This inspection took place on the 19 February 2018 and was unannounced. Anchor and Hope Care Services 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. Anchor and Hope Care Services accommodates up to three people with mental health needs. There were two people living at the home at the time of our inspection.

At our last inspection of the service in January 2017 we found breaches of regulations because medicines were not consistently managed safely. The provider’s systems for monitoring the quality and safety of the service did not comprehensively consider key aspects of health and safety, and notifications had not always been submitted to the CQC where required. Following that inspection the provider wrote to us to tell us the action they would take to address our concerns. At this inspection we found that the issues we identified had been addressed, in line with the provider's action plan.

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.

At this inspection we found that risks to people had been assessed, and action had been taken to manage identified risks safely. People were protected from the risk of abuse because staff were aware of the types of abuse that could occur, and the action to take to report any abuse allegations. People told us there were sufficient staff deployed to provide them with the support they needed. The provider followed safe recruitment practices.

Medicines were securely stored, recorded appropriately and administered as prescribed. The provider had systems in place to protect people from the risk of infection. The registered manager reviewed the details of any accidents or incidents that occurred, in order to reduce the risk of repeat occurrence.

People’s needs were assessed and the assessments were used to form the basis of their care plans. Staff discussed the details of people’s care plans with them to ensure they were up to date and reflective of their current needs and preferences. Staff received an induction when they started work at the service, and regular refresher training which gave them the skills and knowledge to support people effectively. Staff were also supported in their roles through regular supervision and an annual appraisal of their performance.

The registered manager demonstrated an understanding of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS), although the people using the service had capacity to make their own decisions about their care at the time of our inspection. People told us staff sought their consent when offering them support. People had access to a range of healthcare services when they needed them and the provider worked with other agencies to help ensure people received consistent joined up care across different services.

People were supported to maintain a balanced diet. They were involved in choosing the things they wished to eat and told us they enjoyed the meals on offer at the service. The premises was suitable to meet people’s needs. Staff treated people with care and consideration. They respected people’s privacy and treated them with dignity. People were able to make decisions for themselves about the care and treatment they received.

People told us the support they received met their individual needs. They were supported to access a range of activities which reflected their interests, and to maintain the relationships that were important to them. Staff encouraged people to maintain their indepe

This inspection took place on 11 January 2017 and was unannounced. Anchor & Hope Care Services provides care and support for up to three people with mental health needs. At the time of our inspection there were two people using the service. There was 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.

At this inspection we found breaches of regulations because people’s medicines were not always safely stored and records relating to people’s medicines were not always complete. Risks to people had not always been assessed to help ensure they were managed safely. The registered manager had not always submitted notifications regarding important events as required by law, and systems for monitoring the quality and safety of the service were not always effective.

You can see what action we told the provider to take at the back of the full version of the report.

People were protected from the risk of abuse because staff had received safeguarding training. They were aware of the types of abuse that could occur and how to report any safeguarding concerns they had. There were sufficient staff deployed at the service to meet people’s needs and the provider undertook appropriate recruitment checks on new staff to ensure they were suitable for their roles.

People were supported to maintain a balanced diet and told us they enjoyed the food on offer at the service. Staff sought consent from people when offering support and told us they respected people’s views and wishes. The registered manager was understood their responsibilities under the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) but told us that the people currently using the service had capacity to make decisions for themselves. Staff were supported in their roles through regular training and supervision.

People were treated with kindness and consideration. They were involved in decisions about their care and treatment and told us staff respected their privacy. Staff encouraged people to maintain their independence and people were supported to maintain the relationships that were important to them. Staff supported people to access a range of healthcare services when required. People told us they had opportunities to pursue their individual interests.

People had care plans in place which reflected their individual needs and preferences. They were aware of how to raise a complaint but told us they had not needed to do so. The provider sought people’s feedback regarding the quality of the service they received and took action to make improvements at the service in order to better meet people’s needs and preferences.