Archived: Mental Health Residential Limited - 71 London Road

Updated 22 May 2019

The inspection:

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 as part of our regulatory functions. This inspection checked whether the registered persons are 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.

We visited the service on 25 April 2019.

Inspection team:

The inspection was completed by one inspector.

Service and service type:

Mental Health Residential Limited – 71 London Road is a care home that provides accommodation and personal care for nine younger adults who need support to maintain their mental health.

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.

Notice of inspection:

This inspection was announced. This was because the people who lived in the service had complex needs for care and benefited from knowing in advance that we would be calling to their home.

What we did:

We used information the registered persons sent us in the Provider Information Return. This is information we require registered persons to send us at least once annually to give some key information about the service, what the service does well and improvements they plan to make.

Reviewed other information we held about the service. This included notifications of incidents that the registered persons had sent us since our last inspection. These are events that happened in the service that the registered persons are required to tell us about.

Invited feedback from the commissioning bodies who contributed to purchasing some of the care provided by the service. We did this so that they could tell us their views about how well the service was meeting people's needs and wishes. This information helps support our inspections.

Spoke with five people living in the service.

Spoke with three care staff, the deputy manager and the manager.

Reviewed documents and records that described how care had been provided.

Reviewed documents and records relating to how the service was run including health and safety, the management of medicines, learning lessons when things had gone wrong, obtaining consent and staff training.

Reviewed the systems and processes used by the registered persons to assess, monitor and evaluate the service.

Used the Short Observational Framework for Inspection (SOFI). SOFI is a way of observing care to help us understand the experience of people who cannot talk with us.

Updated 22 May 2019

About the service:

Mental Health Residential Limited – 71 London Road is a residential care home for nine younger adults who need support to maintain their mental health. At the time of this inspection nine people were living in the service.

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

People's experience of using the service:

People were positive about the service. A person said, "I’ve got what I need here and I’m okay.”

People received safe care and treatment in line with national guidance from care staff who had the knowledge and skills they needed.

People were safeguarded from the risk of abuse and had been supported to take medicines safely.

Lessons had been learnt when things had gone wrong.

People had been helped to receive medical attention when necessary.

People and their relatives were consulted about the care provided and their consent had been obtained.

Care staff were courteous and polite and confidential information was kept private.

People were supported to be as independent as possible and to enjoy occupational and social activities in the community.

There were robust arrangements to manage complaints.

Good team work was promoted and regulatory requirements had been met.

Rating at last inspection:

The service was rated as ‘Requires Improvement' at the inspection on 31 January 2018 and 7 February 2018 (the inspection report was published on 24 April 2018). At the inspection in January and February 2018 there were two breaches of regulations. This was because the registered persons were not operating a safe recruitment and selection procedure. Also, the registered persons had not made suitable provision to operate, monitor and evaluate the running of the service. At this inspection in April 2019 both of the breaches of regulations had been put right. More robust pre-employment checks had been completed to ensure that applicants fully demonstrated they were trustworthy and suitable people to work in the service. In addition to this, the registered persons had strengthened existing quality checks and introduced new audits to enable them to more closely monitor the operation of the service. As a result of these changes the overall rating of the service has improved to ‘Good’.

Why we inspected:

This was a planned inspection based on the rating we gave the service at the inspection in January and February 2018.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit in line with our re-inspection programme. If any concerning information is received we may inspect sooner.