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CQC report explained · a nursing home, run by Lovett Care

Ashlands Manor Care Home

2 Ashlands, Sale, M33 5PD

Goodpublished 8 February 2024, 2 years ago

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

The five questions inspectors ask
Safe?
Good
People were protected from abuse and avoidable harm. There were enough staff and suitable recruitment checks, but inspectors found some medicine stock records did not match the actual stock.
Effective?
Good
People received appropriate health support, training and food. Inspectors identified recent communication challenges between the home and the local GP practice and recommended better collaboration with local partners.
Caring?
Good
Staff were kind and respectful. People were supported to make choices, stay independent and involve relatives in their care.
Responsive?
Good
Care plans were personalised and kept up to date. People had access to activities, visits, community trips and support to maintain important relationships.
Well-led?
Good
The home had audits and management systems to monitor care and risks. Several managers since the last inspection had affected consistency, but the new manager had received positive feedback.
The latest report, explained

What inspectors found, February 2024

Ashlands Manor Care Home is rated Good; inspectors found kind, safe care, with some medicine-record and communication issues to keep under review.

The unannounced inspection took place on 17 January 2024, with inspection activity continuing until 19 January. Inspectors spoke with 5 people living at the home, 3 relatives and 8 staff. They observed care, checked medicines, records, recruitment files, the building and equipment.

All five areas were rated Good: Safe, Effective, Caring, Responsive and Well-led. Inspectors found enough staff, suitable training, kind care, personalised support, activities and systems for checking quality.

There were some areas to improve. Medicine stock records did not always match the actual stock, some as-required medicine instructions needed more personal detail, and communication with the local GP practice had recently been difficult. The report recommends better joint working with local health partners.

What inspectors praised

  • Enough staff

    Inspectors found enough staff to meet people's needs. The home had recruited to all nursing positions and no longer needed agency cover.

    “From our observations we found there were enough staff to safely meet people's needs.” from the report

  • Kind and respectful care

    Staff knew people well, respected their dignity and encouraged independence. Relatives also spoke positively about the care.

    “We observed staff treated people with kindness through the inspection, spending much time sitting and talking with them” from the report

  • Personalised support

    Care plans included people's preferences and wishes. Staff supported communication, activities, family relationships and end-of-life wishes.

    “Care plans were personalised and included information about people's individual preferences and wishes.” from the report

  • Clean and well-maintained home

    The home was clean and tidy, with checks on the building and equipment. Inspectors found infection-control practices in place.

    “The home was clean and tidy with no malodour.” from the report
What inspectors were concerned about

  • Medicine stock records

    needs fixing

    In some cases, the recorded medicine stock did not match the actual stock. Inspectors found no harm, but medicines could not always be fully accounted for.

    “Although we found no harm, we identified there was an anomaly in some instances, between the stock recorded on the inventory and the actual medicine in stock” from the report

  • GP communication

    needs fixing

    There had been recent communication challenges between the home and the local GP practice. Inspectors recommended that the home and local health partners work together to prevent misunderstandings affecting continuity of care.

    “However, we learnt there had been some recent challenges in the relationship between the care home and GP practice, primarily centered around communication.” from the report

  • Management changes

    minor

    There had been several registered managers since the previous inspection. Inspectors said this had not always supported consistency, although the current manager had received positive feedback.

    “Since our last inspection in 2018 the home has had several registered managers, this has not always promoted consistency at the home.” from the report
Questions to ask them, based on this report
  1. 01How are you checking that the actual medicine stock matches the electronic inventory?
  2. 02What changes have been made to make as-required medicine instructions more personalised?
  3. 03How do you now communicate with the local GP practice when someone becomes unwell or needs end-of-life care?
  4. 04How are you maintaining consistency after several changes of registered manager?
  5. 05How will you keep families informed about care-plan reviews, complaints and changes to care?

This was an unannounced inspection covering all five rating areas; CQC inspected the regulated personal and nursing care, the home and its wider social care where relevant. This explanation was written from the published report of 8 February 2024 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 Ashlands Manor Care Home

3 rated inspections over 6 years: the service has held its Good rating throughout.

  1. February 2024Goodcurrent ratingstayed Good
    Safe: GoodEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read what inspectors found at Ashlands Manor Care Home →

  2. February 2019Goodstayed Good
    Safe: GoodResponsive: GoodWell-led: Good

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

  3. July 2018Good
    Safe: Requires improvementEffective: GoodCaring: GoodResponsive: GoodWell-led: Good

    Read this report on cqc.org.uk

  4. April 2017

    Registered with the Care Quality Commission on 28 April 2017.

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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