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Ashwood Care Centre, Hayes.

Ashwood Care Centre in Hayes 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 29th June 2018

Ashwood Care Centre is managed by Bondcare (London) Limited who are also responsible for 17 other locations

Contact Details:

Ratings:

For a guide to the ratings, click here.

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

Further Details:

Important Dates:

    Last Inspection 2018-06-29
    Last Published 2018-06-29

Local Authority:

    Hillingdon

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.

6th June 2018 - During an inspection to make sure that the improvements required had been made pdf icon

This focused inspection took place on 6 and 15 June 2018. The visit on the 6 June 2018 was unannounced. We told the provider we would be returning on 15 June 2018 so that we could look at specific records.

The last inspection of the service took place on 13 March 2018 and was a comprehensive inspection where we looked at all five key questions.

Following 13 March 2018 inspection, we rated the service Requires Improvement in the key questions of 'Is the service Safe, Responsive and Well-led?' The service was given an overall rating of Requires Improvement. We asked the provider to complete an action plan to show what they would do and by when to improve the key questions of Safe, Responsive and Well-led to at least ‘Good’. We also issued a warning notice in respect of breaches relating to medicines management telling the provider they must make the required improvements by 30 April 2018.

We undertook this focused inspection of 6 and 15 June 2018 to check that improvements to meet legal requirements planned by the provider after our 13 March 2018 inspection had been made. The team inspected the service against three of the five questions we ask about services: ''Is the service well led?'', ''Is the service responsive?'' and ''Is the service safe?

No risks, concerns or significant improvement were identified in the remaining key questions through our ongoing monitoring or during our inspection activity so we did not inspect them. The ratings from the previous comprehensive inspection for these Key Questions were included in calculating the overall rating in this inspection.

We found improvements had been made in all three key questions we inspected. The rating for these key questions has been changed to Good and the service has been rated Good overall.

Ashwood Care Centre is a 'care home'. People in care homes receive accommodation with nursing and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to accommodate up to 70 older people. Accommodation is provided on three floors. People living on the first and second floor were living with the experience of dementia. At the time of our inspection 44 people were living at the service.

Bondcare (London) Limited manage nine care homes within London and are part of Bondcare, a national provider of care homes in the United Kingdom.

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 and associated Regulations about how the service is run.

The provider had made improvements with regards to medicines management and we found medicines were being managed safely at the home.

The provider had made improvements to the governance of the service. They had a range of audits and checks which effectively monitored the quality of the service and mitigated risks.

The two breaches of Regulation we identified at the previous inspection had been met.

People lived in a safely maintained and clean environment. The provider undertook checks to make sure the environment and the equipment being used was safe and clean.

There were enough staff to meet people's needs and keep them safe.

There were procedures designed to protect people from the risk of abuse. The staff were aware of these and there was information on display so that people using the service, visitors and staff knew what to do if they were concerned someone was being abused. The provider had taken appropriate action following allegations of abuse to help protect people from further harm.

The risks to people's safety and wellbeing had been assessed and planned for.

The provider had systems in place to learn from accidents, incident

13th March 2018 - During a routine inspection pdf icon

The inspection took place on 13 March 2018 and was unannounced.

The last inspection of the service took place on 11 October 2017 when we rated the service Requires Improvement in all key questions and overall. We issued warning notices in respect of breaches of Regulations in relation to person-centred care and good governance, and made requirements in respect of dignity and respect, safe care and treatment, nutrition and hydration and staffing. Following the last inspection, we asked the provider to complete an action plan to show what they would do and by when to improve all of the key questions to at least ‘good’.

At this inspection we found that improvements had been made in all areas however not enough to improve the rating to Good. We found that whilst improvements had been made in relation to the safe care and treatment of people and good governance, further improvements were required in order to meet these Regulations. We found the provider had met breaches of Regulation regarding person-centred care, dignity and respect, nutrition and hydration and staffing. We have rated the service Requires Improvement overall and in the key questions of Safe, Responsive and Well-led. We have rated the key questions of Effective and Caring as Good.

