1 and 2 December 2014
During a routine inspection
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.