Ashmore House

Social Care Org · South East

Overall Rating
Inadequate Last inspected 17 February 2015
Domain Ratings
Safe
Inadequate
Effective
Inadequate
Caring
Inadequate
Responsive
Inadequate
Well-led
Inadequate

View Full CQC Report

17 must-do actions

Must-Do Actions (17)

Legal requirements based on regulation breaches identified during inspection.

Must Do
Safe
The provider must have systems in place to protect service users from the risk of abuse.
Regulation 13 HSCA (RA) Regulations 2014 Safeguarding service users from abuse and improper treatment
The provider did not have systems in place to protect service users from the risk of abuse. Regulation 13(1)(2)(3).
Must Do
Safe
The provider must ensure sufficient numbers of suitably qualified, skilled and experienced staff are deployed.
Regulation 18 HSCA (RA) Regulations 2014 Staffing
Sufficient numbers of suitably qualified, skilled and experienced staff were not deployed. Regulation 18(1)(2)
Must Do
Effective
The provider must ensure staff receive appropriate training and support to enable them to carry out their role.
Regulation 18 HSCA (RA) Regulations 2014 Staffing
Staff had not received appropriate training and support to enable them to carry out their role. Regulation 18(1)(2)
Must Do
Well-led
The provider must establish and operate effective systems to assess, monitor and improve the quality and safety of the service.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
The provider had failed to establish and operate effective systems to: Assess, monitor and improve the quality and safety of the service. Regulation 17(1)(2)(a)(b)(c)(e)
Must Do
Well-led
The provider must establish and operate effective systems to assess, monitor and mitigate risks to the health, safety and welfare of service users and others.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
Assess, monitor and mitigate risks to the health safety and welfare of service users and others. Regulation 17(1)(2)(a)(b)(c)(e)
Must Do
Well-led
The provider must establish and operate effective systems to seek and act on feedback from relevant persons to continually improve the service.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
Seek and act on feedback from relevant persons to continually improve the service. Regulation 17(1)(2)(a)(b)(c)(e)
Must Do
Well-led
The provider must maintain complete records of decisions taken in relation to service user’s care.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
The provider had failed to maintain complete records of decisions taken in relation to service user’s care. Regulation 17(1)(2)(a)(b)(c)(e)
Must Do
Safe
The provider must ensure that premises and equipment are properly maintained.
Regulation 17 HSCA (RA) Regulations 2014 Good governance
The provider had failed to ensure that premises and equipment are properly maintained. Regulation 17(1)(2)(a)(b)(c)(e)
Must Do
Effective
The provider must ensure risk assessment is carried out in accordance with the Mental Capacity Act 2005 Deprivation of Liberty Safeguards.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
Risk assessment had not been carried out in accordance with the Mental Capacity Act 2005 Deprivation of Liberty Safeguards. Regulation 12(2)(a)(g)
Must Do
Safe
The provider must safely manage medicines safely and properly.
Regulation 12 HSCA (RA) Regulations 2014 Safe care and treatment
The provider had failed to safely manage medicines safely and properly. Regulation 12(2)(a)(g)
Must Do
Effective
The provider must ensure people receive suitable and nutritious food which is adequate to maintain good health and meet their reasonable preferences.
Regulation 14 HSCA (RA) Regulations 2014 Meeting nutritional and hydration needs
People did not receive suitable and nutritious food which was adequate to maintain good health and meet their reasonable preferences. Regulation 14(4)(a)(c)
Must Do
Responsive
The provider must assess people’s care needs and preferences.
Regulation 9 HSCA (RA) Regulations 2014 Person-centred care
The provider had failed to assess people’s care needs and preferences. Regulation 9(3)(a)(b)
Must Do
Responsive
The provider must plan people’s care to protect them from the risks of receiving care which is inappropriate or unsafe.
Regulation 9 HSCA (RA) Regulations 2014 Person-centred care
The provider had failed to plan people’s care to protect them from the risks of receiving care which was inappropriate or unsafe. Regulation 9(3)(a)(b)
Must Do
Caring
The provider must ensure people are treated with respect and their views are taken into consideration.
Regulation 10 HSCA (RA) Regulations 2014 Dignity and respect
People were not treated with respect and had not their views taken into consideration. Regulation 10(1)(2)(a)(b)
Must Do
Caring
The provider must ensure people are given privacy.
Regulation 10 HSCA (RA) Regulations 2014 Dignity and respect
People were not given privacy. Regulation 10(1)(2)(a)(b)
Must Do
Responsive
The provider must investigate and take proportionate action in response to any failure identified by a complaint.
Regulation 16 HSCA (RA) Regulations 2014 Receiving and acting on complaints
The provider had failed to investigate and take proportionate action in respond to any failure identified by the complaint. Regulation 16(1)(2)
Must Do
Responsive
The provider must establish and operate an accessible system for identifying, receiving, recording, handling and responding to complaints.
Regulation 16 HSCA (RA) Regulations 2014 Receiving and acting on complaints
The provider had failed to establish and operate an accessible system for identifying, receiving, recording, handling and responding to complaints. Regulation 16(1)(2)
Location Details
CQC ID: 1-108971165
Local Authority: Kent
Region: South East
Inspection Report
Type: Comprehensive inspection
Date: 17 February 2015
Rating: Inadequate
Actions: 17 must-do
AI-extracted 17 Feb 2026