Asher Nursing Home

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• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

We did not look at this key question during this assessment. The score below is based on the previous rating for this key question.

This service scored 54 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

There had been a shift in organisational culture and processes were in place to ensure the values of the service were upheld. Accident and incidents were being reported appropriately and the management team had oversight of these. The provider was transparent and acknowledged that things had deteriorated at our last visit but was receptive to the action taken and worked to make the improvements needed. Processes were in place to enable people to be more involved in the shaping of the home, to allow person-centred care which is inclusive. The provider and management team acknowledged that the change in culture will need time to embed.

There had been improvements in the day to day running of the home since the last inspection. Most areas of concern identified in the previous inspection had been addressed and there was an improved culture for learning and development. For those improvements still on-going, a plan was in place to address these. Staff and management felt that the improvements had been significant and meant that not only had people’s quality of life improved, but that the new systems and processes in place supported staff and made for a nicer working environment. Staff told us, “Previously [management] were not fully engaged with us as a staff team and morale became very low, things are much better now.”

We did not look at Capable, compassionate and inclusive leaders during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Freedom to speak up during this assessment. The score for this quality statement is based on the previous rating for Well-led.

Policies were in place to ensure equality and inclusion across the workforce. There was an ethos at the service to allow people and staff to be who they wanted to be without fear of discrimination. The management team had a good understanding of the Equality Act 2010 and this was embedded in their equality and diversity policy. Systems were in place for staff to report any discriminatory behaviours which they be concerned about. Supervisions and team meetings were being embedded into regular practice to allow staff space to discuss any matters they wished.

Staff members did not have any concerns in relation to equality, diversity, and inclusion. They spoke positively about Asher being an open and respectful place to work. Staff who had expressed a lack of confidence in speaking to health professionals and visitors due to English not being their first language had been supported to access ways to improve this.

Governance and auditing processes had improved, and management oversight was now in place for the day to day running of the home. However, the service did not yet have a registered manager in post. Audit processes were more effective and the issues we identified, like improvements needed to daily records had been recognised by the management team. Plans were in place to address the concerns which remained, but further time was needed for improvement to embed and audits to become robust and effective. Visual aids were in place in the manager office to support with the oversight of practices, for example matrixes to monitor those under DoLS and when these needed review.

Regular staff meetings were taking place to encourage information sharing. These were attended by a member of the current management team to allow oversight and learning. Staff told us that the management team were approachable and there is an ‘open-door’ policy. Spot checks for staff, where management could check to ensure best practice was being followed, were planned but had not yet been implemented. Staff and the management team had worked hard to make changes at the service, which now required embedding to ensure sustainability.

We did not look at Partnerships and communities during this assessment. The score for this quality statement is based on the previous rating for Well-led.

We did not look at Learning, improvement and innovation during this assessment. The score for this quality statement is based on the previous rating for Well-led.