This inspection took place on 12 April 2016 and was an unannounced comprehensive rating inspection. Ashmill had not been inspected since becoming part of Care and Resolve Limited, so this was their first inspection.Ashmill is registered to provide accommodation for up to nineteen people who require nursing and personal care. At the time of our inspection there were eighteen people living at the location.
At the time of our inspection 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.
There were inconsistencies amongst staff seeking people’s consent before providing care and support.
Staff understood when the legal requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards (DoLS) should be followed.
People received care from staff that knew them well and benefitted from opportunities to take part in activities that they enjoyed, although a wider variety of activities was requested by people, relatives and staff.
The provider had management systems in place to audit, assess and monitor the quality of the service provided, although these were inconsistent and not all people and their relatives felt involved.
People were safe and secure because risks had been assessed and managed appropriately. Staff were able to identify possible abuse and take actions to alert the appropriate professionals so that they could be protected.
Staff had been recruited appropriately and had received relevant training so that they were able to support people with their individual needs.
People safely received their medicines as prescribed to them.
People were supported to have food that they enjoyed and meal times were flexible to meet people’s needs.
People were supported to stay healthy and had access to health care professionals as required. They were treated with kindness and compassion and there was positive communication and interaction between staff and the people living at the location. Staff were aware of the signs that would indicate a person was unhappy and knew what action to take to support people effectively.
People’s right to privacy was promoted and people were encouraged to be as independent as possible.
The provider had management systems in place to audit, assess and monitor the quality of the service provided.
People were safe and secure because risks had been assessed and managed appropriately. Staff were able to identify possible abuse and take actions to alert the appropriate professionals so that they could be protected.
Staff had been recruited appropriately and had received relevant training so that they were able to support people with their individual needs.
People’s right to privacy was promoted and people were encouraged to be as independent as possible.