# Ashley Care

*Operated by Ashley Community Care Services Limited.*

Ashley Care is a CQC-regulated home-care agency in Southend On Sea.

## CQC Ratings

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

Rating published: 23/05/2024

## Practical info

- Postcode: SS1 1BH
- Registered manager: Bateman, Kristina
- Local authority: Southend-on-Sea
- Region: East
- City: Southend On Sea
- Last CQC check: 23/May/2024 - 00:00

## Inspection findings

### Other

- Finding
  - Evidence: People and relatives generally felt safe and confident raising concerns with the service.
  - Published: 2022-12-10
- Finding
  - Evidence: Service working in partnership with local authority and other healthcare professionals.
  - Published: 2022-12-10
- Finding
  - Evidence: Weekly cross-department meetings introduced to discuss concerns arising from weekend calls.
  - Published: 2022-12-10
- Finding
  - Evidence: Positive staff culture shift with improved morale and staff feeling valued and supported by management.
  - Published: 2022-12-10
- Finding
  - Evidence: Registered manager introduced a lessons learned folder and action plans following significant incidents.
  - Published: 2022-12-10
- Finding
  - Evidence: Staff understood safeguarding responsibilities and how to report abuse.
  - Published: 2022-12-10
- Finding
  - Evidence: Effective infection prevention and control measures in place with adequate PPE supply.
  - Published: 2022-12-10
- Finding
  - Evidence: Risks to people were assessed, recorded and reviewed.
  - Published: 2022-12-10
- Finding
  - Evidence: Safe recruitment practices in place including references and DBS checks.
  - Published: 2022-12-10
- Finding
  - Evidence: Significant improvements made since last inspection; service exited Special Measures and is no longer rated Inadequate overall.
  - Published: 2022-12-10
- **record_keeping** _(moderate)_
  - Evidence: The auditing process had failed to identify people were not receiving their care calls at their scheduled time as stated in their care plan and where improvement was needed.
  - Published: 2022-12-10
- **staffing_levels** _(moderate)_
  - Evidence: On the days their regular carer(s) were off, the timing of their visits became erratic particularly at the weekend. One relative told us, 'weekend people are often the office staff and they are just in and out.'
  - Published: 2022-12-10
- **care_planning** _(minor)_
  - Evidence: One person who had a catheter in situ had a generic catheter care leaflet in their care plan...with no guidance as to what assistance was required.
  - Published: 2022-12-10
- **medication_management** _(moderate)_
  - Evidence: For one person, staff removed medicines and left on their table for person, this is recorded as 'medication to be prompted', then in their 'All about me' document, states...medication to be administered.
  - Published: 2022-12-10
- **missed_or_late_visits** _(moderate)_
  - Evidence: The majority of their morning calls were carried out between 7am and 8am instead of 8am and 9am. The majority of their lunch time calls were between 11am and 12pm instead of 12pm to 1pm.
  - Published: 2022-12-10
- **missed_or_late_visits** _(moderate)_
  - Evidence: From 01 September 2022 to 22 September, people's care visits were not delivered at the time they were scheduled.
  - Published: 2022-12-10
- **governance** _(critical)_
  - Evidence: We were not assured the current governance arrangements were robust enough and effective in identifying or taking action with regard to staffing shortfalls and issues with the deployment of staff.
  - Published: 2022-12-10
- Finding
  - Evidence: Service was working in partnership with the Local Authority and other healthcare professionals
  - Published: 2022-05-17
- Finding
  - Evidence: Staff had sufficient supplies of PPE and were observed using it effectively by people and relatives
  - Published: 2022-05-17
- Finding
  - Evidence: Staff had a good understanding of safeguarding and how to escalate concerns
  - Published: 2022-05-17
- Finding
  - Evidence: Improvements in staff recruitment practices, no longer in breach of that element of Regulation 18
  - Published: 2022-05-17
- Finding
  - Evidence: Improvements noted relating to some aspects of medicines management and completion of MAR charts
  - Published: 2022-05-17

### safe

- Finding
  - Systems and processes to safeguard people from the risk of abuse
  - Published: 2022-05-17
- Finding
  - Learning lessons when things go wrong
  - Published: 2022-05-17
- Finding
  - Staffing and recruitment
  - Published: 2022-05-17
- Finding
  - Assessing risk, safety monitoring and management; Using medicines safely; Preventing and controlling infection
  - Published: 2022-05-17

### well_led

- Finding
  - Working in partnership with others
  - Published: 2022-05-17
- Finding
  - Engaging and involving people using the service, the public and staff
  - Published: 2022-05-17
- Finding
  - Managers and staff being clear about their roles, and understanding quality performance, risks and regulatory requirements
  - Published: 2022-05-17
- Finding
  - Promoting a positive culture that is person-centred, open, inclusive and empowering; Continuous learning and improving care; Duty of candour
  - Published: 2022-05-17

## 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/1-2430518179

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