This inspection took place on 12 January 2018 and was unannounced.

Crownwise Limited - Streatham Common South 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.

Crownwise Limited - Streatham Common South is a care home for six people with mental health needs. At the time of inspection there were five people living at the service which is located on the ground and basement floors of a detached house.

At the last inspection the service was rated Good, at this inspection we found the service remained Good.

The service had 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 2008 and associated Regulations about how the service is run.

Staff followed adult safeguarding procedures to support people from potential harm and abuse. Fire safety instructions and equipment were available for staff to use in the event of fire. There were enough staff to support people with their care needs. People received their medicines in line with good practice. Staff made appropriate records to monitor the incidents and accidents occurring. Infection control procedures were in place and followed by staff to prevent infections. However, we found the communal bathrooms requiring cleansing.

Staff supported people to manage risks around their daily living. However, some risk assessments were not in place to ensure that people were safe to take part in activities of their choice. We made a recommendation about this.

Staff followed the service’s policies and procedures to ensure people’s wellbeing. Staff regularly attended training courses to support them in their roles and responsibilities. People’s nutritional needs were assessed and people made choices about what and where they wanted to eat. Staff supported people access health care professionals who monitored and maintained their health needs. People lived in the premises that met their care and support needs. Person centred assessments were carried out when people were first referred to 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 supported this practice.

Staff were aware of what was important to people. People’s views were listened to and people made choices about the activities and social events they wanted to take part in. Staff were respectful towards people’s care and support needs. People were treated with dignity and staff encouraged people’s privacy. Staff monitored people’s progress in learning new skills to increase their independence.

Staff followed people’s care plans to meet their individual needs. People were involved in planning their care and support needs. Regular group and one to one meetings were facilitated to gather people’s views and make decisions on the care they wanted to receive. People and their relatives were provided with opportunities to share their experiences and to provide feedback about the service.

People and their relatives told us the management team was approachable and available to speak to when needed. Staff received support from the registered manager to carry out their duties as required. They were involved in the running of the service and were well informed about the service’s activities. Staff were encouraged to learn new skills in their role. People’s care records were suitably maintained and audited as necessary. The service worked in partnership with other agencies to provide people with person centred care.

This unannounced inspection took place 10 November 2014. The last inspection of the service was on 5 November 2013 when the service was found to meet all the standards which were checked at that time.

The service provides care and accommodation to seven people with mental health needs. It is located on the ground and basement floors of a large detached house. The service has a registered manager who has been in post for several years. 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 told us they liked living at the service. They said staff treated them well. Care records confirmed that people had been given appropriate support and care. Their individual needs had been assessed and their support planned and delivered accordingly. People were involved in reviewing their support to ensure it was effective.

People received their medicines safely and were supported to maintain good health. The service worked effectively in partnership with the community mental health team (CMHT). People were supported to attend their health appointments. A health professional from the CMHT told us the service had effectively supported people with complex needs to keep as well as possible. People were encouraged to follow and develop their interests and given the opportunity to comment on the quality of the service.

The provider had undertaken thorough and effective checks on the service. They wrote a monthly audit report on what people had told them about how they were treated by staff and the quality of record-keeping. Recommendations to develop the service were made and these were followed up to ensure people’s experience of the service was improved.

There were five people living in the home at the time of our inspection and they were supported in activities of daily living with the aim to move people towards independent living. We observed during our inspection that people were treated with care and respect. People we spoke to told us, “I do like it here” and another said “it’s quite nice here.” Relatives told us they were very happy with the care the home provided.

People had a staff member allocated as their key worker who regularly reviewed their care to ensure it met their needs. Staff told us that people were supported to make their own decisions and they worked with people on implementing their care plans, for example, encouraging them to engage in activities.

Appropriate arrangements were in place for the cleaning of the home environment and weekly health and safety audits which included a cleaning check, were carried out by staff. People told us they were supported in doing their washing and cleaning their rooms. There was an infection control policy in place.

The provider had an effective staff recruitment and selection process in place and we found that staff had the appropriate qualifications and experience to meet the needs of people in the home.

The provider had an effective recording system in place. People’s records were accurate and fit for purpose and stored securely. Staff records were well maintained and stored in a locked cabinet.

One person who was using the service told us that they felt safe there and that staff helped them to stay healthy.

We found that people had been involved in the planning of their care and the running of the service.

We found that people had been supported to maintain their physical and mental health and to develop their independent living skills and opportunities for community involvement.

People who use the service were protected from the risk of abuse, because the provider had taken reasonable steps to identify the possibility of abuse and prevent abuse from happening.

There were enough qualified, skilled and experienced staff to meet people’s needs.

The provider had an effective system to regularly assess and monitor the quality of service that people receive. The provider had an effective system in place to identify, assess and manage risks to the health, safety and welfare of people who use the service and others.

We spoke to three of the six people who were using the service and all said that they were comfortable in the home, that staff were caring and helpful and that the meals were good. One person told us that staff helped him by reminding him about his appointments and by going to the hospital with him. Another person told us that the staff were good and that if he wanted to raise any issues he felt able to talk to the staff and to the manager and that they have responded well to him. He told us that staff have respected his privacy and that they talk to him politely.