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Care Services

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Ashbrook Nursing Home, Collier Row, Romford.

Ashbrook Nursing Home in Collier Row, Romford is a Nursing home specialising in the provision of services relating to accommodation for persons who require nursing or personal care, caring for adults over 65 yrs, dementia and treatment of disease, disorder or injury. The last inspection date here was 8th August 2019

Ashbrook Nursing Home is managed by Onetree Estates Limited.

Contact Details:

Ratings:

For a guide to the ratings, click here.

Safe: Requires Improvement
Effective: Requires Improvement
Caring: Good
Responsive: Requires Improvement
Well-Led: Requires Improvement
Overall:

Further Details:

Important Dates:

    Last Inspection 2019-08-08
    Last Published 2018-07-07

Local Authority:

    Havering

Link to this page:

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Inspection Reports:

Click the title bar on any of the report introductions below to read the full entry. If there is a PDF icon, click it to download the full report.

25th April 2018 - During a routine inspection pdf icon

This inspection took place on 25 April 2018 and was unannounced. This meant that the provider and staff did not know we would be visiting. We carried out further announced visit to the home on 2 May 2018 to complete the inspection.

Ashbrook Nursing Home is a care home. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided and both were looked at during this inspection.

Ashbrook Nursing Home is a purpose built 70 bed care home for older people, including people living with dementia. The service is accessible throughout for people with mobility difficulties and has specialist equipment to support those who need it. When we visited, 36 people were using the

service. This was because since December 2017, when building work had been completed, Ashbrook Nursing Home changed registration from a 37 bed home to a 70 bed home. The provider had limited admissions to the service during the transition period.

At the last inspection in September 2015, the service was rated Good overall with a rating of Requires Improvement in well led. We made a recommendation that improvements were made to provide consistent and robust management of the service so that people received a safe, quality service. This was complied with.

The service had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

We found that the arrangements for administering medicines were not always safe. Robust systems were not in place to manage prescribed medicines consistently and safely. Medicine records were not always accurate and we could not be confident that people received all of their prescribed medicines safely.

We found that not all care plans were personalised for people who used the service and did not contain all of the necessary information to enable staff to support them safely.

Staffing levels were not sufficient to meet people's needs. Appropriate systems were not in place to review staffing levels in line with people's needs.

Staff received training but the registered manager did not have suitable systems in place to ensure this was kept up to date and in line with best practice. Staff did not always receive training, appraisals and supervision to support them in their role.

The provider's governance and quality assurance systems were not robust. They had failed to identify the concerns identified at this inspection. However, the management team had submitted an action plan after the inspection to show how they will address the concerns raised.

People and relatives told us that people felt safe using the service.. The provider's recruitment process ensured that staff were suitable to work with people who needed support. Staff received safeguarding training and knew how to report safeguarding concerns.

Risk assessments were completed and management plans were in place to enable people to receive safe care and support. Staff had a good understanding of infection control procedures and used personal protective clothing such as aprons and gloves to prevent the spread of infection.

Systems were in place to maintain the safety of the premises and equipment. Lessons were learnt when accidents and incidents occurred to minimise the risk of recurrence. However, improvements were needed to ensure all health and safety measures, such as regular fire drills were in place and robustly implemented.

People’s needs were assessed before they began using the service and they had access to healthcare professionals as required to meet their needs.

Staff had a clear understanding of the application of the Mental Capacity Act 2005 and appr

8th September 2015 - During a routine inspection pdf icon

This inspection at Ashbrook Nursing Home took place on 8 September 2015 and was unannounced. We last inspected the service in February 2014 and found it met the regulations we inspected.

Ashbrook Nursing Home is registered to provide a service for 37 older people, some of whom are living with dementia. At the time of our inspection, 21 people were using the service. This is because structural work is being undertaken in a separate area at the back of the house. Accommodation is on two floors and there is a lift for access between floors. People living at the current accommodation told us they were not directly affected by the building works.

The service had a registered manager. However, they were not present all day because they had responsibility to manage another service owned by the provider. Prior to the inspection we were informed by the provider that although the current registered will remain in overall charge of the home, the service will effectively be managed by a deputy manager who is a senior nurse. Therefore the deputy manager is currently in charge of the day to day management of the service. We will discuss this further with the provider to ensure that the appropriate person is registered to manage the service in line with the Act. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run. . We were supported by the deputy manager on the day of the inspection. The provider and the registered manager were present at the end of the day when we gave initial feedback about our findings. We have made a recommendation that improvements are made to provide consistent and robust management, so that people receive a safe service.

