This inspection took place on 22 and 23 February 2017 and was unannounced. We last inspected this service on 26 February 2015, and the provider achieved an overall good rating with some improvements were required in certain aspects of the service under the well led domain.

A manager was in post but not yet registered with the Care Quality Commission (CQC) . A registered manager is a person who has registered with the CQC 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 systems and processes in place to assess and monitor the quality and safety of the service.

People told us that they felt safe and staff we spoke with were confident that they could identify signs of abuse and would know where to report any concerns. Staff received training and supervision and staff training was monitored by the provider. Staff were recruited in a safe way and employment checks were completed before they started to work at the service.

People had been involved in decisions about their care and received support in line with their care plan. The provider had made appropriate applications to the local authority so that people’s rights could be protected. Although, not all staff were clear about which applications had been authorised.

People were supported by staff that were caring and knew people’s care needs including their personal preferences, likes and dislikes. Staff were respectful of people's diverse needs and the importance of promoting equality.

People were supported to maintain good health and had regular access to healthcare professionals. People received their medicines as prescribed. Arrangements were in place to ensure that people made choices about the food they ate and specialised meals were provided when needed.

People were supported to take part in interests and hobbies that they enjoyed. People who could tell us told us they could speak to staff if they needed to, and the provider had a system for listening and responding to complaints.

All the people that we spoke with told us that they were consulted about their care. One person told us, “I choose what I want to do.” We found that before people received any care or treatment they were asked for their consent and the provider acted in accordance with their wishes.

All the people that we spoke with told us that they were happy living at the home and that their needs were being met. One person said, “Happy living here.” Another person said, “Staff know me well and they know how to support me." We found that people experienced care, treatment and support that met their needs and protected their rights.

People that we spoke with told us that they liked the staff that supported them. We found that people were cared for by staff that were supported to deliver care and treatment safely and to an appropriate standard.

All the people that we spoke with were happy with the care they received. We found that the provider had an effective system to regularly assess and monitor the quality of service that people received.

People that we spoke with told us that they would raise any concerns they had with the manager or any of the staff. We found that there was an effective complaints system available.

We saw that Selborne Mews provides care to adults who need both nursing and personal care. The service tries to ensure that the people who use the service are involved in decision making of their activity programmes. We spoke to some people who used the service who said they were happy with the support that they received from the provider. Many people who used the service were supported in accessing college courses and local amenities with staff support. Staff were well trained in all areas that enable them to deliver a good standard of care to the people who used the service. Staff had good knowledge of safeguarding and how to deliver personalised support. However, we found that some people who used the service had not been consulted in their choices to service provision or were not provided with necessary information relating to their treatment.

We carried out this review to check on the care and welfare of people using this service.

We spoke with people who used the services. The following reflects the views of all people using the provider’s service.

As part of our review we spoke with staff members who work for the provider and people who are in receipt of personal care. We did this because we wanted to obtain their views about the service they had received.

People who used the service at Selborne Mews told us that the “staff are friendly” and they were getting the care they needed. People also told us that the staff were on time and reminded them to take their medication.

People told us that the staff followed their care plan and were happy with the care they received. One person told us they would “love to move on but happy here, getting motivated to move on”.

We were unable to speak to further people during our inspection as people declined to talk to us. We saw that staff promoted independence where possible to people and had a good understanding of people’s individual preferences.

Staff treated people respectfully and in a way that promoted their dignity. Through discussion with staff we heard that they had good understanding of what was important for people who used the service.

This was an unannounced inspection that took place on 26 and 27 February 2015. We last inspected this service on 22 July 2013. There were no breaches of legal requirements at that inspection.

Selborne Mews provides nursing and personal care for a maximum of 20 people. The home provides accommodation and care for people who have a learning disability, complex needs (autism spectrum disorder) or mental health needs. At the time of the inspection there were 18 people living there. The home comprises of two units, one providing nursing care and one providing residential care and is set out mainly in the form of small sub-divided flats within the building.

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.

People and their families told us that they felt safe in the home. Staff were aware of their roles and responsibilities in respect of keeping people safe.

Staff were able to demonstrate a detailed knowledge of people living at the home, their likes and dislikes and how to meet their needs. Detailed care plans and risk assessments were in place and were regularly reviewed and updated. However, we noted this was not always consistently applied.

The registered manager had introduced monthly meetings to review accidents and incidents and act on lessons learnt.

Staff felt well trained and supported by the registered manager and their colleagues. There were robust recruitment systems in place to ensure appropriate staff were employed by the home. There was a good team work ethic amongst the staff in the home and the registered manager was very well thought of by people living at the home, their families and staff alike.

Staff had a good understanding of both the requirements of the Mental Capacity Act and the Deprivation of Liberty Safeguards (DoLS). We found that the home complied with the requirements of both.

Medicines were stored securely and people were aware of what their medicines were for. However, we found that the information available for staff when administering ‘as required’ medication was not robust enough to ensure they were administered in a consistent way.

People were supported to have sufficient to eat and drink and encouraged to make healthy choices. People were encouraged to maintain their independence and to pursue other interests outside the home and maintain links with their families.

People knew how to raise complaints and were confident if they did raise concerns that they would be dealt with.

The registered manager was popular and respected. She worked to develop her own learning in order to move the service forward and sought the advice of other professionals where appropriate.

The registered manager had a number of audits in place to assess the effectiveness and quality of the service. However, a number of these systems and processes were not effective in recognising shortfalls within the home.