15 and 16 October 2014
During a routine inspection
We performed the announced inspection on 15 and 17 October 2014. Ashlea Care Home provides accommodation and personal care for up to eight people with a learning disability. On the day of our inspection six people were using the service.
The service had a registered manager in place at the time of our inspection. 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 and associated Regulations about how the service is run.
When we last inspected the service on 23 April 2013 we found the provider was meeting all of the outcome areas we inspected.
People felt safe in the service and the manager knew to share information with the local authority when needed. Staff knew how to respond to incidents and what incidents needed to be reported. This meant there were systems in place to protect people from the risk of abuse.
People received their medication as prescribed and the management of medication was safe.
Staffing levels were maintained at appropriate levels to support people’s needs.
The Care Quality Commission (CQC) is required by law to monitor the operation of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) and to report on what we find. The DoLS is part of the MCA, which is in place to protect people who lack capacity to make certain decisions because of illness or disability. DOLS protects the rights of people by ensuring that if there are restrictions on their freedom these are assessed by professionals who are trained to decide if the restriction is needed. We found this legislation was being used correctly to protect people who were not able to make their own decisions about the care they received. We also found staff were aware of the principles within the MCA and had not deprived people of liberty without applying for the required authorisation.
People could see health care professionals such as their General Practitioners (GP) when their health needs changed. People were supported to eat and drink enough to maintain their health and specialist diets could be provided when required to meet people’s health needs and cultural diversity.
People were encouraged to contribute to the development of care plans and the plans provided staff with up to date information to help them deliver appropriate care. People were treated with respect and dignity and we saw staff were proactive in promoting people’s decisions and choices.
People were supported to follow their hobbies and interests and to access the community. People felt they could raise concerns if they wished to and these would be acted on.
People were encouraged to be involved in the development of the service and audits were carried out to assess the quality of the service.