CQC report explained · a residential care home, run by Allied Care
Ashgate House
13 Junction Road, Romford, RM1 3QS
Rated Good: inspectors found the service performing well and meeting their expectations.
- 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.
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.
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
Medicine records
seriousA 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
seriousOne 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
minorThere 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
- 01What changes have been made to medicine recording and administration since the inspection?
- 02How do you now check that as-needed medicine guidance says both how and when the medicine should be given?
- 03Has the choking risk assessment been updated to explain what staff must do if the person starts choking?
- 04How are residents' money and records checked to prevent discrepancies?
- 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.
Every inspection of Ashgate House
3 rated inspections over 8 years: the service has held its Good rating throughout.
- November 2023Goodcurrent ratingstayed GoodSafe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- June 2018Goodstayed GoodSafe: GoodWell-led: Good
- June 2015GoodSafe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good
- September 2013
Report published without a new overall rating.
- March 2013
Report published without a new overall rating.
- 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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