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Inspection carried out on 2 August 2018

During a routine inspection

Our inspection of Ashford Loge took place on 2 August 2018. We returned to the service on 9 August 2018 to complete our inspection.

Ashford Lodge is a supported living service for people with mental health support needs. People receiving support live in a shared house with communal facilities. At the time of our inspection the service was providing support to four men with a history of long term use of hospital- based mental health services.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service has a registered manager. Like registered providers, registered managers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act and associated Regulations about how the service is run.

People told us that they felt safe at Ashford Lodge and were happy with the support that they received from staff. We saw that people were comfortable and familiar with the staff supporting them.

Support plans and risk assessments were person centred and provided detailed guidance for staff around meeting people’s needs. People had come to the service following long term hospital stays and their support records showed how they were supported to maintain their mental health and to regain the confidence and skills they required to move on to more independent living in the future.

The service supported people to participate in a range of activities in the local community. Staff members supported people to plan an annual holiday and regular group outings Staff members also encouraged and supported people to identify and access new activities of their choice. People’s cultural, religious and social needs were supported by the service and detailed information about these was contained in their support plans. Staff members demonstrated that they understood people's individual needs and requirements.

Staff members had received training in safeguarding of adults and were able to demonstrate their understanding of what this meant for the people they were supporting. They were knowledgeable about their role in ensuring that people were safe and that concerns were reported appropriately.

Medicines at the service were well managed. People’s medicines were stored safely and given to them appropriately and records of medicines were well maintained. Staff members had received training in the safe administration of medicines. The service aimed to support people to manage their own medicines in the future and regular reviews of progress towards achieving this had taken place.

We saw that staff at the service supported people in a caring and respectful way, and responded promptly to meet their needs and requests. People told us there were enough staff members on duty at all times.

The service was meeting the requirements of The Mental Capacity Act 2005 (MCA). Information about people’s capacity to make decisions was included in their support plans. Three of the four people using the service were subject to restrictions under the Mental Health Act 1983 (MHA), for example, in relation to taking their medicines regularly and returning home at a specified time in the evening. These restrictions were regularly reviewed with the person and their mental health professionals.

Staff who worked at the service received regular training and were knowledgeable about their roles and responsibilities. Appropriate checks had taken place as part of the recruitment process to ensure that staff were suitable for the work that they would be undertaking. All staff members received regular supervision from a manager and those whom we spoke with told us th

Inspection carried out on 11 August 2015

During a routine inspection

We undertook this unannounced inspection on 11 August 2015. Ashford House is a supported living service. At this inspection the service was providing care and support for 4 people with mental healthcare needs.

At our last inspection on 11 June 2013 the service was found to be meeting the regulations we looked at. The service has a registered manager. Like registered providers, registered managers are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements of the Health and Social Care Act and associated Regulations about how the service is run.

People who used the service informed us that they were satisfied with the care and services provided. They said that they were treated with respect and they felt safe when cared for by the service.

People’s needs were carefully assessed. Risk assessments had been carried out and these contained guidance for staff on protecting people. Staff prepared appropriate and detailed care plans with the involvement of people and their representatives. The service carefully monitored people’s physical and mental healthcare needs to ensure that they were well cared for and remained stable mentally. The arrangements for the recording, storage, administration and disposal of medicines were satisfactory. The service had an infection control policy and staff were aware of good hygiene practices.

Staff had been recruited with care to ensure they were suitable and able to care for people. There was a comprehensive training programme for staff to equipped staff in their roles. Staff had the necessary support and supervision from their manager and managing director. The registered manager and her staff knew how to recognise and report any concerns or allegations of abuse.

There were enough staff to meet people's needs. We noted that there was no buzzer or alarm that staff could use when they needed to summon assistance in an emergency. The provider responded promptly and ordered the necessary equipment.

People’s preferences were recorded and arrangements were in place to ensure that these were responded to. Staff were knowledgeable regarding the individual care needs and preferences of people. Regular reviews of care had been carried out so that people could express their views and experiences regarding the care provided. Staff supported people with their meals and encouraged them to have healthy diets.

The service responded well to the needs and choices made by people. Concerns or complaints were promptly responded to. There were comprehensive arrangements for quality assurance. Regular audits and checks had been carried out by the registered manager, senior staff and the director. We saw a record of compliments received and these indicated that people concerned were satisfied with the quality of care provided. Social and healthcare professionals informed us that the service maintained good communication with them and people received a high quality of care.

Inspection carried out on 11 June 2013

During a routine inspection

People’s diversity, values and human rights were respected. Staff understood the needs of the people living in the service and the importance of working in an individual way with each person. People were positive about how staff treated them and said for example “the staff ask when I’m free to do my 1.1 sessions, always work around me and never intrude in my space.”

People said they were happy about the care they received from staff at the service. For example one person told us “I’ve fallen on my feet; staff have time for you here, nothing is too much trouble everything you need is done straight away.”

People were happy with the cleanliness standards. People said that “its perfectly clean here, sometimes I help with the communal cleaning.”

We saw that staff had attended relevant training courses. Several staff were involved in NVQ training. There were enough qualified, skilled and experienced staff to meet people’s needs.

People were happy with the service and were consulted about the running of the service. One person told us “this is an amazing place.” Another person said “after coming from hospital this place is a breath of fresh air.”

Inspection carried out on 4 October 2012

During a routine inspection

The provider had two services located next door to each other called Ashford House and Ashford Lodge. The same staff team provided supported to people living in both houses and everyone entered and left the service via Ashford House. There were four people living in Ashford Lodge on the day of our visit. We spoke with three people who used the service. They were all very positive about the care and support they received. One person told us that staff were “easy to talk to”. Another said of the service, “you get all that you need”. People felt safe and a person told us, “the manager and staff are all very nice”. They knew how to make a complaint and said they would approach the manager if they had any concerns about the service.

Staff received appropriate training and support to enable them to deliver the support to people that they needed. The provider had effective systems in place to monitor the quality of service provided.