Ashcroft Nursing Home

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were consulted and informed about their care.

Care staff were very kind and caring and they worked in person-centred ways so that each person was supported in ways they preferred. Care records were being developed to include more person-centred detail. We made a recommendation for the provider to consider how they can make care records more accessible to people, their families and all staff involved in people's care and support. Activities and interaction with people had significantly improved and there were high levels of meaningful engagement. People's relatives said they thought care was safe and there were good levels of trust for the staff and management team.

There had been significant improvement in the way staff, people and their relatives were involved and informed. Communication had improved throughout the service. Without exception, relatives' feedback was highly positive and recognised the achievements and improvements since the last inspection. The service worked well with partners. Everyone felt they were able to feedback their views to the management team.

There were marked improvements in the leadership and management of the service. There was clearer oversight of the service delivery and the quality of care being provided. Systems and processes had been established to ensure more robust auditing and the registered manager was continuously considering ways to improve their processes to ensure quality checks were rigorous. We made a recommendation for the registered manager to consider ensuring further detail and clarity of recording where quality checks were made.