Attention: The information on this website is currently out of date and should not be relied upon..

Care Services

carehome, nursing and medical services directory


Ashford Lodge Nursing Home, Ilkeston.

Ashford Lodge Nursing Home in Ilkeston 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, caring for adults under 65 yrs, dementia and treatment of disease, disorder or injury. The last inspection date here was 10th January 2020

Ashford Lodge Nursing Home is managed by A Carnachan.

Contact Details:

    Address:
      Ashford Lodge Nursing Home
      1 Gregory Street
      Ilkeston
      DE7 8AE
      United Kingdom
    Telephone:
      01159307650
    Website:

Ratings:

For a guide to the ratings, click here.

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

Further Details:

Important Dates:

    Last Inspection 2020-01-10
    Last Published 2017-03-10

Local Authority:

    Derbyshire

Link to this page:

    HTML   BBCode

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.

27th January 2017 - During a routine inspection pdf icon

We inspected this service on 27 January 2017. The inspection was unannounced. At our previous inspection on 25 July 2016 we rated the service as Good although requires improvement within our question ‘Is this service effective?’ This was because we identified specific concerns with how some people were supported to make decisions. The provider sent us an action plan on 31 August 2016 which stated how and when they would make improvements to meet the legal requirements On this inspection visit we saw improvements had been made.

There was a registered manager in post. 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.

The service provides accommodation and personal care for up to 20 older people who maybe living with dementia. There were 15 people living at the home on the day of our inspection. Where people lacked capacity to make certain decisions, these were now made in consultation with people who were important to them and made in their best interests. Restrictions had been identified and applications had been made to ensure these were lawful.

Quality assurance systems were in place to review how the care and support was delivered. These needed to be developed to ensure they identified how improvements could be made in the environment and to keep the temperature of the home under review.

Staff were kind and polite to people, recognised people’s individual needs and provided care which met their preferences. People were supported to maintain the relationships which were important to them.

People were involved in planning and agreeing how they were cared for when they moved into the home. People chose how to spend their day and they took part in activities in the home and the community. People felt well looked after and supported and had developed good relationships with staff.

People received their medicines at the right time and systems were in place to ensure medicines were managed safely. People had a choice of food and drinks which met their needs and preferences. When necessary, staff recorded the amount people ate and drank and monitored this to maintain people’s health.

Staff understood their responsibilities to protect people from harm and knew how to raise concerns. Risks to people’s health and welfare were assessed and staff knew how to minimise the identified risks.

There was suitable staffing to meet the support needs of people and the trained staff understood their role and how to support people safely. The staff received support to enable them to identify personal development opportunities and to raise any concerns they had.

People were cared for by kind and compassionate staff who knew their individual preferences for care and their likes and dislikes. Staff ensured people obtained advice and support from other health professionals to maintain and improve their health.

If people or relatives were unhappy with the care or service, they felt able to raise their concerns directly with the registered manager. People were encouraged to share their views about the home.

25th July 2016 - During a routine inspection pdf icon

This inspection visit was unannounced and took place on 25 July 2016. At our last inspection visit in January 2015 we asked the provider to make improvements in a number of areas. The provider sent us a report June 2015 explaining the actions they would take to make improvements. At this inspection, we found improvements had been made in some areas, however there continues to be concerns in relation to the assessment and decision making for people and the stimulation available.

The service was registered to provide accommodation for up to 20 people. People who used the service had physical health needs and some were living with dementia. At the time of our inspection 17 people were using the service.

There was a registered manager in post. 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 saw that the provider and registered manager did not have a clear understanding of how to support people with decision making and gaining their consent. Where people lacked capacity to make certain decisions, appropriate assessments had not been completed and recorded to show how people had been supported to make those decisions. Where people were being restricted of their liberty in their best interests, the appropriate authorisations had been applied for.

Daily activities were provided to support people’s interests or hobbies. People were able to make choices about the food they received, however the experience could be improved to offer a more positive experience to some people. We saw that referrals had been made to healthcare professionals in a timely manner to maintain people’s health and wellbeing.

The provider determined the staffing levels on the number of people living in the home and the level of support they required. We saw that there was a procedure to ensure staff were safe to work at the home and when they started with the service they received a structure induction. Staff had received a range of training which they told us had enhanced the support they were able to offer and increased their knowledge. People and relatives told us they felt safe and staff understood their role in ensuring people were protected from abuse or poor practice. Risk assessments were in place to ensure people’s safety was maintained.

We saw that people were responded to in a kind and friendly manner and people felt able to make choices and be respected for their decisions. Medicines were managed safely and in accordance with good practice and individual’s prescribed needs. People felt confident they could raise any concerns with the provider and manager.

We saw that improvement had been made to the environment of the service had been made and there was a planned programme to continue to make improvements. The provider and manager had systems in place to monitor and improve the quality of the service. Staff felt supported by the provider and registered manager and they received ongoing support to continue their role.

