This inspection took place on the 13 and 21 April 2017 and was unannounced. At the previous inspection of this service in January 2015 we found one breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009. This was because the provider had failed to notify the care Quality Commission of significant events. We found this issue had been addressed.

The service is registered to provide accommodation and support with personal care to up to five adults with mental health needs. Four people were using the service at the time of inspection. 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.

There were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place. Risk assessments provided information about how to support people in a safe manner. Medicines were managed safely.

Staff received on-going training to support them in their role. People were able to make choices for themselves and the service operated within the principles of Mental Capacity Act 2005. People told us they enjoyed the food. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make complaints.

Staff and people spoke positively about the registered manager. Systems were in place to seek the views of people on the running of the service.

People we spoke to told us that they were involved in decisions about their care. We saw evidence that people had consented to care and support being provided. One person told us that they were helped by care workers with medication.

We reviewed care plans and records from sessions with key workers. We found that people’s preferences were considered by staff in the delivery of their care.

People were not cared for in a clean, hygienic environment and the premises was not being maintained.

We were not provided with evidence that staff were being supervised, appraised and monitored.

On the day of the inspection we reviewed four care plans. They were all using the provider's new format for documenting care which ensured it was regularly reviewed and monitored.

Two people we spoke to on the day of the inspection told us that they had recently had a review of their care plans and were shown what they had agreed and had signed it. The people we spoke to told us they knew where their care plan was and could easily have access to it if they wished.

The people we spoke to told us they were happy at the home and with the care. They also told us they preferred the new format of care plan as there was a lot more detail to record aspirations. We spoke to two family members and they said they were happy with the care provided.

We did inform the registered manager that there were some care plans where they had not been signed or dated by the keyworker which did not provide an accurate record as to when a goal was agreed with an individual.

People we spoke with voiced generally positive opinions about the service and the

support they receive. Comments included, “I have a lot of freedom here.” “I am getting all the help I want.” and “The best things about the home are freedom and feeling part of a community.”

This inspection took place on the 13 and 21 April 2017 and was unannounced. At the previous inspection of this service in January 2015 we found one breach of Regulation 18 of the Care Quality Commission (Registration) Regulations 2009. This was because the provider had failed to notify the care Quality Commission of significant events. We found this issue had been addressed.

The service is registered to provide accommodation and support with personal care to up to five adults with mental health needs. Four people were using the service at the time of inspection. 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.

There were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place. Risk assessments provided information about how to support people in a safe manner. Medicines were managed safely.

Staff received on-going training to support them in their role. People were able to make choices for themselves and the service operated within the principles of Mental Capacity Act 2005. People told us they enjoyed the food. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make complaints.

Staff and people spoke positively about the registered manager. Systems were in place to seek the views of people on the running of the service.