Ashview

At the last inspection, the provider was in breach of the regulations because they had failed to ensure people were safeguarded from harm, appropriate and safe staffing was in place, the environment was not safe, people were not involved in risks to their wellbeing and medicines management was not safe. At this assessment, staffing levels, recruitment checks, the premises and management oversight had improved so people’s experience of care overall had improved significantly. Improvements had been made and the provider was no longer in breach of the regulations relating to the question of Safe.

People received safe care from staff who understood their personal and health care needs and followed healthcare guidance from professionals. Staff knew how to safely support people around their individual risks. The provider ensured people were safe and received care which met their individual needs, protected their rights, and safeguarded them from abuse and neglect. Medicines administration was managed safely by competent and trained staff.

At the last inspection, the provider was in breach of the regulations because they had failed to ensure staff were suitably qualified, competent, skilled and experienced, people received appropriate person-centred care and their nutritional and hydration needs were met.

At this assessment, staff were suitably skilled and competent, people received person centred care which met their needs and provided them with a balanced diet. Improvements had been made and the provider was no longer in breach of the regulations relating to the question of Effective.

People’s needs were assessed and monitored, and they were involved in the assessment process. Care plans were in place to ensure their care and support was person centred and effective. People were able to consent to their care and support as much as possible. Where people lacked the capacity to make decisions, these were made in their best interests, in line with legislation and best practice.

At the last inspection, the provider was in breach of the regulations because they had failed to ensure people were always supported in a dignified and respectful way. At this assessment, we found people were supported by caring and kind staff who were friendly and knowledgeable about their needs and personalities. Improvements had been made and the provider was no longer in breach of the regulations relating to the question of Caring.

People were treated with respect and were valued for who they were. People had opportunities to be independent and given choice and control in their lives. People’s capacity to make decisions had been assessed and legal processes were in place to protect their rights.

At the last inspection, the provider was in breach of the regulations because they had failed to plan people's care to ensure it met their needs and preferences and maintain their autonomy, independence and involvement in the community. At this assessment, we found people’s care was person centred and based on their individual needs. People were listened to, involved in the life of the service and had full access to the local community and what it offered. Improvements had been made and the provider was no longer in breach of the regulations relating to the question of Responsive.

Staff were very responsive to people’s needs, likes and dislikes. They knew people well, their abilities and personalities. Barriers had been removed to ensure people were not discriminated against and people had equal access to social and leisure opportunities. Information was in accessible formats so that people could understand and make informed decisions.

At the last inspection, the provider was in breach of the regulations because they had failed to ensure effective monitoring and management of the quality and safety of the service, oversight of incidents and safeguarding concerns and risks to people's health and safety.

At this assessment, significant improvements had been made to the overall management and governance of the service. Systems had been introduced which were effective and sustainable and involved people and staff in the development of the service using a collaborative and inclusive approach. The manager had created a caring and inclusive culture for people and staff who lived and worked at the service.