- Care home
Ashleigh House
Report from 18 February 2025 assessment
Contents
On this page
- Overview
- Shared direction and culture
- Capable, compassionate and inclusive leaders
- Freedom to speak up
- Workforce equality, diversity and inclusion
- Governance, management and sustainability
- Partnerships and communities
- Learning, improvement and innovation
Well-led
Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.
At our last inspection we rated this key question good. At this inspection the rating has remained good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.
This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.
The provider had a shared vision, strategy and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.
The registered manager had a clear vision for the care and support they wanted people to receive. They told us they wanted people to have the best quality of life possible and to be able to develop their skills. Staff echoed this ethos and worked in a way that maximised people’s quality of life and independence.
Capable, compassionate and inclusive leaders
The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience and credibility to lead effectively. They did so with integrity, openness and honesty.
The ethos, values, attitudes and behaviours of leaders and care staff ensured people led confident, inclusive and empowered lives. People were treated with respect and dignity and staff treated people as equals.
The registered manager was competent and committed to providing high quality, inclusive care to people. They led by example to ensure their ethos was put into practice by all staff. During our inspection visits we observed staff supported people to be included in conversations and activities. One family member commented, “The staff respect their preferences and ensure they feel part of a community. They are included, and know they always have the option to join in. Both carers and residents support them in ways that bring out the best in them.”
Freedom to speak up
The provider fostered a positive culture where people felt they could speak up and their voice would be heard.
Staff told us how well they knew people and were confident they would know if people were not happy. Staff told us they would take time to understand and address any issues raised by people.
All staff spoken with said they would be confident to raise any issues with the registered manager or a representative of the organisation.
Workforce equality, diversity and inclusion
The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.
Staff felt fairly treated. One member of staff commented, “Staff are totally fairly treated.”
Governance, management and sustainability
The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment and support. They acted on the best information about risk, performance and outcomes, and shared this securely with others when appropriate.
There was a staffing structure at the home which gave clear lines of responsibility and accountability.
The registered manager and provider carried out various audits and checks to identify shortfalls in the service and drive improvements to the care and support people received. There was a continuous action plan in place which enabled progress to be monitored.
Partnerships and communities
The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement.
Leaders and staff had worked with people and their representatives to build a culture that focused on enabling people to enjoy their lives. This included supporting people to continue to have meaningful relationships with friends and family.
Learning, improvement and innovation
The provider focused on continuous learning, innovation and improvement across the organisation. They encouraged creative ways of delivering equality of experience, outcome and quality of life for people.
The model of care was in line with current best practice guidance right support, right care, right culture. Leaders worked with people, their representatives and staff to build a culture that focused on enabling people to enjoy a full life.