them and looking at records.
For example, staff did not notice when a person had large holes in their trousers. He said it was frustrating to be named in the worst care home awards. Generally, people said they were happy in the home, which was rated ‘Good’ for how caring it is.
If you're looking for an individual, or want to find anyone that you might have lost touch with, try our people search. On 27 January 2014 we served a fixed penalty notice to Ashley Down Nursing Home Limited for failing to have a registered manager in place at Ashley Down Nursing Home. During our inspection we found a number breaches of the Health and Social Care Act Regulations 2014. Full information about CQC's regulatory response to any concerns found during inspections is added to reports after any representations and appeals have been concluded.
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