The Care Quality Commission (CQC) undertook an inspection of the Ashley Manor Nursing Home in Liverpool at the end of March 2011. The inspection demonstrated that the home was failing to meet five of the sixteen essentail safety requirements.
People should get safe and appropriate care that meets their needs and supports their rights
The CQC felt that the risks to people receiving safe and appropriate care and treatment were increased due to poor standards of assessment, planning and delivery of care.
People should be cared for in a clean environment and protected from the risk of infection
The CQC found that a number of areas across the home fell below the standards they would expect to be in place to maintain a clean and appropriate environment for people who use this service. They found that the home does not have a detailed cleaning schedule/plan to ensure all areas and key items which require cleaning are identified and listed.
There should be enough members of staff to keep people safe and meet their health and welfare needs
The CQC did not consider that people who use this service benefited from sufficient staff to meet their needs and thus they felt that care given to people was compromised as a consequence this. The Registered Manager confirmed that she has not carried out a needs analysis and risk assessment as the basis for deciding sufficient staffing levels. There was no system in place for ensuring that staff levels were monitored and reviewed to ensure safe levels.
Staff should be properly trained and supervised, and have the chance to develop and improve their skills
Overall the CQC found that the provider was meeting some but not the all of the requirements for this standard. They consider there to be insufficient evidence to demonstrate that staff are properly supported to provide care and treatment to people who use the service. There was evidence that staff were properly trained but satisfactory supervision and appraisals arrangements were not in place.
The service should have quality checking systems to manage risks and assure the health, welfare and safety of people who receive care
In respect of monitoring the quality of services that people who use the service, the CQC considered that this standard was not met. They identified that there were no robust arrangements in place to make sure people are not harmed as a result of unsafe care, treatment and support. They saw limited information in relation to reporting on quality, risk and improvement plans and were not assured that the results of this were adequately acted upon.
Sue McMillan, Regional Director for CQC in the North West says, “The care at Ashley Manor Nursing Care Home is not good enough. The law says these are the standards that everyone should be able to expect when they receive care. Providers have a duty to ensure they are compliant – or face the consequences.
“It is clear standards require significant further improvement so we will continue to monitor this service very closely to ensure these improvements are made and sustained.”
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