This unannounced inspection visit took place on 16 October 2018.

Selborne Care Limited is a large provider of care services which had been acquired by another provider, CareTech since the last inspection in 2016. Selborne Care Limited continues to be the legal entity for 5 Tiverton Drive.

5 Tiverton Drive provides accommodation, personal care and support for up to four people who have mental health and learning difficulties. The service specialises in providing 'aftercare services'; the care and support of people who have been detained under the Mental Health Act 1983 and then discharged from certain sections of the Act. The home works closely with other professional organisations in providing the agreed care and support to people. There were three people living at the home on the day of our inspection visit. Each person had their own bedroom and there was a shared lounge, bathroom and a dining room area that people used. The home also had an annexe that included a small lounge area, kitchen and bedroom. This was unoccupied, but a person was planning to move into the annexe after our inspection visit.

People in care homes receive accommodation and nursing and/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.

At our last comprehensive inspection in February 2016, we rated the service as Good overall. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Why the service is rated Good.

There had not been a registered manager at the home since 10 October 2017. However, a manager was responsible for the day to day running of 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. At the time of our inspection visit, there was a manager in post who was in the process of applying to be registered with us.

The manager and staff continued to assess risks to people’s health and welfare and care plans provided accurate information for staff to minimise the identified risks. There were the same staff and people had lived at the home as our last inspection. They were familiar around each other’s company which helped people be relaxed with staff. We were confident staff knew people well and they continued to support and encourage people’s independence.

Staff understood their responsibilities to keep people safe and protected from harm, but allowed them to do the things they wanted to do, to live a fulfilled life as possible. Policies and guidance were accessible to staff to remind them how to raise concerns in the event they saw poor or abusive practice.

There continued to be enough staff to meet people’s health needs and there continued to be flexibility in staffing levels, to make sure people received a safe, effective and responsive service. People had their prescribed medicines available to them and staff supported those people who needed help with them, whilst others self-medicated.

Staff received training in the safe handling, administering and recording of people's medicines. New staff received an induction and long-term staff continued to receive refresher training to ensure their skills and knowledge remained updated.

Staff said people's care plans provided them with the information they needed to support people safely and effectively. Communication through records and staff handovers continued to inform staff of

The inspection took place on 16 February 2016 and was unannounced.

Selborne Care Limited is a large provider of care services. 5 Tiverton Drive provides accommodation, personal care and support for up to four people. The home specialises in providing ‘aftercare services’; the care and support of people who have been detained under the Mental Health Act 1983 and then discharged from certain sections of the Act. The home works closely with other professional organisations in providing the agreed care and support to people. There were four people living at the home on the day of our inspection visit.

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.

Staff understood their responsibilities to keep people safe and protect them from harm. Policies and guidance were accessible to staff to remind them how to raise concerns following the provider’s safeguarding and whistleblowing policies. Risks to people had been assessed. Staff were trained to manage risks that could present a risk of harm or injury to people or others.

People had their prescribed medicines available to them and staff supported people to take them. Staff received training in the safe handling, administering and recording of people’s medicines.

People had been involved in planning their care. Staff read people’s care plans and received an induction and training so that they were able to effectively meet people’s needs. Further training took place to update and refresh staff skills and knowledge. Staff said people’s care plans provided them with the information they needed to support people safely and effectively.

The registered manager and staff understood their responsibility to comply with the requirements of the Mental Capacity Act (2005) and Deprivation of Liberty Safeguards (DoLS). Health care professionals were involved in people’s care and support and multi-disciplinary team reviews took place when needed. Staff supported people to access healthcare appointments to maintain their wellbeing.

People were involved in menu planning and had choices about food and drink. People said the food was good. People were involved in planning how they wished to spend their time and had individual weekly activity plans. We saw people involved in various activities of their choice. Staff knew about people’s individual likes and dislikes and how to provide support so that people did not become anxious. Staff promoted people’s independence whenever possible, and were kind and respectful toward people.

People were involved in planning and reviewing their care and support. Care was planned to meet individual needs and was person centred. People’s feedback on the service was sought by the provider. People told us they felt they could raise concerns or complaints if they needed to.

The provider had quality monitoring processes which included audits and checks on medicines management, infection control, care records and staff practices. Where improvement was needed, action was taken.