The inspection took place on 2 August 2017 and was announced. This was the first inspection of this service since their registration with CQC on 21 July 2016.

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. The goal of the service is to provide people with the tools they need to move on to a more independent living arrangement where possible. The service is a town house situated within walking distance of York city centre. The house is over three floors with bedrooms on each floor. There are good transport links and amenities close by.

There was a registered manager employed at the service. 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.

There was a clear management structure at the service. There was a senior management team who held weekly management meetings which were informed by reports sent to the management team.

Feedback from everyone we spoke with was extremely positive about all aspects of the service.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice

People had access to health and social care professionals whose feedback showed that they had confidence in the service.

There were sufficient staff to meet people’s needs and they been recruited safely. Staff numbers were varied according to the support people required. Staff were trained in subjects considered mandatory by the service as well as additional areas which were specific to people who used the service. Staff had been supported through regular supervision.

The provider had done all they could to safeguard people through staff training, having policies and procedures in place to guide staff and having clear guidance and support for staff.

Risks to people’s health had been identified and plans were put in place, agreed by each person, to manage those risks. The premises were risk assessed and there were processes in place to ensure people’s safety. Accidents or incidents involving people were recorded, analysed and risk assessed and actions taken to minimise any further incidents.

Medicines were managed safely. Where people self-medicated a risk assessment had been completed to ensure they were safe doing so.

People's nutritional needs were supported and people bought and cooked their own food where they were able to as part of their development of skills to support their independence.

The environment was appropriate for the age and needs of people who used the service. It was decorated and maintained to a very high standard. People's bedrooms reflected their personal tastes.

People told us that staff were extremely caring. Relatives and professionals echoed this view. People felt that they mattered.

Staff were highly motivated and displayed the company values in their work. We observed them positively interacting with people ensuring that their conversations were meaningful. Relationships between staff and people were extremely positive. Regular group meetings were attended by people where they were encouraged to express their thoughts and feelings. Staff showed great respect to people.

Information sharing was managed in a variety of ways such as meetings, one to one conversations with staff and a notice board in the main hallway. People were involved in all aspects of their care and some had written their own care plans. People were encouraged to maintain activities and hobbies as part of their development.

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