Warwick House is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement.

Warwick House does not provide nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection. The service supports up to six people with complex mental health conditions, some of whom also had a history of substance abuse. The service provides two year rehabilitation programmes to people to support them to move on to live more independently. There were six people using the service at the time of our inspection.

When we last visited the home on 16 December 2015 and13 January 2016 the service was meeting the regulations we looked at and was rated Good overall. At this inspection we found the service remained Good overall and also for each key question.

There was a registered manager in post 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.

People were protected from abuse and improper treatment as staff understood their responsibilities to safeguard people. The provider trained staff in safeguarding each year.

The provider reduced risks relating to people’s care through suitable risk assessment processes. This included risks relating to people’s mental health conditions and substance misuse. People’s medicines were managed safely.

Staff were recruited through appropriate recruitment processes to check they were suitable to work with people. There were sufficient numbers of staff deployed to support people.

The premises were maintained safely although some window restrictors had been removed during the on-going renovation work. This meant people were at risk from falling from height and the registered manager told us they would reinstall restrictors promptly. The premises met people’s support needs and people had access to all communal areas.

We found the service was clean and infection control processes were in place. However, the registered manager agreed to make infection control audits more comprehensive and robust.

Staff were supported to understand their role and people’s needs through induction, training, supervision and annual appraisal.

People were received coordinated care when moving into the service. People’s care needs were assessed though consultation with people and the professionals involved in people’s care.

The registered manager and staff had a good understanding of the Mental Capacity Act 2005 as they received training in this.

People were positive about the food they received and food was provided according to people’s choices. People were supported with their day to day health needs and to access professionals they needed to maintain their mental and physical health.

Staff knew the people they supported and were respectful towards people. Staff also respected people’s privacy.

People were supported to maintain and build their independent living skills and people shared a goal to live more independently after their two year programme ended. People were encouraged to seek work experience, paid employment or training.

People were supported to maintain and develop relationships to reduce social isolation.

Staff used people’s care plans to provide people with choice in their care in a person-centred way. People’s care plans reflected their physical, mental, emotional and social needs, their personal history, individual preferences, interests and aspirations.

People were supported to access activities they were interested in and told us they had enough to occupy themselves in a meaningful way.

The complaints process continued to be suitable although the service had not rece

Warwick House is a care home that provides accommodation and care for up to six people with mental health needs. There were five people using the service at the time of this inspection.

This inspection took place on 16 December 2015 and 13 January 2016 and our first visit was unannounced. This was the first inspection of the home following registration with CQC in June 2014.

The service had 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 using the service told us that they were happy with the care provided and said they felt safe living at Warwick House. They said there were staff available to support them when they needed it and that the staff treated them with dignity and respect. There was a relaxed and homely atmosphere on both days we visited.

External professionals said that the home worked well with them and provided an effective service for people who were living with complex mental health needs.

We saw there were systems and processes in place to protect people from the risk of harm and staff were aware of safeguarding procedures. Risk assessments helped to keep people safe whilst supporting them to maintain and develop independent living skills. Appropriate recruitment checks took place before staff started work.

The service understood and complied with the requirements of the Mental Capacity Act (MCA) 2005. People were asked for their consent to the care and support they received.

There was a system in place for dealing with people’s concerns and complaints. People using the service told us they knew how to complain and felt confident that staff would respond and take appropriate action.

The registered manager was organised, understood their role and responsibilities and positive feedback was received from people and staff about their leadership. There were systems in place to ensure the safety and quality of the service provided.