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Ashmore House

Type Social Care Org Region South East Last inspected 17 Feb 2015

Archived This service was archived (deregistered) by CQC on 12 Apr 2015. The ratings below are historical and do not reflect a current service.

Overall rating: Inadequate  View full CQC report

Domain ratings

Five CQC key questions
Safe
Inadequate
Effective
Inadequate
Caring
Inadequate
Responsive
Inadequate
Well-led
Inadequate

Earlier inspection findings

pre-2024 framework · 17 must-do

Must-do actions (17)

Legal requirements based on regulation breaches identified during inspection.

Must-do action 1 of 17
Must do
Safe
The provider must have systems in place to protect service users from the risk of abuse.
Regulation: 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 action 2 of 17
Must do
Safe
The provider must ensure sufficient numbers of suitably qualified, skilled and experienced staff are deployed.
Regulation: 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 action 3 of 17
Must do
Effective
The provider must ensure staff receive appropriate training and support to enable them to carry out their role.
Regulation: 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 action 4 of 17
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: 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 action 5 of 17
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: 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 action 6 of 17
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: 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 action 7 of 17
Must do
Well-led
The provider must maintain complete records of decisions taken in relation to service user’s care.
Regulation: 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 action 8 of 17
Must do
Safe
The provider must ensure that premises and equipment are properly maintained.
Regulation: 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 action 9 of 17
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: 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 action 10 of 17
Must do
Safe
The provider must safely manage medicines safely and properly.
Regulation: 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 action 11 of 17
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: 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 action 12 of 17
Must do
Responsive
The provider must assess people’s care needs and preferences.
Regulation: 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 action 13 of 17
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: 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 action 14 of 17
Must do
Caring
The provider must ensure people are treated with respect and their views are taken into consideration.
Regulation: 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 action 15 of 17
Must do
Caring
The provider must ensure people are given privacy.
Regulation: Regulation 10 HSCA (RA) Regulations 2014 Dignity and respect
⚠ People were not given privacy. Regulation 10(1)(2)(a)(b)
Must-do action 16 of 17
Must do
Responsive
The provider must investigate and take proportionate action in response to any failure identified by a complaint.
Regulation: 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 action 17 of 17
Must do
Responsive
The provider must establish and operate an accessible system for identifying, receiving, recording, handling and responding to complaints.
Regulation: 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