Archived: Cambian Ash Lea House

Updated 8 October 2016

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

We undertook an unannounced focused inspection of Ash Lea House on 8 September 2016. This inspection was completed in response to anonymous safety concerns that had been shared with us.

We inspected the service against one of the five questions we ask about services: is the service safe? This was because the concerns we had received all related to safety at the service. Our inspection team consisted of one inspector.

We checked the information we held about the service and provider. This included the notifications that the provider had sent to us about incidents at the service and information we had received from the public. We used this information to formulate our inspection plan.

We spoke with two people who used the service, three members of care staff, the home manager and the provider’s senior homes manager. We did this to gain people’s views about the care and to check that standards of care were being met. During our inspection, we also spoke with a social worker to share our concerns about people’s safety. We did this because we believed people were at risk of significant harm to their health, safety and wellbeing.

We spent time observing how people received care and support in communal areas and we looked at the care records of three people to see if their records were accurate and up to date. We also looked at staff rotas to check staffing levels.

Updated 8 October 2016

We inspected this service on 8 September 2016. This was an unannounced focused inspection that we completed in response to safety concerns that had been shared with us. This was the service’s first inspection since they registered with us in September 2015.

The service is registered to provide accommodation and personal care for up to four people. People who use the service are between 16 and 25 years of age and have complex needs which may include a mental health condition and/or a learning disability. At the time of our inspection three people were using the service.

The service did not have a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act and associated Regulations about how the service is run. A new home manager had been appointed and they told us they were planning on registering with us.

At this inspection, we found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Risks to people’s health, safety and wellbeing were not always assessed, managed or reviewed to promote their safety. Safety incidents were not always reported promptly and action was not taken to prevent further safety incidents from occurring. Medicines were not always available to keep people safe and well.

There were not always enough staff available to keep people safe and meet people’s individual care needs.

People were not always protected from the risk of abuse or improper treatment.