Archived: Esna House

•Esna House is registered to provide accommodation and personal care support for up to five people who have a mental health condition.

•People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

•Esna House is a terraced house and accommodation is provided over three floors. The ground floor communal areas comprise of a kitchen and dining room, and a sitting room. All rooms are of single occupancy and with en-suite facilities.

•At the time of our inspection, five people were living at the service.

People’s experience of using this service:

•People told us they felt safe living at the home.

•People were supported by staff who knew how to safeguard them from the risk of harm, abuse and neglect.

•People told us staff provided effective, timely and consistent care that enabled them to live healthier lives.

•People’s needs were assessed before they moved to the home.

•People were involved in planning their care and their care plans were comprehensive and regularly reviewed.

•People told us they were encouraged to raise concerns and were satisfied with how their complaints were addressed.

•People were supported by sufficient and suitable staff who received detailed induction, and regular training and supervision to provide effective care.

•Staff were knowledgeable about how to provide care without discrimination, and told us they treated people like individuals and met their individualised needs.

•People told us staff treated them with dignity and respected their privacy.

•The provider had effective systems in place to ensure people’s safety and quality of care.

Rating at last inspection:

•Good (report published 14 October 2016).

Why we inspected:

•This was a planned inspection to check that this service remained Good.

Follow up:

•We will continue to monitor intelligence we receive about the service until we return to visit as per our reinspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

The service had a registered manager in place. However, they did not have responsibility for the day to day running of the service. The registered manager was employed as a manager at another service run by this provider. There was an acting manager in place who had day to day management responsibility for the service. 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.

The service had appropriate safeguarding procedures in place which staff understood. Risk assessments were in place which included information about how to support people in a safe manner. There were enough staff working at the service and robust staff recruitment procedures were in place. Medicines were stored, administered and recorded safely.

Staff were well supported and received regular training and supervision. The service was operating within the Mental Capacity Act 2005 and people were able to make choices about their daily lives. This included choices about what they ate and drank. People had routine access to health care professionals.

People told us they were treated with respect and in a caring manner by staff. The service promoted people’s independence and privacy.

People’s needs were assessed before they moved into the service. The service had a complaints procedure in place and people knew how to make a complaint.

People and staff told us they found the senior staff to be approachable and helpful. The service had various quality assurance and monitoring systems in place. Some of these included seeking the views of people that used the service.