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