Ebenezer Residential Care Home is a care home providing accommodation and support with personal care for up to three people with mental health conditions. At the time of the inspection they were providing personal care and support to three people.

We inspected Ebenezer Residential Care Home on 30 March 2017. This was an announced inspection. The provider was given 48 hours’ notice because the location is a small care home for adults who are often out during the day and we needed to be sure that someone would be in.

There was 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.

The experiences of people who lived at the service were positive. People told us they felt the service was safe, staff were kind and the care they received was good. We found staff had a good understanding of their responsibility with regard to safeguarding adults.

Risk assessments were in place which provided guidance on how to support people safely. There were enough staff to meet people’s needs. Medicines were managed in a safe manner. There were sufficient numbers of suitable staff employed by the service. Staff had been recruited safely with appropriate checks on their backgrounds completed.

Staff undertook training and received regular supervision to help support them to provide effective care. Staff we spoke with had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). MCA and DoLS is law protecting people who are unable to make decisions for themselves or whom the state has decided their liberty needs to be deprived in their own best interests. We saw people were able to choose what they ate and drank.

Support plans were in place and people were involved in planning the care and support they received. However the support plans were not always person centred for people’s individual needs.

People’s cultural and religious needs were respected when planning and delivering care. Discussions with staff members showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.

People had access to a wide variety of activities within the community. The provider had a complaint procedure in place. People knew how to make a complaint.

Staff told us the registered manager was approachable and open. The service had various quality assurance and monitoring mechanisms in place. These included surveys, audits and staff and residents meetings.

We have made one recommendation about support plans being person centred for people.

We carried out an announced comprehensive inspection of this service on 10 September 2015. We issued two requirement actions. After the comprehensive inspection, the provider wrote to us to say what they would do to meet legal requirements in relation to them not sending us any statutory notifications for people authorised for Deprivation of Liberty Safeguards (DoLS) and quality assurance and monitoring systems not being in place.

We undertook this focused inspection on 22 September 2016 to check that they had followed their plan and to confirm that they now met the legal requirements. This report only covers our findings in relation to those requirements. You can read the report from our last comprehensive inspection, by selecting the 'all reports' link for Ebenezer Residential Care Home on our website at www.cqc.org.uk. At this inspection we found improvements had been made.

Ebenezer Residential Care Home is a care home providing accommodation and support with personal care for people with mental health conditions. The home is registered for three people. At the time of the inspection they were providing personal care and support to three people.

There was a registered manager at the service at the time of our inspection. 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.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The registered manager understood this legislation and had submitted DoLS applications for some people living at the home. Records showed that all staff had completed training on Deprivation of Liberty Safeguards (DoLS) and The Mental Capacity Act 2005 (MCA).

The service had various quality assurance and monitoring systems in place. The registered manager told us and we saw records of regular quality checks. These quality checks included inspecting the premises, medicines and people’s finances. The registered manager completed regular audits of care records for people.

We will not change an overall rating if we carry out a focused inspection more than six months after the publication of the previous comprehensive inspection report. This is because we will not be able to make judgements about all aspects of the service at a reasonably similar time, which we must be able to do in order to award an overall rating.

Ebenezer Residential Care Home is a care home providing accommodation and support with personal care for up to three people with mental health conditions. At the time of the inspection they were providing personal care and support to three people.

We inspected Ebenezer Residential Care Home on 30 March 2017. This was an announced inspection. The provider was given 48 hours’ notice because the location is a small care home for adults who are often out during the day and we needed to be sure that someone would be in.

There was 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.

The experiences of people who lived at the service were positive. People told us they felt the service was safe, staff were kind and the care they received was good. We found staff had a good understanding of their responsibility with regard to safeguarding adults.

Risk assessments were in place which provided guidance on how to support people safely. There were enough staff to meet people’s needs. Medicines were managed in a safe manner. There were sufficient numbers of suitable staff employed by the service. Staff had been recruited safely with appropriate checks on their backgrounds completed.

Staff undertook training and received regular supervision to help support them to provide effective care. Staff we spoke with had a good understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). MCA and DoLS is law protecting people who are unable to make decisions for themselves or whom the state has decided their liberty needs to be deprived in their own best interests. We saw people were able to choose what they ate and drank.

Support plans were in place and people were involved in planning the care and support they received. However the support plans were not always person centred for people’s individual needs.

People’s cultural and religious needs were respected when planning and delivering care. Discussions with staff members showed that they respected people’s sexual orientation so that lesbian, gay, bisexual, and transgender people could feel accepted and welcomed in the service.

People had access to a wide variety of activities within the community. The provider had a complaint procedure in place. People knew how to make a complaint.

Staff told us the registered manager was approachable and open. The service had various quality assurance and monitoring mechanisms in place. These included surveys, audits and staff and residents meetings.

We have made one recommendation about support plans being person centred for people.

All of the people living in the home had been there for a number of years. The staff had all worked there for at least ten years.

People told us they were happy in the home and one relative said “XXX is really happy here. Since he’s been here he’s much more stable.” People went shopping with staff and also attended a day centre four days a week. They were able to socialise with other people there and also undertook activities such as computing skills.

People’s diversity, values and human rights were respected. We saw that staff explained and discussed issues with people so that they understood what was happening.

People's food and drink met their religious or cultural needs. The menus we looked at were varied and reflected people’s different cultural foods and preferences.

Medicines that were prescribed for or to be given to a specific person were administered appropriately. We looked at the Medicines Administration Records (MAR) charts and found that the staff member on duty had signed and dated the MAR chart to confirm that the medication had been taken.

Appropriate checks were undertaken before staff began work at the home. People’s identity had been verified and criminal records checks carried out. There were checks on people’s eligibility to work in the UK.

People told us that they were generally happy with the service and that they had privacy. They also said that they had "good dinners" and that there were choices in this respect. Representatives also told us that the staff seem very nice and that their relatives seemed to be "happy and settled" in the setting. We also looked at the records held on site which demonstrated that individual needs were being assessed and reviewed on an on going basis. There was also evidence that other professionals including doctors and care co-ordinators were involved in the care of people who use the service.

People told us that they liked living at 152 Market Street. They said that the staff were supportive and they were encouraged to access community facilities and local mental health resources.