Hope Lodge is a three bed care home providing accommodation and nursing care for people with mental health difficulties. At the time of the inspection, two people were using the service. 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.

At the last inspection on 20 November 2015, the service was rated ‘Good’. At this inspection on 10 January 2018, we found the service remained ‘Good’.

The home had a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the home. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the legal requirements in the Health and Social Care Act 2008 and the associated regulations on how the home is run.

People continued to receive safe care. There were enough staff on duty to support people. Risks were identified and actions were taken to minimise these risks to support people as safely as possible. Staff knew how to keep people safe. People received their prescribed medicines safely and when needed. The provider’s recruitment process ensured that staff were suitable to work with people who needed support. People lived in a clean, safe environment that was suitable for their needs.

People continued to be supported by experienced staff who received training and support to enable them to perform their roles effectively. People’s nutritional needs were being met. The staff team worked closely with other professionals to ensure that people remained as healthy as possible and received the healthcare they needed.

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 continued to receive care and support that was responsive to their complex needs.

People continued to be supported by caring staff who treated them with respect. Their privacy and dignity were maintained. People were supported and encouraged to develop and maintain their independence skills and to keep in contact with their relatives.

Management systems ensured the service continued to be well led. The management team monitored the quality of service provided to ensure that people received safe and effective care and support that met their needs.

Further information is in the detailed findings below.

This unannounced inspection took place on 20 November 2015.

Hope Lodge is a three bed service providing support and accommodation to people with mental health difficulties. It is a large house in a residential area close to public transport and other services. The house does not have any special adaptations but the ground floor is accessible for people with mobility difficulties. People lived in a clean, safe environment which was suitable for their needs.

The service has a registered manager. 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. The registered manager is also the registered provider.

People were safe at the service. They were supported by caring staff who treated them with respect. Systems were in place to minimise risk and to ensure that people were supported as safely as possible. A consultant psychiatrist told us that staff were aware of people’s symptoms and what this meant in relation to risk.

Systems were in place to ensure that people received their prescribed medicines safely and appropriately. Medicines were administered by staff who were trained and assessed as being competent to do this.

Staff received the support and training they needed to give them the necessary skills and knowledge to meet people’s assessed needs, preferences and choices and to provide an effective and responsive service.

The staff team worked closely with other professionals to ensure that people were supported to receive the healthcare that they needed both in terms of their physical and mental health needs.

A social worker told us that this was a caring organisation and that staff ensured people’s needs were met.

People were protected by the provider’s recruitment process which ensured that staff were suitable to work with people who need support.

People lived in a clean and comfortable environment that was suitable for their needs.

Staff supported people to make choices about their care. Systems were in place to ensure that their human rights were protected and that they were not unlawfully deprived of their liberty.

People were encouraged to develop their skills. A social worker told us that staff worked with people to increase their independence.

People were happy with the food provided and this met their cultural needs.

People were actively involved in developing their care plans and in agreeing how they should be supported.

The registered manager monitored the quality of service provided to ensure that people received a safe and effective service that met their needs. A consultant psychiatrist told us that the registered manager was proactive and managed their staff team well.