Ashwood Care Centre is a 'care home'. People in care homes receive accommodation with nursing and personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service is registered to accommodate up to 70 older people. At the time of the inspection there were 46 people living at the service. Accommodation is provided on three floors. People living on the first and second floor were living with the experience of dementia.

Bondcare (London) Limited manage nine care homes within London and are part of Bondcare, a national provider of care homes in the United Kingdom.

There was a manager in post. They had applied to be registered with the Care Quality Commission and this application was being processed at the time of our inspection. 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 and associated Regulations about how the service is run.

People did not always receive their medicines in a safe way and as prescribed.

The provider's systems and processes had not always identified risks such as the way in which medicines were being managed, risks of unsafe support being provided by a visitor and risks associated with infection prevention and control. This meant that they were not able to respond and take action to mitigate these risks.

We found two breaches of the Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to safe care and treatment and good governance.

We are taking action against the provider for failing to meet Regulations. Full information about CQC’s regulatory responses to any concerns found during inspections is added to reports after any representations and appeals have been concluded.

Following our feedback regarding areas of concern, the provider took action to mitigate the risks we had identified.

People's needs were being met, although there was a risk that these would not always be met in a way which reflected their preferences. Information about individual care needs was not always clearly recorded. The staff had recorded when people refused care, but they had not always investigated if there were other ways they could offer care to ensure people had the support they needed in a way they preferred.

The provider had improved the service. They had listened to feedback from the local authority, people using the service, staff and other stakeholders to help identify improvements the

11th October 2017 - During a routine inspection pdf icon

The inspection took place on 11 October 2017 and was unannounced.

This was the first inspection of the service since it was registered with the provider Bondcare (London) Limited on 4 October 2017. Previous to this the service was registered with and managed by another organisation.

Ashwood Care Centre is a care home providing nursing and personal care to up to 70 older people. At the time of our inspection 50 people were living at the service, some were living with the experience of dementia and some had general nursing needs. Nurses were employed to work on two of the three floors.

Bondcare (London) Limited manage nine care homes within London and are part of Bondcare, a national provider of care homes in the United Kingdom.

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 and associated Regulations about how the service is run.

There was not always the equipment needed to care for people safely and meet their needs.

People received their medicines as prescribed but the way in which medicines were managed meant that there was a risk they would not always receive medicines in a safe way.

The staff who cared for people did not always get the support they needed. People were not always cared for by suitably qualified and experienced staff.

The provider was not always meeting people's hydration needs.

The staff were not always kind and did not consider people's feelings.

The staff tended to focus on the tasks they were performing rather than the person they were caring for.

People were not always cared for in a way which met their needs and reflected their preferences.

The provider's systems for identifying and monitoring risk were not always effective.

We found breaches of six Regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. Full information about CQC’s regulatory responses to any concerns found during inspections is added to reports after any representations and appeals have been concluded.

Some aspects of the environment were not suitable to meet the needs of people living with the experience of dementia. We made a recommendation in respect of this.

There were enough staff to keep people safe, but people's needs were not always being met and the staff felt this was because there were not enough of them.

People were happy living at the service. They felt their needs were being met and they told us that the staff were kind and caring.

The staff were generally happy working at the service and felt supported by the new manager and provider. The staff had opportunities to meet with their manager and were provided with training to help them understand their roles and responsibilities.

The risks to people's wellbeing had been assessed and planned for. The provider had procedures designed to safeguard people from abuse. The provider's procedures for recruiting staff were suitable.

The provider was acting within the principles of the Mental Capacity Act 2005.

People knew how to make a complaint and felt confident they would be listened to.

People were encouraged to be independent where they could be.

The provider had a good understanding about the areas of the service which needed improving and had an action plan so that they could make these improvements. They worked closely with the local authority who was monitoring the improvements they made.

 

 

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