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Ashview Requires improvement

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Inspection report

Date of Inspection: 9 May 2013
Date of Publication: 13 June 2013
Inspection Report published 13 June 2013 PDF

People should get safe and appropriate care that meets their needs and supports their rights (outcome 4)

Meeting this standard

We checked that people who use this service

  • Experience effective, safe and appropriate care, treatment and support that meets their needs and protects their rights.

How this check was done

We looked at the personal care or treatment records of people who use the service, carried out a visit on 9 May 2013, observed how people were being cared for and talked with people who use the service. We talked with staff and reviewed information given to us by the provider.

Our judgement

People experienced care, treatment and support that met their needs and protected their rights.

Reasons for our judgement

Each person was noted to have a support plan in place detailing their specific care needs and how they were to be supported by staff. The support plans for two out of eight people were viewed. Records were noted to include information necessary to deliver the person's care and it was evident that these were detailed and person centred. In addition we found that risk assessments detailing risks to people's health and wellbeing were recorded including the actions to be taken to reduce risk. The provider may find it useful to note that people's support plans had not been reviewed and updated since April 2012. This means that there was a potential risk that information contained within each person's support plan may not include the most up-to-date information and staff may provide care and support that was not appropriate.

Records showed that people who used the service were supported to maintain their healthcare needs. We saw that staff arranged for people to be seen by their doctor when they became unwell or their medical or mental health condition required a review. There was evidence to show that people were supported to access and visit local healthcare services, for example, speech and language therapy, physiotherapy and consultant psychiatry. There was a clear audit trail detailing appointments undertaken, actions taken and outcomes.

The atmosphere within the service was calm and relaxed and staff interactions with people who lived there were noted to be positive. Staff were able to demonstrate a good understanding of people’s care and support needs. We spoke with three people who used the service. They told us that they were happy living at Ashview House and found the care and support to be appropriate and to meet their needs. Comments included "It's fine here" and "I am able to access the community and choose the activities I want to do." Staff were seen to treat people with respect and in a friendly way.

Each person was noted to have an activity plan summarising a programme of meaningful activities undertaken throughout the week. This included access to social and leisure activities based within the local community and Ashview House. Records also showed that people who used the service were able to attend adult education classes.