This service provides care and support to people with mental health needs living in a 'supported living' setting as tenants, so that they can live in their own home as independently as possible.

People’s care and housing are provided under separate contractual agreements. The Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

There were 10 people receiving support when we inspected. Dependent upon their mental health needs not everyone using TML Care Solutions always received support with the regulated activity; CQC only inspects the service being received by people provided with 'personal care'; such as help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns.

This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The service met all relevant fundamental standards related to staff recruitment, training and the care people received. People’s care was regularly reviewed with them so they received the timely care they needed.

People were involved in decisions about their support. They 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 friendly, kind and compassionate. They had insight into people’s mental healthcare needs, their capabilities and they respected people's preferences for the way they liked to receive their personal care support.

People were supported to maintain a balanced diet where they were supported with eating and drinking.

People were supported to access community healthcare services, including services that provided specialist mental healthcare support. People were supported to take their medicines by support workers that had received training in medicines management.

The provider and registered manager led staff by example and enabled the staff team to deliver individualised care that consistently achieved good outcomes for all people using the service.

There were arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong so that the quality of care across the service was continually monitored and improved.

The inspection took place on 16 February 2016 and was announced. The provider was given 48 hours’ notice of the inspection because the location provides a domiciliary care service. We needed to be sure that the registered manager would be available to speak with us.

The service provided personal care to adults with mental health needs in a supported living setting. At the time of inspection there were 9 people using the service.

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

People told us that they felt safe when staff supported them and that there were enough staff to meet their needs.

Risk assessments were in place which set out how to support people in a safe manner. The service had safeguarding and whistleblowing procedures in place. Staff were aware of their responsibilities in these areas.

People were supported to take their medicines by care workers who had received training in medicines management.

When people started to use the service a care plan was developed that included information about their support needs, likes, dislikes and preferences. This meant that staff had the relevant information to meet people’s needs.

People were supported to maintain a balanced diet where they were supported with eating and drinking. People were supported to access healthcare services.

Care workers were supported through training and supervision to be able to meet the care needs of people they supported. They undertook an induction programme when they started work at the service.

Staff told us that they sought people’s consent prior to providing their care.

Staff developed caring relationships with people and understood people’s needs and preferences.

People were involved in decisions about their support. They told us that staff treated them with respect.

People were involved in the assessment and review of their needs.

People and staff felt the service was well managed. The service was well organised and led by a registered manager who understood their responsibilities under the Care Quality Commission (Registration) Regulations 2009.

The provider carried out monitoring in relation to the quality of the service that people received.

We spoke with six people who received support. at the time of the inspection. They all said that they were satisfied with the care they received from staff.

A person told us that staff; ‘’staff are really friendly. They help me whenever I need them‘’.

We spoke with three relatives. Everyone told us that the care staff provided was of a very high standard.

One relative said; ‘‘carers do care for people. They keep me informed of all important things’’.

This was a positive inspection. People living in the home and their relatives were satisfied with the care that staff supplied. The essential standards we inspected were met.

We spoke with five people about the service they received. All confirmed that they were satisfied with the service they were provided by the agency. One person said: ‘’staff are all really good. They gave me the help I need’’.

We also spoke with two relatives of people receiving care from the agency. Both relatives said that staff were supportive to their relatives. One person said that the manager of the agency was always very helpful to their relative.