People who used at the service told us they felt safe, secure and well cared for. There were systems in place to keep them safe. Accidents and incidents were dealt with in a timely manner and any actions and lessons learned were recorded and reviewed by the provider.

Staff knew what actions to take should they suspect abuse and received appropriate training in keeping people safe. Arrangements were in place to keep people safe in the event of an emergency.

The provider had arrangements in place for the safe ordering, administration, storage and disposal of medicines. People were safely supported by staff to take their medicines.

People were supported to maintain good health. They had access to health care services when it was needed. People received a nutritionally balanced diet and were given choices of meals.

The registered manager and the staff team followed the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). Staff training records showed staff had attended training in MCA and DoLS.

People received care and assistance from staff who knew their needs well. Each person had their own care plan and their needs, choices and preferences had been documented and were known to staff.

People were supported to maintain contact with their family and friends and visitors were welcomed to the home.

There were sufficient staff to meet people’s needs. Staff were attentive, respectful, patient and

interacted well with people. People told us that they were happy and felt well cared for.

The provider sought feedback about the care provided and monitored the service to ensure that care and treatment was provided in a safe and effective way to meet people’s needs.

Any complaints were documented along with the actions taken. There was an effective system in place to monitor the quality of service provided.

12th February 2014 - During an inspection to make sure that the improvements required had been made pdf icon

At the last inspection of this service which took place on 23 July 2013, we found that people's care and treatment was not planned and delivered in a way which met people’s needs.

At this inspection we found that people's needs were assessed and care and treatment was planned and delivered in line with their individual care plan. People and their relatives told us they were well looked after and that their health and welfare needs were met. One person said "perfect, they are there for you and it's lovely." Another person told us "yes everything is fine here, the staff are very good and look after us well as you can see." A relative said "lovely staff attitude. They look after my mum well in here."

The care records we reviewed contained a range of assessments and care plans outlining how to support people using the service.The staff worked with other professionals, for example the tissue viability nurse and speech and language therapist to ensure that people's health needs were met.

23rd July 2013 - During a routine inspection pdf icon

People who use the service and their relatives were satisfied with the care and support provided at the service. They told us that staff treated them well and supported them to meet their needs. One person said, "it's home from home, it's very nice. I couldn't wish to be better looked after."

A relative said " I wouldn't have kept her here if the care wasn't good enough." Another told us " they asked us what she likes and about her needs. She is happy here and joins all the activities."

People who use the service were supported to access health and social care professionals when required with their consent. However,we found that there was a discrepancy between information contained in care plans relating to nursing care and the actual care they received. We have therefore made a compliance action. People's medicines were safely administered by nurses who were trained to carry out this task.

Staff told us they received appropriate training and support from the management team to carry out their roles. The service had systems in place to monitor the quality of the service provided, taking action to make appropriate improvements so that people received the care that they needed.

12th July 2012 - During a themed inspection looking at Dignity and Nutrition pdf icon

This inspection was part of a themed inspection programme to assess whether older people living in care homes were treated with dignity and respect and whether their nutritional needs were met. The inspection team was led by a Care Quality Commission (CQC) inspector joined by an Expert by Experience; people who have experience of using services and who can provide that perspective. We used the Short Observational Framework for Inspection (SOFI). SOFI is a specific way of observing care to help us understand the experience of people who could not talk with us.

As part of this inspection, people told us what they thought about the quality of food and whether they had a choice of meals. They also told us what it was like to live in this home and described how they were treated by staff and their involvement in making decisions about their care.

On the day of the inspection there were thirty-five people living at the home. We spoke with people using the service, the manager and staff and looked at people’s individual care records. The majority of people told us that they were happy living there and that they were treated with respect by staff. We observed some examples of staff supporting people in a friendly and professional way and in a way that respected their dignity.

Whilst there was a limited menu, alternative meals were available and the majority of people we spoke with were generally happy with the food provided to them.

People said they felt safe and said they either had no concerns or that their concerns had been addressed promptly. The home had effective systems to ensure that people were protected from abuse.

One person who lived at the home commented, “I came for rehabilitation but I like it so much I am hoping to stay permanently”. A relative said, “This is the “cream of the cream” as far as homes are concerned. I wouldn’t leave my relative here if it was not up to standard. Another relative said, “My husband was here for 18 months. He was very happy and I could not have wished for better care for him”.

 

 

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