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Care Services

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Askham Hall, Doddington, March.

Askham Hall in Doddington, March 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 26th March 2020

Askham Hall is managed by Askham Village Community Limited who are also responsible for 4 other locations

Contact Details:

Ratings:

For a guide to the ratings, click here.

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

Further Details:

Important Dates:

    Last Inspection 2020-03-26
    Last Published 2017-08-03

Local Authority:

    Cambridgeshire

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.

14th June 2017 - During a routine inspection pdf icon

Askham Hall provides accommodation, nursing and personal care for up to 26 people, including people living with dementia. The home is built on two floors and is one of four care homes, set around a courtyard garden. The reception area includes a café that is open to the general public as well as to people living in any of the four homes on the site. At the time of this inspection there were 25 people in residence.

This inspection was carried out on 14 and 22 June 2017 and was unannounced.

At our last inspection the service was rated overall as good, but with improvements required in the responsive domain. At this inspection we found the service remained good overall. There had been improvements relating to the question ‘are services at this location responsive?. However, we found that improvements were required in the way medicines were managed.

The service was not always safe because we could not be sure that people received their medicines safely and as they were prescribed. Potential risks to people were assessed and minimised and staff understood their responsibility to protect people from avoidable harm. There were enough staff on duty to meet people’s needs and staff recruitment ensured that only staff suitable to work at this home were employed.

The service continued to be effective because people received care from staff who had the skills, knowledge, training and support to ensure they did their job well. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff obtained consent from people when they offered care. People’s nutritional needs were met and people were supported to have enough to eat and drink. A range of healthcare professionals visited the home to support people to maintain good health.

The service continued to be caring because staff showed they genuinely cared about people and treated them with kindness and compassion. Staff had good relationships with people, treated people with respect and supported them to maintain their privacy, dignity and independence. Visitors were welcomed and also had warm, friendly relationships with the staff.

The service was responsive because care plans were personalised and gave staff guidance on the care each person needed. The range of meaningful activities was improving so that people had more to do to keep them occupied. People and their relatives knew who to speak to if they were not happy with the service and were confident their complaints would be addressed.

The service continued to be well-led because there was a registered manager in post who was approachable, provided good leadership and understood their responsibilities to everyone involved with the home. People, staff and visitors to the home were encouraged to put forward their views about the service being provided. Suggestions for improvement were listened to and acted upon when possible. The quality of the care was monitored by a range of audits that were carried out regularly.

Further information is in the detailed findings below.

18th April 2013 - During a routine inspection pdf icon

During our inspection on 18 April 2013 we spoke with 12 people living at the home and to eight relatives who were visiting people. Everybody we spoke with made only very positive comments about the home and about the care they were receiving. One person who was living at Askham Hall said, "It’s faultless. This is my second home". Another person said, "Everything about living here is good. I am safe and quite comfortable. They give me more than enough to eat". Two visiting relatives told us that they were kept fully informed about their family member’s care and the arrangements that had been made for their healthcare needs.

We observed that medication was safely managed and administered to people when they required their medicines.

The home was appropriately clean and people were not at risk of infection.

A comprehensive complaints system and open policy for people to speak to the manager ensured that any concerns had been expressed and listened to.

14th August 2012 - During a routine inspection pdf icon

People told us they felt safe living at Askham Hall. We heard positive comments about the way people had been treated by care staff and that staff had spoken to people respectfully. One person said, "I am glad I am living here because I cannot manage on my own any longer. I can tell you the staff are alright and help me when I need them".

People gave us very positive comments about their accommodation. One person said," I love sitting by my open door when the weather is sunny and warm. I do like the fresh air and can open the door whenever I choose".

One visiting relative told us that they could visit at any time and that staff had always answered their questions and had made them feel welcome.

1st January 1970 - During a routine inspection pdf icon

Askham Hall is a care home registered to provide nursing care and support for up to 26 mainly older people. This inspection took place on 21 and 22 October 2014 and was unannounced. The inspection was carried out by an inspector and a specialist advisor. The specialist advisor was a registered nurse who had experience inspecting care homes that provide nursing care.

The last inspection was carried out on 18 April 2013 when we found the provider was meeting all the regulations we looked at.

At the time of the inspection there was no registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 previous registered manager left the service the week before our inspection. The person managing the service told us she had started the process of applying to be the registered manager.

People were kept safe because there were enough staff on duty to meet people’s individual needs and staff knew how to recognise and report any indications of abuse. Staff underwent a thorough recruitment procedure to make sure they were suitable to work with the people who lived at the service. Medicines were stored correctly and records showed that staff had given people their medicines safely and as prescribed by their GP.

People were offered sufficient amounts of food and drink and were supported to make choices about what and where they ate. People’s health was monitored by a range of healthcare professionals who visited Askham Hall when required.

The CQC monitors the operation of the Mental Capacity Act 2005 and the Deprivation of Liberty Safeguards (DoLS), which apply to care services. We found that people’s capacity to make decisions for themselves had been assessed by staff trained to do so and the rights of people not able to make their own decisions about aspects of their care were protected. The manager had made appropriate applications to the local authority for a DoLS authorisation to restrict a person’s liberty.

People were treated well by a staff team who showed they cared about the people they were looking after. People were comfortable with the staff, who were kind and attentive.

People’s individual needs were recorded in their care plans, which were regularly updated to reflect people’s changing needs, but people were not actively involved in planning their care. Staff were developing ways to provide activities and entertainments based on people’s interests, so that people would have more to do. There were links with the local community.

The service was well led and staff were supported to look after people in a safe and caring way. Staff liked working at Askham Hall, felt they were part of a really good team and were pleased their suggestions for improving the service were listened to by the management team. An effective quality monitoring system was in place.

 

 

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