148 Hornsey Lane

Updated 7 March 2023

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 Health and Social Care Act 2008.

Inspection team

This inspection was carried out by one inspector.

Service and service type

148 Hornsey Lane is a ‘care home’. People in care homes receive accommodation and nursing and/or personal care as a single package under one contractual agreement dependent on their registration with us. 148 Hornsey Lane is a care home without nursing care. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Registered Manager

This provider is required to have a registered manager to oversee the delivery of regulated activities at this location. A registered manager is a person who has registered with the CQC to manage the service. Registered managers and providers are legally responsible for how the service is run, for the quality and safety of the care provided and compliance with regulations.

At the time of our inspection there was a registered manager in post.

Notice of inspection

This inspection was unannounced.

Inspection activity started on 12 January 2023 and concluded on 23 February 2023. We visited the care home on 1 and 6 February 2023.

What we did before the inspection

We used the information the provider sent us since their registration, and they were in the process of completing a provider information return (PIR) that had been requested shortly before this inspection took place. This is information providers are required to send us annually with key information about their service, what they do well, and improvements they plan to make. We reviewed other information we had received about the service since it was registered with the CQC. We took this into account when we inspected the service and made the judgements in this report. We used all this information to plan our inspection.

During the inspection

Before the inspection we looked at notifications that we had received and any communications with people, their relatives and other professionals. This included local authority safeguarding and commissioning teams, other health and social care professionals or the police.

We gathered evidence of people’s experiences by talking with 4 people using the service. We also observed interactions with people using the service and staff, attended a house meeting, and reviewed records of communication that staff had with people’s health and social care supporting professionals. We spoke with the registered manager, deputy manager and 3 members of the staff team as well as the operations manager. We also received feedback from the commissioning local authority.

As part of this inspection we reviewed 4 people’s care plans and medicines records. We looked at records of training and supervision for staff. We reviewed other records such as complaints information, quality monitoring and audit information, maintenance, safety and fire records.

Updated 7 March 2023

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.