148 Hornsey Lane provides residential care for people who live with enduring mental health issues. The service can accommodate up to 12 people with mental health difficulties. . There were 12 people using the service at the time of this inspection. The service transitioned early last year from the previous provider to National Schizophrenia Fellowship under the name Rethink.
People’s experience of using this service and what we found
People felt safe. There were processes in place to safeguard people from abuse. Risks to people's safety were assessed and reviewed. There was guidance for staff to follow to know how to keep people safe from harm. Staff understood their responsibilities and could recognise and report abuse.
Recruitment checks were carried out prior to care workers being employed by the service and we verified this.
We saw that risk assessments concerning people’s day to day mental health and other support needs were detailed and were regularly reviewed. There were clear descriptions of potential risks and information for staff about action to be taken to reduce risks and how to respond if new risks emerged. The service liaised with other community based health and social care professionals in order to minimise and respond to potential risks and to help keep people safe from harm.
We also looked at infection prevention and control measures under the Safe key question. We look at this in all inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively.
There were policies, procedures and information available in relation to the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS) to ensure that people who could not make decisions for themselves were protected. The service was applying MCA appropriately. Physical restrictions under DoLS were not applied for at the service as some people using the service were subject to a community treatment order. This would mean that if they did not comply with their treatment in the community, they could be recalled to undergo further treatment on a secure hospital ward if necessary.
People’s health care needs were assessed, and the service had included emerging or enduring physical health needs in people’s care plans to ensure that potential health care needs were met. Care was planned and delivered in a consistent way in co-operation with community mental health services and other health and social care professionals. Information and guidance were provided to staff about what was expected of them and the procedures used at the service.
The service complied with the provider’s procedures to carry out regular audits of all aspects of the service. The provider carried out regular reviews of the service and sought people’s feedback on how the service operated.
The provider worked well to ensure that people were included in decisions about their care. People’s views about how the service was run were respected and taken seriously.
For more details, please see the full report which is on the Care Quality Commission (CQC) website at www.cqc.org.uk
Rating at last inspection
This service was registered with us on 3 February 2022 and this is the first inspection. The last rating for the service under the previous provider was requires improvement published on 6 January 2022.
Why we inspected
This inspection was prompted by a review of the information we held about this service.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.