24 October 2012

CQC inspection October 2012

Following a recent  inspection of the 12 bedded Lansdowne Assessment and Treatment Unit on the Blackberry Hill Hospital site in Bristol, the CQC has issued two formal warning notices to the Trust.

The CQC Inspectors found that the Trust was in breach of national regulations covering the safety and suitability of the premises and the care and welfare of patients. The unit was also failing to meet four other standards. The Trust is required to make improvements in relation to the warning notices.

While the inspectors are highly critical of Lansdowne, they also report positive comments by families of service users in the unit about the care and support provided.

The Trust has already taken action to deal with the problems highlighted as explained below.

Since opening three years ago, the needs of service users supported in the Lansdowne assessment unit have become more complex with service users also remaining at the unit for longer than originally anticipated. 
AWP has recognised for some time that the building which hosts Lansdowne no longer provides an appropriate environment for service users with learning disabilities and mental health problems who have complex needs. Space limitations impact negatively on the quality of care that staff can provide and the layout makes it difficult to sustain service improvements and to undertake essential maintenance. Despite these limitations and the related care problems, the safety of service users has been maintained.

Having been unable to find suitable alternative Trust premises, AWP stopped admissions to Lansdowne and after discussion with commissioners, announced on 8 October that we would vacate the unit temporarily to enable maintenance work to be undertaken.

Service users have been safely transferred and the CQC agrees that we should continue to support one person with particular complex needs in Lansdowne to enable a gradual and safe transfer to another location to be effectively managed over the next two weeks.

Staff at the unit are being temporarily redeployed within AWP and some are working as part of the care team of service users transferred to other facilities so as to ensure an effective transition.

We are working with commissioners to review current learning disability guidance and to determine the most effective ways of meeting the mental health needs of people with learning disabilities.

A copy of the full report is available on the CQC website.

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