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Thorpe House Specialist Adult Mental Health Unit Limited Good

Inspection Summary


Overall summary & rating

Good

Updated 20 June 2019

About the service: Thorpe House Specialist Adult Mental Health Unit Limited is a specialist mental health service which is registered to provide care to 21 people. They offered both long term and short-term placements with emphasis on promoting independence and rehabilitation. There were 21 people living there at the time of the inspection.

People’s experience of using this service:

People told us they felt safe at the service. Staff, relatives and professionals confirmed in their opinion people were safe.

Some risk assessments lacked the detail required to guide staff to manage the risk of harm. We have made a recommendation to seek further guidance around this.

Maintenance checks on the environment were robust and the service had an onsite maintenance person to coordinate any response required.

Systems were in place to record accidents and incidents. The management team had identified by recording near misses, and a more detailed analysis of incidents, they would have a better insight to prevent future incidents.

People were supported by staff who received appropriate training and support to carry out their roles and responsibilities. Staff felt supported by the management team.

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 supported this practice. People were able to make choices and were involved in decisions about their care.

We saw people leaving the home independently and accessing the community throughout the inspection.

Staff were quick to identify changes in people’s needs and worked closely with other health professionals, so people’s health and well-being was maintained. A nutritionist had been employed to maximise people’s wellbeing through good nutrition. A “hydrations station” had recently been introduced to increase people’s fluid intake and had already had a positive impact

Staff were kind and caring, treating people with respect and maintaining their dignity. People's care and support had been planned in partnership with them, and regularly reviewed to ensure they achieved their goals. People were supported to retain independence skills and learn new skills and the service employed occupational therapists to lead on this aspect of the service.

There was a complaints procedure available which enabled people to raise any concerns or complaints about the care or support they received. The service had received many compliments from relatives and professionals about the quality of the care provided at the service.

The service worked in partnership with other organisations and healthcare professionals to improve people's outcomes.

The acting manager provided staff with leadership and was described as being very approachable. A range of audits and checks were undertaken to help monitor the quality of the service and new measures were due to be implemented. The management team were dedicated to ensuring they provided a high-quality service which put people at the forefront of any changes.

Rating at last inspection: Good (report published 11 November 2016)

Why we inspected: This was a planned inspection based on their previous rating.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection 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

Inspection areas

Safe

Requires improvement

Updated 20 June 2019

The service was not always safe

Details are in our Safe findings below.

Effective

Good

Updated 20 June 2019

The service remained Good.

Details are in our Effective findings below.

Caring

Good

Updated 20 June 2019

The service changed to Good.

Details are in our Caring findings below.

Responsive

Good

Updated 20 June 2019

The service remained Good.

Details are in our Responsive findings below.

Well-led

Good

Updated 20 June 2019

The service remained Good.

Details are in our Well-Led findings below.