# Ashbourne Healthcare Services

*Operated by Ashbourne Group Limited.*

Ashbourne Healthcare Services is a CQC-regulated home-care agency in London.

## CQC Ratings

| Key question | Rating |
| --- | --- |
| Overall | Good |
| Safe | Good |
| Effective | Good |
| Caring | Good |
| Responsive | Good |
| Well-led | Good |

Rating published: 28/11/2025

## Practical info

- Postcode: SW6 4QP
- Registered manager: Maal, Sukwinder
- Local authority: Hammersmith and Fulham
- Region: London
- City: London
- Last CQC check: 28/Nov/2025 - 00:00

## Inspection findings

### caring

- Finding
  - End of life care
  - Published: 2021-10-30
- Finding
  - Person-centred care planning
  - Published: 2021-10-30
- Finding
  - Dignity, privacy and respect
  - Published: 2021-10-30

### effective

- Finding
  - Nutrition and health care needs
  - Published: 2021-10-30
- Finding
  - Mental Capacity Act compliance
  - Published: 2021-10-30
- Finding
  - Supervision and appraisal
  - Published: 2021-10-30
- Finding
  - Staff training and support
  - Published: 2021-10-30

### Other

- Finding
  - Evidence: Referrals made to health professionals when significant changes in people's health were observed.
  - Published: 2021-10-30
- Finding
  - Evidence: Risk assessments in place addressing individual needs including pressure sores, falls, and environmental hazards.
  - Published: 2021-10-30
- Finding
  - Evidence: Provider took action to address issues when raised during inspection, including organising refresher training and updating medicines policy.
  - Published: 2021-10-30
- Finding
  - Evidence: Staff placed on supernumerary placements at a nursing care home during induction to develop skills under qualified nurse supervision.
  - Published: 2021-10-30
- Finding
  - Evidence: Positive feedback received regarding palliative care, with one care worker highly regarded for compassionate and thoughtful end-of-life support.
  - Published: 2021-10-30
- Finding
  - Evidence: Sufficient staffing levels with people supported by a small consistent group of familiar care workers.
  - Published: 2021-10-30
- Finding
  - Evidence: Robust recruitment practices including DBS checks, two written references, proof of identity and eligibility to work in the UK.
  - Published: 2021-10-30
- **incident_learning** _(critical)_
  - Evidence: the provider's inability to recognise that a person was receiving personal care within their care package and the failure to identify and report potential and actual safeguarding concerns
  - Published: 2021-10-30
- **communication_with_families** _(moderate)_
  - Evidence: The staff member told the person about two other people who used the service, including personal information about people's diagnosis, healthcare needs, family composition
  - Published: 2021-10-30
- **staff_training** _(moderate)_
  - Evidence: Both staff members presented a limited understanding of safeguarding and demonstrated no knowledge of the provider's whistleblowing policy.
  - Published: 2021-10-30
- **governance** _(moderate)_
  - Evidence: The management team did not demonstrate a comprehensive knowledge of the responsibilities associated with providing a regulated service.
  - Published: 2021-10-30
- **complaints_handling** _(moderate)_
  - Evidence: the provider did not appear to recognise the need to make a record of verbal complaints with information about how the complaint was resolved
  - Published: 2021-10-30
- **care_planning** _(moderate)_
  - Evidence: Assessments and care plans did not evidence that staff knew people's needs and wishes well. There was a lack of details about people's wishes, interests, cultural requirements
  - Published: 2021-10-30
- **person_centred_care** _(critical)_
  - Evidence: the person had not been recognised by the provider as a recipient of personal care, although they were receiving daily support to get dressed
  - Published: 2021-10-30
- **consent_capacity** _(moderate)_
  - Evidence: The care staff we spoke with were not aware of the MCA and how it impacted on protecting people's rights.
  - Published: 2021-10-30
- **supervision_appraisal** _(moderate)_
  - Evidence: these were 'spot checks' conducted at people's homes rather than formal supervision sessions that enabled staff to highlight any issues of concern related to their work
  - Published: 2021-10-30
- **medication_management** _(moderate)_
  - Evidence: some care plans instructed care workers to assist people with the application of prescribed topical creams and lotions but did not state the names of these medical items
  - Published: 2021-10-30
- **safeguarding** _(critical)_
  - Evidence: one person was intimidated by a staff member who attempted to coerce them into falsifying a timesheet
  - Published: 2021-10-30
- **safeguarding** _(critical)_
  - Evidence: Staff did not demonstrate a clear understanding of how to protect people from abuse and the provider did not consistently inform appropriate organisations about safeguarding concerns.
  - Published: 2021-10-30

### responsive

- Finding
  - Care needs assessment and planning
  - Published: 2021-10-30
- Finding
  - Complaints handling
  - Published: 2021-10-30

### well_led

- Finding
  - Leadership and management
  - Published: 2021-10-30
- Finding
  - Governance and quality monitoring
  - Published: 2021-10-30

## Source

Data published by the [Care Quality Commission](https://www.cqc.org.uk/) under the Open Government Licence v3.0. Canonical page: https://homecarecompass.co.uk/agency/1-121927528

HomeCare Compass is an independent guide and is not affiliated with the CQC.