This inspection took place on the 7 and 13 November 2018 and was unannounced.

Bisley Lodge is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Bisley Lodge accommodates four people in one adapted building. At the time of our inspection there were two young people using the service.

Bisley Lodge provides therapeutic residential care for young women aged 13-21 who typically self-harm, have attachment difficulties, associated multiple risk-taking behaviours and complex presentations. Bisley Lodge provides a residential alternative to hospital or secure settings. Throughout this report we have described people using the service as young people.

At the time of our inspection, Bisley Lodge had a registered manager in post. 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.

Young people were protected from harm and abuse through the knowledge of staff and management. Robust staff recruitment procedures were used and staff were supported through training and meetings to maintain their skills and knowledge to support people. We found the environment of the care home was clean, had been well maintained and was adapted for its purpose.

Within the structures and boundaries of therapeutic care, young 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. Young people received support from caring staff who respected their privacy, dignity and the importance of developing their independence.

There were arrangements in place for people and their representatives to raise concerns about the service. Effective quality monitoring systems were in operation. The registered manager was approachable to people using the service and staff.

Further information is in the detailed findings below.