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Archived: 229 Mitcham Lane Limited - 99 Sunnyhill Road Good


Inspection carried out on 16 December 2015

During a routine inspection

This unannounced inspection took place on 16 December 2015. 229 Mitcham Lane Limited - 99 Sunnyhill Road provides personal care and accommodation for up to five people with mental health needs. Five people were using the service at the time of the inspection.

The service has a registered manager who has been in post since 2010. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 previous inspection of the service took place on 24 June 2014. The service met all the regulations we checked at that time.

People received safe care and support. Staff had identified risks to people’s health and safety. There were up to date support plans in place to keep people as safe as possible. Staff followed guidance about how to support people safely. People were supported to receive their medicines safely as prescribed.

Staff understood the different types of abuse and neglect which could happen to people and their responsibility to report any concerns to protect them from harm. There were sufficient staff on duty to meet people’s care and support needs.

Staff had the skills and knowledge to support people with their mental health needs. Staff felt supported in their roles. Staff supported people to develop their daily living skills and encouraged them to be as independent as possible. People enjoyed the food provided in the service. The service worked in partnership with healthcare professionals to ensure people received appropriate care and treatment to promote their physical and mental well-being.

Staff knew people well and treated them with respect. People told us staff were kind and caring. Staff were respectful of people’s dignity and privacy. Staff asked people how they wanted to be supported and cared for.

Staff assessed people’s needs before they started to use the service. Staff regularly reviewed people’s needs and the support they required. Staff had put in place support plans which promoted people’s mental health and reflected their choices and preferences.

People were asked for their views of the service and their feedback was used to make improvements. People knew how to make a complaint and felt confident to raise any concern with the registered manager and staff.

Staff understood their role in supporting people with their needs. Regular checks were undertaken on the quality of the service and improvements were made if necessary.

Inspection carried out on 26 June 2014

During a routine inspection

This inspection was carried out by an inspector who gathered evidence to answer our five key questions: Is the service caring? Is the service responsive? Is the service safe? Is the service effective? Is the service well led?

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

If you want to see the evidence supporting our summary please read the full report.

Is the service safe?

Staff were trained in their roles. Risk assessments were completed for people and management plans in place to minimise such risks. Individual crisis plans were in place for people, which enabled staff to identify signs of relapse in people�s mental health. Incidents and accidents were recorded and lessons learnt from them were incorporated into new risk assessments. Medicines were handled safely. People using the service told us they felt safe living at the home.

Is the service effective?

People were involved in planning their care, support and treatment. The provider cooperated with other health professionals in the planning and coordination of people�s care and treatment. People were supported to access health and community services as required. People�s support plans were tailored to reflect their individual needs and the outcomes they wanted to achieve. These were also reviewed to reflect people�s changing needs.

Is the service caring?

Staff understood the needs of people they supported. They treated people with dignity and respect. Staff showed understanding of the needs of people they supported and their different circumstances. Interactions between people and staff were positive and open.

Is the service responsive?

People were supported to participate in activities within and outside the home. There was effective joint working partnership between the home and other professionals to ensure the service responded to people�s needs. People were supported to develop new skills to enable them move on to more independent accommodation. Reviews took place regularly to monitor people�s progress.

Is the service well-led?

Staff were supported and trained adequately in their roles. Staff understood their job roles and the aims of the services. People told us that the provider listened to them and acted on their feedback. Daily handover meetings took place where the quality of service was discussed. The provider had systems in place to gather feedback about the service.

Inspection carried out on 9 April 2013

During a routine inspection

We spoke with two people using the service and their comments included, "staff do a wonderful job here. I recently moved here, it has gone well so far. This is the most comfortable home I have ever known. The service has done a lot for me; I would recommend it. The staff understand my challenges and they help keep me motivated".

We spoke with three mental health professionals involved in the care of people using the service, they spoke positively about the support people received and of them moving on successfully after a period of admission in the home. Their comments to us included, "The staff are helpful and they have kept us up to date with what is going on for people". Another care coordinator told us "the provider and staff have worked in innovative ways to get the best outcomes for people, a person who experienced frequent relapses in their mental health which lead to their homelessness has been enabled to remain stable and avoid hospital readmission since using the service".

A care coordinator involved with people using the service said "staff are very creative, they have clear boundaries which assist people overcome obstacles, staff are firm but kind, they work with people in a caring and respectful way"

Inspection carried out on 27 December 2012

During a routine inspection

We spoke with two of the three people using the service. They told us this care service suited their needs and they were happy living in a house that was homely and non institutional.

A person who recently moved in to the home told us they found the placement was comfortable and staff easy to speak to.

A person spoken with said "The place is friendly and I am at ease using the kitchen and going out in the local community".

A stakeholder spoken with said "Some people placed at the home made good progress and had not needed hospital readmission; they accepted the support provided by staff and developed more practical skills".

A mental health professional told us of persons using the service receiving support that was appropriate to their needs and as a result had successfully achieved compliance with prescribed medication.

We found many positive aspects of the service however there were shortfalls in three essential standards. The interior of the premises was displaying signs of wear and tear and this detracted from the comfortable environment. The provider had not developed an effective quality monitoring system to evaluate and improve the quality of the service and records were not well maintained and to the standards required.

Inspection carried out on 28 June 2011

During a routine inspection

People enjoy the open relaxed environment experienced at the home.

They find that the pleasant and homely interior promotes their wellbeing and morale.

People of African Caribbean origin find that this specific needs led service helps them deal more effectively with challenges and obstacles they experience.

They like having a consistent staff team remains consistent, they appreciate this stability and its contribution to the professional relationship developed with staff.

Staff told us that they enjoy their roles in the service, and enjoy using their skills and knowledge so that people experience improvements in their well being and mental health.

People find that the home offers structure, they receive support with medication and health appointments, and food and lifestyle preferences are accommodated.

Reports under our old system of regulation (including those from before CQC was created)