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Ashbourne Healthcare Services

Overall: Good read more about inspection ratings

Ashbourne House, 35 Harwood Road, London, SW6 4QP (020) 7736 5200

Provided and run by:
Ashbourne Group Limited

Latest inspection summary

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Background to this inspection

Updated 26 September 2019

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Inspection team

This inspection was carried out by one inspector. Following the inspection, an Expert by Experience contacted people using the service for their feedback. An Expert by Experience is a person who has personal experience of using or caring for someone who uses this type of care service

Service and service type

This service is a domiciliary care agency. It provides personal care to people living in their own homes.

The service manager was registered with the Care Quality Commission. A registered manager is a person who has registered with the CQC to manage the service. Like registered providers, they are 'registered persons'. Registered persons are legally responsible for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run and for the quality and safety of the care provided.

Notice of inspection

This inspection was announced. We gave the service 48 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be in the office to support the inspection.

Inspection activity started on14 August 2019 and ended on 20 August 2019. We visited the office location on14 August 2019.

What we did before the inspection

The provider was not asked to complete a provider information return prior to this inspection. This is information we require providers to send us to give some key information about the service, what the service does well and improvements they plan to make. We took this into account when we inspected the service and made the judgements in this report. We looked at information we hold about the service such as notifications of events and registration information. We used this information to plan our inspection.

During the inspection

We spoke with the registered manager for the service and a deputy manager. We reviewed a range of records. This included six people’s care records and related documentation. We looked at records for five members of staff in relation to recruitment, training, supervision and appraisal. We reviewed policies and procedures and other records relating to the management of the service.

After the inspection

An Expert by Experience spoke with three people, four relatives, an advocate and a representative of a person using the service. We spoke with four members of care staff. We contacted three healthcare professionals involved with people using the service and heard back from one of them.

Overall inspection

Good

Updated 26 September 2019

About the service

Ashbourne Healthcare Services is a domiciliary care agency. At the time of the inspection, the service was providing support to 37 people of which 30 people were receiving support with personal care tasks.

Not everyone using the service received support with tasks related to personal care and eating. CQC only inspects services where people receive this type of care and support. We also consider any wider social care provided.

People’s experience of using this service and what we found

People told us they felt safe and trusted the staff providing care and support.

Care plans were person centred and comprehensive, reviewed and updated when changes to people’s health occurred.

Risks to people’s health, safety and well-being were assessed and planned for and people's complex care needs were appropriately met.

Staff supported people to be as independent as they wished and respected the choices people made in relation to all aspects of their care.

Staff supported people to take their medicines safely where this formed part of an agreed package of care.

Staff were mindful of people's privacy and endeavoured to maintain people’s dignity and respect their boundaries.

Staff completed training in food hygiene and supported people to eat and drink according to their needs and preferences.

The service worked in partnership with other professionals to optimise people’s health and well-being.

Safe recruitment processes were being followed to ensure staff were suitable for their roles.

The provider had quality assurance systems in place to identify shortfalls and drive forward service improvements.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection and update:

The last rating for this service was good (report published 26 April 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.