Archived: 851 Brighton Road

Updated 27 April 2015

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection was planned to check whether the provider is meeting the legal requirements and regulations associated with the Health and Social Care Act 2008, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

The inspection took place on 1 and 2 December 2014 and was unannounced. The inspection was undertaken by an inspector. Before the inspection, the provider completed a Provider Information Return (PIR). This is a form that asks the provider to give some key information about the service, what the service does well and improvements they plan to make. We also reviewed information we held about the service which included statutory notifications and safeguarding alerts sent to us by the provider. We spoke with four people using the service, one visitor and eight members of staff including the manager. We carried out general observations throughout the inspection. We looked at records about people’s care and support which included three care files. We reviewed records about staff, policies and procedures, general risk assessments, and safety certificates, accidents and incidents, minutes of meetings, complaints and service audits. We inspected the interior and exterior of the building and equipment used by the service.

Updated 27 April 2015

We visited 851 Brighton Road on 1 and 2 December 2014. The inspection was unannounced. The service provides rehabilitation care for up to six female adults recovering from mental disorder.

There was a registered manager in post. 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 at the service felt safe and happy. Staff knew how to recognise and respond to abuse and had completed safeguarding of vulnerable adults training. They knew how to report safeguarding incidents and escalate any concerns if necessary. People were confident they could speak to staff and the manager if they had any concerns. Accidents and incidents were reported appropriately. The buildings and external areas were well-maintained and provided a safe environment for people, staff and visitors. People’s needs were assessed and corresponding risk assessments were developed. There were sufficient numbers of staff to meet people’s needs. People’s medicines were administered safely.

Staff had the skills, knowledge and experience to deliver effective care and treatment. Mental capacity assessments had been completed to establish each person’s capacity to make decisions and consent to care and treatment. Where people were detained under the Mental Health Act 1983 (MHA) they had been informed about their legal status and rights. The manager and staff were aware of the Deprivation of Liberties Safeguards (DoLS) and people not subject to the MHA were assessed and where appropriate an application had been made for DoLS authority. People were supported to have a healthy diet and to maintain good health.

People commented positively about their relationships with staff. They were supported to express their views and were involved in making decisions about their care and treatment. Keyworkers provided additional support for people. There were community meetings every other week where people could express their views and opinions about the day to day running of the home. Staff respected people’s privacy and dignity and helped them to be more independent.

People received personalised care. Care plans were person centred and addressed a wide range of needs. People were involved in the development of their care and treatment. Care plans and associated risk assessments reflected their needs and preferences. Ward rounds took place every other week to review care and treatment. People were encouraged to take part in activities to build their confidence and independence. People were confident that they could raise concerns with staff and the manager and those concerns would be addressed.

Staff spoke positively about the service and the manager. Staff meetings were held once a month and included discussions about and learning from incidents. There was a system of regular audits that monitored and assessed the quality of service provision.