Ascot Lodge Nursing Home

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• Overview
• Kindness, compassion and dignity
• Treating people as individuals
• Independence, choice and control
• Responding to people’s immediate needs
• Workforce wellbeing and enablement

Staff knew about people’s health needs and personal preferences and gave them as much choice and control as possible. However, some care plans required further detail to guide staff more effectively and some best interest decisions were not in place where people had restrictions. Staff could describe how they supported people to maintain independence and policies supported this practice. There was a range of equipment available to support and maximise people’s independence and outcomes from care and treatment. People’s family and friends were free to visit when they wished. People had access to activities and the local community to promote and support their independence, health, and wellbeing. Some relatives expressed the wish to have more stimulation and activities.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

We did not look at Kindness, compassion and dignity during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Treating people as individuals during this assessment. The score for this quality statement is based on the previous rating for Caring.

People were encouraged and supported to do as much as they could for themselves and to maintain and develop their independence. Relatives told us that staff always ask permission before delivering care. One told us, “They always ask [Name] before handling [person] in any way.” Some relatives told us they participated in planning the care of their relative, however this appeared inconsistent across the service as some relatives told us they were not involved in the assessment and care planning process. People had access to activities and the local community to promote and support their independence, health and wellbeing. Some relatives felt that more activities were needed. One commented, “I feel that there is not enough stimulation, more activities are needed.”

Staff could describe how they encouraged people to maintain independence and how they supported them to have choice and control over their lives. One staff told us, “We ask them and if they can’t answer we look at body language. We also show them pictures or get someone else to see if they will go with them (if they refuse).” Activities coordinators were employed, and a timetable of activities was seen to be in place including outings in the community.

We observed kind and caring interactions between people and staff throughout our visit and were seen to engage people in decision making about their care and support. There was a range of appropriate equipment to support and maximise people’s independence including adjustments for people with dementia. For example, show plates were available at mealtimes and larger style dementia friendly activities and board games were being used. Signs were available to help people to navigate around the service. However, for those people with dementia improved signage for their rooms and/or memory boxes would assist them to locate their bedrooms independently.

People's choices and preferences were included in their care plans. These were in the process of being transferred to a new format prior to being uploaded to the new electronic system which were more person centred and included more detail including communication and individual preferences. The provider agreed to review all care plans prior to being uploaded to ensure all information was accurate and that relevant decisions including best interest decisions were recorded. The service provided meaningful activities, linked to people's hobbies and interests. People were supported to maintain relationships and networks that were important to them. Staff received training in person centred care.

We did not look at Responding to people’s immediate needs during this assessment. The score for this quality statement is based on the previous rating for Caring.

We did not look at Workforce wellbeing and enablement during this assessment. The score for this quality statement is based on the previous rating for Caring.