One One Eight

Updated 3 April 2020

The inspection

We carried out this inspection under Section 60 of the Health and Social Care Act 2008 (the Act) as part of our regulatory functions. We checked whether the provider was meeting the legal requirements and regulations associated with the Act. We looked at the overall quality of the service and provided a rating for the service under the Care Act 2014.

Inspection team

One inspector carried out the inspection.

Service and service type

One One Eight is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The service had a manager registered with the Care Quality Commission. This means that they and the provider are legally responsible for how the service is run and for the quality and safety of the care provided.

Notice of inspection

We gave the service 24 hours’ notice of the inspection. This was because it is a small service and we needed to be sure that the provider or registered manager would be available to support the inspection.

What we did before the inspection

We reviewed information we had received about the service. We sought feedback from the local authority and professionals who work with the service. We also contacted Healthwatch. Healthwatch is an independent consumer champion that gathers and represents the views of the public about health and social care services in England.

We used the information the provider sent us in the provider information return. This is information providers are required to send us with key information about their service, what they do well, and improvements they plan to make. This information helps support our inspections.

During the inspection

We spoke with three of the people who used the service and three family members about their experience of the care provided. We spoke with the registered manager, deputy manager, team leader/health and safety lead, creative coordinator and two support staff. We spoke with, and received feedback from, six health and social care professionals who worked with the service.

We reviewed a range of records. This included two people’s care records and multiple medication records. We looked at the recruitment records for a new member of staff. A variety of records relating to the management of the service, including policies and procedures were reviewed.

After the inspection

We continued to seek clarification from the registered manager to validate evidence found.

Updated 3 April 2020

About the service

One One Eight is a care home which provides therapeutic support for up to six younger adults who have a mental health condition. It is a service for those people with enduring mental health needs who wish to work towards recovery in a supported environment. At the time of the inspection, six people were using the service.

People’s experience of using this service and what we found

There was a strong, visible person-centred culture at the service. Without exception, people and family members spoke very positively about the caring nature of staff. One person told us they felt “privileged” to live at the home. Staff were extremely caring and empathetic in their approach to people. Respecting equality and diversity was embedded in the service. All decision-making centred around people. Staff were exceptional at supporting people to express their views so they got the care and support they needed. Staff excelled at supporting people to maintain and increase their independence.

The service was exceptionally person-centred and responsive to people’s individual needs. Staff developed extremely positive relationships with people to ensure their needs were met. People were regularly engaged in person-centred activities and to access the wider local community. Healthcare professionals spoke very positively about the creativity of staff. Staff had taken innovative steps to meet people’s information and communication needs. The person-centred approach and regular, daily engagement with people meant any concerns or issues were immediately identified and resolved before becoming a formal complaint.

The provider and management team were highly motivated and passionate about making sure people received person-centred and high-quality care. Staff felt the leadership of the service was exceptional. There was a strong emphasis on continuous improvement. The provider and management team had carried out extensive research into best practice. There were consistently high levels of constructive engagement with people, family members and staff. The service had forged and maintained excellent links with health and social care professionals and other local organisations. The provider had robust governance processes in place to ensure they were able to monitor and assess the quality of their service.

The service worked with people so they could take ownership of their medicines in preparation for a move into independent living. This included discussions about a reduction in the use of anti-psychotic medicines and safe ways to achieve this. Appropriate safeguarding procedures were in place and staff had been trained in how to protect people from abuse. Risks were well documented and managed. The provider carried out appropriate security and identification checks when they employed new staff.

People and family members spoke positively about the staff. Regular assessments and reviews took place to ensure people’s needs were being met. People were supported with their healthcare needs and had access to healthcare professionals when required. People 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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was good (published 22 September 2017).

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.