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CQC report explained · a residential care home, run by Allied Care

Ashgate House

13 Junction Road, Romford, RM1 3QS

Goodpublished 30 November 2023, 2 years ago

Rated Good: inspectors found the service performing well and meeting their expectations.

The five questions inspectors ask
Safe?
Requires improvement
Medicines were not always recorded and administered safely. Inspectors also found gaps in one choking risk assessment and small discrepancies in money records.
Effective?
Good
The report does not give a separate rating or detailed findings for Effective.
Caring?
Good
The report does not give a separate rating for Caring, although inspectors described care as person-centred and observed positive interactions.
Responsive?
Good
The report does not give a separate rating or detailed findings for Responsive.
Well-led?
Good
Inspectors found an open, inclusive and positive culture, clear management roles, regular meetings and systems for monitoring and improving the service.
The latest report, explained

What inspectors found, November 2023

Rated Good overall, but inspectors found medicines recording and administration were not always safe.

Inspectors visited without notice on 8 November 2023. They spoke with people, relatives and staff, observed care, and checked care records, medicines records, recruitment files and management records.

The home was rated Good overall and Good for being well-led. Inspectors found enough staff, person-centred care, safeguarding systems, suitable recruitment checks and positive relationships between people and staff.

Safe care was rated Requires Improvement. Inspectors found problems with recording medicines, guidance for one as-needed medicine, some money records and one choking risk assessment. They recommended improvements to the recording and administration of medicines.

The last rating was Good, published in June 2018. The inspection was carried out because the home had not been inspected for over five years.

What inspectors praised
  • Enough staff

    Inspectors found there were enough staff to meet people's needs. Staff were described as unhurried and responsive during the visit.

    There were enough staff working at the service to meet people's needs.from the report
  • Person-centred support

    Staff understood people's individual needs. Risk assessments were generally detailed and tailored to the people living in the home.

    Risk assessments were person centred around the needs of individuals and staff had a good understanding of people's individual needs.from the report
  • Positive culture

    People and staff spoke positively about the home. Inspectors found that the provider encouraged an open and inclusive culture.

    The provider promoted a positive culture that was open and inclusive.from the report
  • Safeguarding and recruitment

    Staff had safeguarding training and understood their responsibilities. Recruitment checks included references, identification and criminal records checks.

    Checks were carried out on prospective staff to help ensure they were suitable to work in a care setting.from the report
What inspectors were concerned about
  • Medicine records

    serious

    A medicated spray was recorded as given four times in one day instead of three. Guidance for one as-needed medicine explained how to give it but not when.

    on 1 occasion, records showed a medicated spray had been given 4 times in a day when it should have only been given 3 times.from the report
  • Choking risk information

    serious

    One person's choking risk assessment explained how to reduce the risk but did not say what staff should do if choking happened. Staff had received training and knew what to do.

    However, it did not include information about how to respond if the person did start choking.from the report
  • Money records

    minor

    There was a small difference between the money held and the amount recorded for two people. The manager said a stronger checking process would be introduced.

    for 2 people there was a small discrepancy between the amount of money held and the amount there should have been according to records.from the report
Questions to ask them, based on this report
  1. 01What changes have been made to medicine recording and administration since the inspection?
  2. 02How do you now check that as-needed medicine guidance says both how and when the medicine should be given?
  3. 03Has the choking risk assessment been updated to explain what staff must do if the person starts choking?
  4. 04How are residents' money and records checked to prevent discrepancies?
  5. 05How do you monitor that the action from the CQC recommendation has been completed?

This inspection rated Safe and Well-led; the report does not give separate ratings for Effective, Caring or Responsive. This explanation was written from the published report of 30 November 2023 by an AI system and checked against the report text: every quoted line appears in the report. It is a guide to the report, not a substitute for it. Read the full report on cqc.org.uk.

The story over the years

Every inspection of Ashgate House

3 rated inspections over 8 years: the service has held its Good rating throughout.

  1. November 2023Goodcurrent ratingstayed Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ashgate House

  2. June 2018Goodstayed Good
    Safe: GoodWell-led: Good

    We are reading this report · the original is on cqc.org.uk

  3. June 2015Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. September 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  5. March 2013

    Report published without a new overall rating.

    Read this report on cqc.org.uk

  6. November 2010

    Registered with the Care Quality Commission on 22 November 2010.

Ratings and report dates from the Care Quality Commission. A service can also be visited without a new rating being published, so the timeline shows published inspections, not every contact the CQC has had with the service.

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