The service is registered with the Care Quality Commission to provide accommodation and support with personal care to a maximum of 17 adults with mental health needs. 15 people were using the service at the time of our inspection. At the previous inspection in September 2016 we found the service was rated overall as good with one breach of regulations. This was because medicines were not always managed in a safe manner. During this inspection we found this issue had been addressed.

The service had a registered manager in place. 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 2008 and associated Regulations about how the service is run.

People told us they felt safe using the service and there were systems in place to help safeguard people from abuse. Risk assessments were in place which included information about how to support people in a safe way and mitigate the risks they faced. There were enough staff working at the service to meet people’s needs and robust staff recruitment processes were in place. Medicines were managed in a safe manner.

Staff received on-going training and supervision to support them in their role. People were able to make choices for themselves and the service operated within the principles of the Mental Capacity Act 2005. People told us they enjoyed the food and were able to choose what they ate. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint.

Staff and people spoke positively about the senior staff at the service. Quality assurance and monitoring systems were in place which included seeking the views of people who used service.

The service is registered with the Care Quality Commission to provide accommodation and support with personal care to a maximum of 17 adults with mental health needs. 15 people were using the service at the time of our inspection. At the previous inspection in September 2016 we found the service was rated overall as good with one breach of regulations. This was because medicines were not always managed in a safe manner. During this inspection we found this issue had been addressed.

The service had a registered manager in place. 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 2008 and associated Regulations about how the service is run.

People told us they felt safe using the service and there were systems in place to help safeguard people from abuse. Risk assessments were in place which included information about how to support people in a safe way and mitigate the risks they faced. There were enough staff working at the service to meet people’s needs and robust staff recruitment processes were in place. Medicines were managed in a safe manner.

Staff received on-going training and supervision to support them in their role. People were able to make choices for themselves and the service operated within the principles of the Mental Capacity Act 2005. People told us they enjoyed the food and were able to choose what they ate. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint.

Staff and people spoke positively about the senior staff at the service. Quality assurance and monitoring systems were in place which included seeking the views of people who used service.

People who used the service told us that they were happy living at the home. They told us that staff were kind and treated them with respect.

People who use the service were positive about the care and treatment they received at the home. They confirmed that staff assisted them when they needed support with their care and that staff were very helpful. People also told us they had good access to health care professionals such as doctors, district nurses, dentists and chiropodists.

We spoke to people about safety. They told us that they felt safe and that if anything ever happened they would be happy to speak to the manager.

Staff we spoke with told us that they underwent a robust application process. We saw in staff files that appropriate checks were completed and that all staff had a comprehensive induction.

We found that all areas of risk had been appropriately assessed and that the provider carried out regular checks and reviews. Policies and procedures were comprehensive and appropriate to ensure the delivery of a safe, effective service.

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On the day of the inspection there were five staff and seven people at the home. We were able to speak to all the staff and to the majority of the people who use this service. We observed that staff were polite and courteous to people. We also observed through observation that people had choices and that they were fully involved in decision making. Care plans showed us that care was personalised and appropriate. People also had good access to all associated professionals.

People who use this service told us that they felt safe at this home. Staff had a good knowledge of all areas of safeguarding. We observed that the provider had up to date policies and procedures that were reviewed regularly.

The people using services told us that they were happy with the services provided at Ashwood House Limited (Leyton). They told us that the manager and staff made it possible for them to achieve positive outcomes, despite the challenges they faced. Some of the key areas that stood out for them included, being listened to, being involved in a real way in the home and in all aspects of their care, feeling safe, having opportunities for personal development and having access to a range of activities. People using services also told us that they loved living in the home. Some people also told us that they were looking forward to moving on and were confident that the service would help them in this respect.