You are here

Ashness View Requires improvement

Inspection Summary

Overall summary & rating

Requires improvement

Updated 20 November 2019

Ashness Two is a residential care home providing personal care to people with mental health support needs. The service can support up to five people. At the time of the inspection there were four people living at the service.

The care home is an adapted period property with 5 bedrooms with a small communal lounge and kitchen and medium sized garden.

People’s experience of using this service and what we found

People told us they felt safe living at the service. The provider had assessed the risks people faced, however, had not always developed guidance about how to reduce these risks and what to do in emergency medical situations.

Medicines were not always managed safely. Medicine errors found during the inspection were corrected immediately and the provider implemented a new system to check medicines immediately.

Care records were not always personalised to reflect people’s preferences. People told us staff knew them well and were caring. Staff supported people’s diversity. People were involved in planning their care and were supported to maintain their independence.

The provider’s systems were not always robust enough to identify the issues we found at the service and ensure quality care. The provider had an ongoing development plan to improve the service and had developed partnerships with other organisations to develop the service.

People knew how to make a complaint about their care and felt the service listened to them. The service was open and inclusive and people spoke highly of the management team.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. People were encouraged to eat and drink enough and to access healthcare services.

For more details, please see the full report which is on the CQC website at

Rating at last inspection and update: The last rating for this service was good (published 20 April 2017) and there was one recommendation about safe care and treatment. At this inspection we found enough improvement had not been made and the provider was now in breach of the regulation to provide safe care and treatment.

Why we inspected

This was a planned inspection based on the previous rating and to check the safety and quality of care people received.

We have found evidence that the provider needs to make improvements. Please see the safe and well led sections of this full report.


We have identified one breach in relation to safe care and treatment at this inspection.

We made a recommendation about good governance .

Please see the action we have told the provider to take at the end of this report.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas


Requires improvement

Updated 20 November 2019

The service was not always safe.

Details are in our safe findings below.



Updated 20 November 2019

The service was effective.

Details are in our effective findings below.



Updated 20 November 2019

The service was caring.

Details are in our caring findings below.



Updated 20 November 2019

The service was responsive.

Details are in our responsive findings below.


Requires improvement

Updated 20 November 2019

The service was not always well-led.

Details are in our well-led findings below.