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Inspection carried out on 27 February 2019

During a routine inspection

About the service:

Harbour Care Home provides accommodation and personal care for up to 12 people with mental health needs. At the time of the inspection there were eight people living at the service. This service also provided care and support to people living in a ‘supported living’ setting, so that they can live as independently as possible. There were seven people receiving a regulated activity. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

People’s experience of using this service:

•The service enabled people to receive care whilst enabling them to lead more independent lives. One person told us, “I like it here. Staff help me do things, they listen to me.”

•People had good relationships with staff, who were knowledgeable of their physical and emotional needs, as well as likes, dislikes and interests. Staff were responsive to changes in people's health needs. If needed, they sought advice from relevant professionals.

•People felt safe living at the service. “I really feel safe here”, one person told us.

•People were encouraged to be as independent as possible. People had goals to aim for.

•People felt comfortable raising any complaints with staff and the registered manager.

•People were fully involved in their care planning and received information in a way that they understood.

•People were protected from the spread of infection and medicines were stored and managed safely.

•People were asked feedback about the service they received.

•People found the registered manager approachable and supportive.

Rating at last inspection: This service was rated, “Good” at the last inspection. (20 January 2017)

Why we inspected: This was a planned comprehensive inspection to check the service remained Good.

Follow up: We will continue to monitor the service through the information we receive. We will carry out another scheduled inspection to make sure the service continues to maintain a Good rating.

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

Inspection carried out on 21 June 2016

During a routine inspection

This inspection took place on the 21 June 2016 and was unannounced.

Harbour Care Home provides accommodation and personal care for up to 12 people with mental health needs. The service is located in a residential area in Herne Bay and is set over three floors. Everyone had their own room. At the time of the inspection there were nine people living at the service.

An acting manager was leading the service and had been the acting manager since December 2015. They told us it was their intention to apply to the Care Quality Commission to be the registered manager. The service had been without a registered manager for 16 months. 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.

Notifications were not always sent in line with Care Quality Commission guidelines. Notifications are information we receive from the service when significant events happen, like a death or a serious injury. This was an area for improvement.

People told us they felt safe, were well looked after, happy and would inform staff if they were concerned about abuse. Staff knew what abuse was and they had completed safeguarding training. Staff knew what action to take if they suspected abuse and who to report abuse to, such as the local authority adult protection safeguarding team. Staff told us they felt confident to discuss any safeguarding concerns with the manager.

People were involved in writing their support plans and contributing towards their risk assessments. Risk to people’s safety had been assessed and staff managed risks in line with individual risk assessments. Support plans were regularly reviewed, detailed and organised.

All accidents and incidents were recorded and monitored by the manager. The manager looked for any patterns so they could take action to prevent further incidents.

Plans were in place for emergencies like a fire or a flood and staff knew what to do in the event of an emergency. Safety equipment, electrical appliances and gas safety were all checked and the checks were up to date. There were regular fire drills and people knew how to leave the building safely.

Safe recruitment procedures were in place and people were involved in recruiting new staff. New staff worked through an induction and shadowed more experienced colleagues before they worked with people alone. New staff also read people’s support plans to help familiarise themselves with people’s needs.

There was enough staff on duty to meet people’s needs and the provider was in the process of recruiting new staff. Most staff had been at Harbour Care Home for some time and knew people well. Staff had the knowledge and skills required to carry out their roles and responsibilities. Staff received relevant up to date training and were encouraged to pursue nationally recognised qualifications in health and social care if they wished to.

Staff received support through regular face to face meetings with the manager or senior staff. Staff had regular team meetings led by the manager, where updates and various work related issues were discussed.

People living at Harbour Care Home had the capacity to make decisions for themselves and staff sought people’s consent before supporting them where required. Staff were aware of the Mental Capacity Act 2005 and of the principles of holding best interest meetings if a person lacked capacity.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. These safeguards protect the rights of people using services by ensuring if there are any restrictions to their freedom and liberty, these have been agreed by the local authority as being required to protect the person

Inspection carried out on 25, 29 April 2014

During a routine inspection

The inspection team was made up of one inspector. We visited the home over the course of two days. On the first day we spent four hours in the home looking at care records, talking to staff and people who used the service. On the second day we spent two hours in the home and looked at the recruitment procedures and quality assurance processes. We also had the opportunity to talk to more people who used the service. We set out to answer our five questions; Is the service safe? Is the service effective? Is the service caring? Is the service responsive? Is the service well led?

