We carried out a review of the data available to us about 229 Mitcham Lane Limited - 11 Angles Road on 6 July 2023. We have not found evidence that we need to carry out an inspection or reassess our rating at this stage.
This could change at any time if we receive new information. We will continue to monitor data about this service.
If you have concerns about 229 Mitcham Lane Limited - 11 Angles Road, you can give feedback on this service.
229 Mitcham Lane Limited - 11 Angles Road provides residential accommodation for up to six males with mental health needs. At the time of our inspection there were five people using the service.
People’s experience of using this service and what we found
People using the service told us they felt safe living at 229 Mitcham Lane Limited - 11 Angles Road. There were enough staff employed to meet people’s needs and staff recruitment procedures were safe. Staff supported people to take their prescribed medicines. Risks to people were assessed risks and there were risk management plans which staff followed that helped to keep people safe from harm.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
Staff received training that was relevant to the support needs of people using the service. People’s dietary and healthcare support needs were met by staff. People lived in an environment that was safe and appropriate for their needs.
The service was caring. People’s religious and cultural needs were met, and they were supported to have a say and be involved in making decisions about their care. They lived independent lives and staff encouraged them to maintain their independence.
Care plans for people reflected their individual needs and people took part in activities according to their preferences.
The service was led by an experienced registered manager who encouraged an open and transparent culture. The provider worked with healthcare professionals to ensure people received a good level of care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 7 August 2018).
Why we inspected
This inspection was prompted by a review of the information we held about this service.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for 229 Mitcham Lane Limited - 11 Angles Road on our website at www.cqc.org.uk.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.
At the last inspection, the service was rated Good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.
At this inspection, we found the service remained Good.
229 Mitcham Lane Limited - 11 Angles Road is a ‘care home’. 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.
229 Mitcham Lane Limited - 11 Angles Road provides personal care and accommodation for up to six people with mental health needs. There were five people using the service at the time of the inspection.
There was a registered manager at 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.
People using the service told us they were happy and content living at Angles Road. They told us that staff were caring towards them and helped them whenever they needed. Staff had been working at the service for a long time, this helped to develop caring, long lasting relationships with people. We observed there to be a calm, friendly atmosphere at the service.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People lived independent lives, eating out and going to local cafes and day centres.
Staff supported people with their medicines and helped them to make medical appointments if needed. The service worked with collaboratively with external stakeholders, including health and social care professionals to provide joined up care for people.
Care records included risk assessments and care plans. Risks to people included steps that staff could take to support them and to minimise the risk. Care plans included goals and objectives that people were working towards. Care records were reviewed every three months. People met their key worker every month which gave them an opportunity to give their views on the support they received.
People using the service told us they did not have any concerns or complaints but knew how to raise these if the need arose.
This unannounced inspection took place on 29 December 2015. 229 Mitcham Lane Limited - 11 Angles Road provides personal care and accommodation for up to six people with mental health needs. Three 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 in September 2014. The service met all the regulations we checked at that time.
People told us they felt safe at the service. People received their medicines safely as prescribed. Staff understood their responsibility to identify and report signs of abuse or neglect to protect people from harm. Staff had identified risks to people’s health and put plans in place to support them appropriately. People received support in line with their care plans. There were sufficient staff available on duty to meet people’s needs.
Staff received relevant training and support to carry out their work. People received support to develop their day to day living skills and to promote their independence.
Staff had assessed people’s needs and regularly reviewed them to ensure they received appropriate support. Staff had guidance in place on how to support people effectively. Support plans reflected people’s choices and preferences.
People had access to the healthcare they needed. People enjoyed the choice of food offered at the service. Staff were respectful of people’s privacy and dignity. People had received support to make decisions about their care.
People said they liked being at the service. Staff knew people knew well and had developed positive relationships with them. People said staff treated them with respect and were polite and friendly. People received support to follow their interests and pursue their hobbies. People gave consent to their care and support.
The registered manager sought people’s views of the service and used their feedback to make changes. People understood how to use the service’s complaint procedure and did not have any worries about raising a concern with the registered manager.
The registered manager made regular checks to monitor the quality of the service and made improvements if necessary. The provider had oversight of the running of the service. People and staff said the registered manager was approachable and friendly. A care coordinator told us the registered manager liaised effectively with the mental health team and other healthcare professionals to ensure the service met people’s needs.
At this inspection, we found that the provider had carried out regular quality monitoring visits to the service and had obtained feedback from people who used the service and staff. The provider had effective arrangements in place to check the quality of the service and protect people from the risks to their welfare and safety.
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. Risks were assessed for people and actions were taken to address any risk promptly. 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 learned from them. Staff were trained in safeguarding and managing challenging behaviour. Staff had knowledge and awareness of their roles and responsibilities in reporting abuse. People using the service that we spoke to told us they were safe in the home.
Is the service effective?
People were involved in 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 community and health 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 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. People were supported to engage in community activities.
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. However, the provider did not have formal processes in place for assessing and monitoring the quality of service delivered.
We heard from a person using the service that staff gave them direction and had helped them look positively to the future, they said "I am not able to manage very well on my own but staff are supporting me with developing many basic skills, I can see things are improving for me".
A person recently admitted from hospital told us "I am pleased to live in a pleasant home; they give me structure in my life which I need and are helping me attend a day centre for people with similar conditions".
Staff at the home communicated well with external health professionals and worked closely to achieve the best outcomes for people using the service.
People received the support and encouragement they needed to help promote their health and welfare, and staff supported them to attend all appointments with external healthcare professionals.
Two external health professionals told us they found staff at the home were supportive. They found that staff were successful at supporting people with taking their prescribed medication, they said this benefited people by giving them stability and continuity in their lives.
We heard from a person using the service that it was a pleasant place to live, they said,' We do well in this home, we have some structure in our life, qualified staff are always present that ensure we take our medicine when we should".
People established a sense of stability in this home, and found that staff support and encouragement enabled them to make progress.
Stakeholders spoke of the improvements in communication with staff at the home, appointments were efficiently organised and contact with mental health professionals was good.
They find that it offers good individualised specialist care for people who need high levels of support.
People find that they benefit from the specialist service offered to males of African or Caribbean descent with mental health needs.
Staff who share the same values and cultural background relate well to individual experiences, and the impact of mental health conditions on the people they support.
The environment is conducive to people's needs, people find that it is open, friendly and relaxed which helps them deal with their anxieties.