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Inspection carried out on 6 September 2017

During a routine inspection

Chesham House is a residential home for up to ten people. The service offers accommodation, care and support to people with mental health needs. The accommodation is over two floors and includes a communal sitting and dining area, a further communal “quiet” room and a communal kitchen. There are eight bedrooms in the main house and a further two flats in the garden. The flats are self-contained as they each have their own kitchen and bathroom. At the time of our inspection there were ten people living at the home.

The inspection took place on 6 September 2017 and was unannounced. The inspection team consisted of one inspector and a mental health specialist advisor with experience of working with people with mental health needs.

There was a registered manager in place. 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 and associated Regulations about how the service is run.

People and staff said they felt safe at the home. The provider had policies and procedures in place designed to protect people from abuse and staff had completed training in safeguarding people. The registered manager knew how and when to use safeguarding procedures appropriately. Risk assessments identified when people were at risk from every day activities and comprehensive plans were in place to minimise those risks and to deliver care and support which met people’s needs. People’s needs were met by suitable numbers of staff. Appropriate recruitment procedures were in place.

People were supported to take their medicines as prescribed and systems were in place to manage peoples’ medicines safely. Two staff administered the medicines which ensured the process and recording were accurate.

People were supported by staff who were trained appropriately for their role. New staff completed an in-house induction and the Care Certificate where they did not have previous experience in support work. The provider had an ongoing training programme in place and staff spoke highly of the training available and additional bespoke training was provided when needed. Staff had training about the Mental Capacity Act 2005 (MCA).

People were supported to shop and make their own meals as well as to access healthcare services when necessary.

Staff formed positive caring relationships with people. Staff presented as genuinely caring and interested in people’s welfare. We observed positive interactions between people and staff on duty. The service supported people to express their views and be actively involved in making decisions about their care and support. Staff respected people’s privacy and dignity when supporting them.

People were supported to undertake a range of activities, both individually and as a group. People who were moving in to the home were involved in choosing the décor of their bedroom. People received personalised care that was responsive to their needs. People’s care and support needs were assessed and care plans were written, reviewed and developed regularly. The registered manager kept a log of complaints raised and we saw that complaints were investigated and responded to and included an apology where this was needed.

The provider and registered manager promoted a positive culture and staff spoke highly of the organisation, the project, and its management. There was a clear management structure in place which demonstrated good management and leadership. The registered manager had a system of audit in place to monitor the quality of service provided. “Service user meetings” were held regularly and were used to discuss the views of people living there and to give people information.