Livability Ashley Place received an overall Good rating following a focused inspection of Safe and Well-Led domains, with Safe remaining Good but Well-Led declining to Requires Improvement due to inconsistent leadership, communication difficulties with families and professionals, and gaps in support planning. The service demonstrated strengths in safeguarding, medicines management, infection control, and a person-centred culture of positive risk-taking.
Concerns (6)
moderateCommunication with families: “Some relatives and professionals told us, they had difficulties in communication with managers, some thought the deputy manager was the registered manager.”
moderateLeadership: “The service management and leadership was inconsistent. Leaders and the culture they created did not always support the delivery of high-quality, person-centred care.”
moderateCare planning: “People's goals and aspirations were recorded and known to staff, but support plans had not been developed to guide staff to know how to consistently support a person to achieve them.”
moderateStaff competency: “I also observe greatly variable understanding and experience in supporting someone who has a learning disability. I am not always confident around the stability of the staff team.”
minorStaff training: “There was mixed understanding or opportunities to apply active support approaches and the registered manager agreed the layout of the building did hinder people's ability to do more daily tasks.”
minorCultural competency: “Some people did comment they were frustrated when trying to communicate with staff who had limited spoken English.”
Strengths
· People felt safe and staff had a clear understanding of their safeguarding responsibilities.
· Robust infection prevention and control measures were in place with up-to-date policies.
· Medicines were administered safely by trained staff with competency checks; STOMP principles were followed.
· Risk assessments were thorough and regularly reviewed with health professionals involved as needed.
· Incidents were managed well, with trends identified and lessons shared across the staff team.