Ashlett Dale Rest Home

“The registered manager promoted a learning culture and people could raise concerns. However, this would be better supported through more robust systems and processes of management.”

“Staff received training in safeguarding. Recent safeguarding referrals had been made appropriately.”

“Care plans and risk assessments were sometimes generic and did not always contain clear guidance for staff. Follow up actions were not always recorded or monitored effectively.”

“Systems and procedures for recruiting new staff were not robust. The registered manager told us staff were supervised whilst they were waiting for their full DBS to come through but could not produce any evidence of this in relation to 2 staff whose records we reviewed. The registered manager informed us of the actions they are taking to address this. Staff received training and completion of this was monitored. Competency checks did not always take place or were not recorded.”

“People’s medicines were mostly managed safely. However, there was some lack of sufficient individualised and personalised information within people’s medicines records.”

“When providing support, staff sought people’s consent. Improvements were being made to the way issues around consent were recorded.”

“We received positive feedback from external health and social care professionals about how the service worked in partnership with them.”

“Systems and processes to assess, monitor and improve the quality and safety of the service had not been established and operated effectively. Statutory notifications had not always been sent to CQC when required. These are being submitted retrospectively.”

“During our visits, the registered manager was responsive to any issues we identified. Throughout the inspection, we observed some examples of effective care practices. We saw evidence of ongoing improvements being made to the premises.”

“We found 2 breaches of the regulations in the areas of staffing and good governance.”

“We have asked the provider for an action plan in response to the concerns found at this assessment.”