Ashmore House

⚠ The provider did not have systems in place to protect service users from the risk of abuse. Regulation 13(1)(2)(3).

⚠ Sufficient numbers of suitably qualified, skilled and experienced staff were not deployed. Regulation 18(1)(2)

⚠ Staff had not received appropriate training and support to enable them to carry out their role. Regulation 18(1)(2)

⚠ The provider had failed to establish and operate effective systems to: Assess, monitor and improve the quality and safety of the service. Regulation 17(1)(2)(a)(b)(c)(e)

⚠ Assess, monitor and mitigate risks to the health safety and welfare of service users and others. Regulation 17(1)(2)(a)(b)(c)(e)

⚠ Seek and act on feedback from relevant persons to continually improve the service. Regulation 17(1)(2)(a)(b)(c)(e)

⚠ The provider had failed to maintain complete records of decisions taken in relation to service user’s care. Regulation 17(1)(2)(a)(b)(c)(e)

⚠ The provider had failed to ensure that premises and equipment are properly maintained. Regulation 17(1)(2)(a)(b)(c)(e)

⚠ Risk assessment had not been carried out in accordance with the Mental Capacity Act 2005 Deprivation of Liberty Safeguards. Regulation 12(2)(a)(g)

⚠ The provider had failed to safely manage medicines safely and properly. Regulation 12(2)(a)(g)

⚠ People did not receive suitable and nutritious food which was adequate to maintain good health and meet their reasonable preferences. Regulation 14(4)(a)(c)

⚠ The provider had failed to assess people’s care needs and preferences. Regulation 9(3)(a)(b)

⚠ The provider had failed to plan people’s care to protect them from the risks of receiving care which was inappropriate or unsafe. Regulation 9(3)(a)(b)

⚠ People were not treated with respect and had not their views taken into consideration. Regulation 10(1)(2)(a)(b)

⚠ People were not given privacy. Regulation 10(1)(2)(a)(b)

⚠ The provider had failed to investigate and take proportionate action in respond to any failure identified by the complaint. Regulation 16(1)(2)

⚠ The provider had failed to establish and operate an accessible system for identifying, receiving, recording, handling and responding to complaints. Regulation 16(1)(2)