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Archived: Ashleigh House

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Inspection report

Date of Inspection: 30 September 2011
Date of Publication: 20 October 2011
Inspection Report published 20 October 2011 PDF | 30.49 KB

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 reviewed all the information we hold about this provider, carried out a visit on 30/09/2011, looked at records of people who use services and talked to staff.

Our judgement

The care planning and delivery of care, treatment and support were in place. People were safe, their welfare was protected and their needs met.

User experience

One service user said that they were happy living at Ashleigh House.

Other evidence

We looked at the comprehensive care plan and risk assessments for one particular service user who had regular contact with their parents. This service user had in the past made threats to commit suicide or self harm. These threats were known by the service users parents, care manager, psychiatrist and alcohol support team.

We were informed by the provider that this person had never made any direct threats within the home regarding suicide or self harm.

When staff had discussed these issues with the person they had stated that they did not wish to commit suicide or self harm.

There were arrangements in place for this persons parents to alert the home if their relative made any further threats; following any threats made, the home would then implement half hourly observations throughout the day to monitor their mood levels when they were in the home, and hourly checks throughout the night, these precautionary arrangements had been agreed with the persons care manager.

The area manager told us that this person was fully independent in the home and in the community, therefore it was recognised that they could carry out these threats at any time.

She said it had been agreed with all concerned that removing this person’s personal belongings from their bedroom to prevent self harm would not prevent them from carrying out threats should they wish to do so. It had been decided that this could cause further distress to the person by removing their belongings and creating a sterile environment.

The service user had continued to receive regular support from their Psychiatrist, Alcohol support team, Care Manager, and they received excellent support from their parents.

During the visit, we had the opportunity to speak to this service user’s parents. They confirmed that these threats happened quite some time ago when their relative was suffering from depression. They said that their relative is now well and does not pose a threat to them self any more.

The service user’s parents were concerned about their relative’s future care needs. Following a discussion with the area manager, it was agreed that a best interest meeting should be arranged. This will allow everyone the opportunity to discuss the service user’s potential future placement and their care, treatment and support needs.

We looked at another persons care records; this person had a history of drug abuse. On two occasions this person had been found to be smoking an illegal substance in their bedroom. We saw that the provider had made every attempt to discourage the service user from doing so in the home. We saw a care plan in place that stated "the Police were to be informed if this activity persisted”. The area manager said that this service user was adhering to this decision. The service users care manager had also been consulted and had agreed to the decision made.