We found a breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

You can see what action we told the provider to take at the back of the full version of the report.

20th January 2015 - During a routine inspection pdf icon

The inspection took place on 20 January 2015 and was unannounced.

At our last inspection on 14 November 2013 we found that the provider was breaching three regulations. These related to the management of medicines, meeting people’s care and welfare needs and the assessing and monitoring of the service provision. Following that inspection the provider sent us an action plan to tell us the improvements they were going to make. We found that although the provider had taken some actions initially to address our concerns, these had not been fully sustained.

Ashford Lodge Nursing Home provides accommodation and nursing care for up to 20 people with health conditions and physical needs. On the day of our visit there were 17 people living at the home. Accommodation is arranged over two floors and there is a passenger lift to assist people to get to the upper floor.

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.

People that used the service and their relatives told us how caring the staff were. We saw staff that responded to people’s needs.

There were sufficient staff on duty but the registered manager had little time dedicated to her managerial role. Staff had an understanding of the Mental Capacity Act (MCA) and had carried out MCA assessments. However, the MCA assessments were very general and did not address individual decisions in people’s lives as the act required.

People were able to make choices about what they had to eat. People were supported to eat and drink enough and maintain a balanced diet.

People were able to make decisions about their care and treatment. People’s privacy and dignity was respected. Activities available for people were limited.

Staff felt well supported in their roles and the manager had a good oversight of the service. Some staff required updates of training to ensure that their skills and knowledge were up to date.

There was not a fully completed assessment of each person’s needs. People were at risk of receiving care or treatment that was inappropriate or unsafe. Care plans and risk assessments had not been regularly updated to ensure that they continued to meet people’s needs and ensure the welfare and safety of each person.

There were not appropriate measures in place for the recording, using, safe keeping and safe administration of medicines.

Auditing systems did not identify potential risks to people’s safety and welfare. The provider had not taken action in response to our previous inspection report.

We found three continued breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2010 which following the legislative changes of 1st April 2015 correspond to the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

14th November 2013 - During a routine inspection pdf icon

We used a number of different methods to help us understand the experiences of people using the service, because the people using the service had complex needs which meant they were not able to tell us their experiences. We spoke with relatives of people who use the service and care staff.

People told us that they had never seen care given without the consent of the person using the service and, where the person was unable to give consent their relatives were involved. One person told us “I’ve never seen anyone have care or have to do anything against their wishes.” We saw evidence that confirmed this.

People told us that they were happy with the care their relatives received at Ashford Lodge and that they were involved in planning or reviewing their relatives care. One person told us “I couldn’t fault the care at all, it’s just wonderful.” However we found that care plans and risk assessments were not always updated to reflect people’s needs. Staff we spoke with felt the care plans were helpful but felt they did not always have time to read them.

People told us they received medication when required and had never experienced any problems with medicines. However during our inspection we identified concerns with the administration and management of medicines.

People we spoke with told us they felt Ashford Lodge was well maintained, that they would be happy to raise a complaint with the provider or senior staff, and were confident it would be resolved. However we noted people did not routinely have the opportunity to give their feedback about the home and that regular audits of medication, care plans and risk assessments were not carried out.

5th April 2013 - During an inspection to make sure that the improvements required had been made pdf icon

We carried out this inspection to see if the provider had made improvements to the management of medicines since our last visit in January2012.

At the last inspection people told us they received their medication when required and had not experienced problems with their medication. We did not see evidence to confirm this and identified concerns about how medicines were managed. During this inspection we saw evidence that the provider had made improvements to the management and administration of medicines.

10th January 2013 - During an inspection to make sure that the improvements required had been made pdf icon

We carried out this inspection to see if the provider had made improvements to the management of medicines and how people are supported and cared for since our last visit in August 2012.

At our last inspection people who use the service told us they were happy with the care they received and care workers looked after their health well. We found that people were not always referred to health professionals for additional help when required.

At the last inspection people told us they received their medication when required and had not experienced problems with their medication. We did not see evidence to confirm this and identified concerns about how medicines are managed.

During this inspection we saw that improvements had been made in referring people for additional help when required. However the provider has not addressed all areas of concern identified with management of medicines and was not compliant with this outcome.

3rd August 2012 - During a routine inspection pdf icon

We spoke with four people who use the service they told us staff were friendly and approachable and spoke to them in a respectful way. All four told us staff treated them with dignity and encouraged them to be as independent as possible.

The people we spoke with told us the home provided a range of activities including trips out, crafts and entertainment that they could choose to take part in or not. They told us they felt safe at Ashford Lodge and had never seen anything that caused them concern.

They felt staff treated them as individuals and understood their needs and they had never had any problems with their medication. People told us they had never had to raise a concern but thought they would be happy to do so and felt confident the manager would deal with it.

 

 

Latest Additions: