Background to this inspection
Updated
1 March 2022
We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008.
As part of CQC’s response to care homes with outbreaks of COVID-19, we are conducting reviews to ensure that the Infection Prevention and Control (IPC) practice is safe and that services are compliant with IPC measures. This was a targeted inspection looking at the IPC practices the provider has in place. We also asked the provider about any staffing pressures the service was experiencing and whether this was having an impact on the service.
This inspection took place on 27 January 2022 and was announced. We gave the service 24 hours' notice of the inspection.
Updated
1 March 2022
Ashby Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.
Ashby Lodge can accommodate up to 22 people. Accommodation is based over two floors. The home is situated in the Outwood area of Wakefield within reach of local shops and public transport. At the time of this inspection, 20 people were living at Ashby Lodge.
There was a manager at the service who was registered with the Care Quality Commission (CQC). 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 have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run.
Our last inspection at Ashby Lodge took place on 15 and 19 May 2017. The service was rated requires improvement overall and we found two breaches of the regulations of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was a breach of Regulation 12 Safe care and treatment and Regulation 17 Good governance.
Following the last inspection, we asked the registered provider to send an action plan to show what they would do, and by when, to improve the key questions safe and well led.
This inspection took place on 10 July 2018 and was unannounced. We found sufficient improvements had been made to meet the requirements of Regulations 12 and 17 and we did not identify any further breaches. There had been enough improvements to increase the rating to good in all key questions.
The home was welcoming and friendly. People and relatives spoke positively about the standard of care people received and staff were respectful and caring in their approach.
Staff were aware of their responsibilities in keeping people safe. Systems and processes for the safe management of medicines were in place.
There were robust recruitment procedures and sufficient staff to promote people’s safety. Staff were provided with relevant induction, training and supervision so they could support people effectively overall.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.
People’s care records contained relevant information to inform staff and were regularly reviewed to ensure they were up to date.
The environment had improved since the last inspection and there was ongoing refurbishment, although we made a recommendation for the ‘far’ lounge to be made more accessible and welcoming to people.
People were confident in reporting concerns to the registered manager and felt they would be listened to. The complaints procedure was displayed prominently, although there had been no complaints recorded.
There was clear communication between staff and families and the registered manager was actively involved in people’s care.
There were quality assurance and audit processes in place to make sure the home was running well, although we recommended the registered manager received more formal support and supervision from the registered provider. Policies and procedures were available to staff to support them in their work.