• Care Home
  • Care home

Ashleigh House

Overall: Requires improvement read more about inspection ratings

133 Bromley Road, Catford, London, SE6 2NZ (020) 8698 4166

Provided and run by:
Ashley Healthcare Limited

Latest inspection summary

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Background to this inspection

Updated 30 March 2022

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

As part of this inspection we looked at the infection control and prevention measures in place. This included checking the provider was meeting COVID-19 vaccination requirements. This was conducted so we can understand the preparedness of the service in preventing or managing an infection outbreak, and to identify good practice we can share with other services.

Inspection team

The inspection was carried out by one inspector.

Service and service type

Ashleigh House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and we looked at both during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of Inspection

We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

What we did before the inspection

We reviewed information we had received about the service including notifications about incidents and events that occurred at the service. We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections. We used all of this information to plan our inspection.

During the inspection

We spoke with the registered manager and the nominated individual. The nominated individual is responsible for supervising the management of the service on behalf of the provider. We reviewed a range of records including care and support plans for three people. We looked at records of recruitment, training and supervision. We spoke with three people who used the service to get their feedback about the care and support they received.

After the inspection

We continued to seek clarification from the provider to validate evidence found. We looked at training data and quality assurance records. We spoke with two care workers to get their feedback about the service. We also gathered feedback from a range of health and social care professionals who worked with the service to plan and deliver care and support.

Overall inspection

Requires improvement

Updated 30 March 2022

About the service

Ashleigh House is a care home which provides accommodation and support for up to 10 people aged 65 and over and those with mental health conditions. At the time of our inspection 10 people were living at the home.

People’s experience of using this service

Not all elements of the service were safe. The service was not meeting the requirement to ensure non-exempt visiting professionals were vaccinated against COVID-19. Medicines were not always stored and administered safely as guidelines for administration were not always clear. Not all risks to people’s health and wellbeing were adequately assessed and mitigated as the risk of fire had not been fully assessed for some people.

Care plans did not always represent people’s care and accommodation choices and preferences. People had not been fully consulted about some aspects of their living arrangements.

The provider took immediate action to resolve the issues we identified. People were happy with the care and support they received, and they told us staff were kind and caring. Health and social care professionals who worked with the service to plan and deliver care and support spoke highly of how the service was managed to ensure people achieved good outcomes.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection:

The last rating for this service at the last inspection was good (published 8 March 2018).

Why we inspected

As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. We planned a targeted inspection of this service to check the IPC practices the provider had in place. During the inspection we identified some concerns which prompted us to broaden the scope of the inspection to consider the key questions of safe and well-led.

We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.

Recommendations

We have made recommendations about reviewing medicine procedures, risk assessments, care plans and quality assurance processes.

Follow up

We will continue to monitor information we receive about the service, which will help inform when we next inspect.