Below is a summary of what we found. The summary is based on our observations during the inspection, discussions with people using the service, their relatives, the staff supporting them and looking at records.

Is the service safe?

A thorough assessment process ensured that the home could meet the needs of the people who used the service.

The environment was well maintained with regular safety checks carried out so that the home was safe for people to live in.

Recruitment processes were safe. This was because there were robust procedures in place which meant all prospective members of staff were subject to thorough checks before they started working at the home.

Is the service effective?

The aim of the home was to provide accommodation and support for people who were moving on to live independently in the community. By the means of goal and support planning people were helped to achieve this.

Our observations showed that people received the support outlined in their plan in the way that suited their needs. It was clear from what we saw and from speaking with staff that they understood people�s needs and they knew people well. People told us that they were supported in the way they wanted to be.

Is the service caring?

People who lived in the home felt they could trust the manager and staff and felt that they were listened to.

People who lived in the home had regular meetings where they could put forward any ideas or suggestions. We saw that these were listened to and people�s opinions were respected.

People who lived in the home were able to contribute to the recruitment of new staff. A �resident� representative sat on the interview panel and was able to ask prospective members of staff questions that had been devised by the people who lived in the home. This enabled people to have the opportunity to have their say about the staff who would be caring for them.

Is the service responsive?

We found that the manager and staff were approachable and encouraged people to voice any concerns or ideas for change.

People regularly contributed to their support planning so that any changes could be identified and new goals agreed.

People completed a range of activities in and outside the service regularly and new suggestions were listened to.

People who lived in the home were able to contribute and have their say about how the service was run. There was a resident representative who represented other people who lived in the home at staff meetings. People could choose who they wanted their representative to be, and people who lived in the home all had the opportunity to take over this role.

Is the service well led?

Staff we spoke with had a good understanding of the different policies and procedures. They knew where to access them and where they get further advice from. Staff told us that they felt well supported and were given the information they needed to support the people who lived in the home.

The manager took an active role in the running of the home and met with staff and people who lived in the home to listen to what they had to say.

There were suitable quality assurance processes in place that checked that people received safe care and lived in an environment that was well maintained.

Inspection carried out on 16 May 2013

During a routine inspection

People who used services said that the staff treated them with respect, listened to them and supported them to raise any concerns they had about their care. People told us that the service responded to their health needs and that staff talked to them regularly about their care and any changes that may be needed.

People told us they received care from a small team of staff and were happy with the care received and had no concerns relating to the home.

All spoken with expressed a great deal of satisfaction from living within the service and did not raise any concerns about the quality of care. All said if they were not happy they would speak to staff or the manager.

Many comments received were complimentary of the service. One person said �I like living here there are no problems� another said �I�m quite happy here. Staff treat me well�. Other people were complimentary of the food and had no concerns about the quality of care. Another said �Staff are very good. They respect us and treat us well�.

Staff spoken with showed knowledge of safeguarding people from abuse and how and where to report any suspicions or concerns. Staff had received training on how to keep people safe. Staff were able to obtain further relevant qualifications. Staff spoken with demonstrated, through discussion that they had the skills to carry out their role. Records viewed showed the majority of staff had received training in core courses.

Inspection carried out on 31 August 2012

During a routine inspection

People who use the service told us what it was like to live at this service and described how they were treated by staff and their involvement in making choices about their care. They also told us about the staffing and issues around consent to treatment.

People said that they were happy with the care and support they were receiving and that their needs were being met in all areas. They said that the staff treated them with respect, listened to them and supported them to raise any concerns they had about their care. People told us that the service responded to their mental health needs quickly and that the manager talked to them regularly about their plan of care and any changes that may be needed.

Inspection carried out on 28 November 2011

During a routine inspection

Harbour Care Home provides care and accommodation for up to 12 people suffering, or recovering from mental illness. The home is a three storey detached house, which is within close proximity to local shops and public transport. The people who live in the home have use of a communal lounge/diner and garden.