Working at Ashley Court Care Limited

Managers do not understand how to audit properly, so problems with care plans and incidents go unchecked.

During our conversations with the registered manager and deputy manager they were unable to demonstrate they understood the importance and process of auditing.

Staff give conflicting advice on managing risks like falls or distress, with no updates after incidents.

Some staff were not always aware of people’s individual risks and how these were managed. This placed people at risk of significant harm. For example, a staff member told us that a person who was at risk of falls understood their risks and independently mobilised, whereas another staff member told us this person needed to be supervised.

The staffing tool misses some residents needs because care plans are not up to date, even though enough staff were on shift.

The registered manager told us there was a staffing tool in place that was used to ensure there were enough staff available for people. They told us all people’s needs were assessed through the care planning/dependency process; however, they confirmed when people had low needs this was not then added to the dependency part of the tool.