20 September 2022
During an inspection looking at part of the service
Stubble Bank is a care home and specialist residential mental health service, which provides treatment and rehabilitation to up to six young people aged between 16 and 30 years. The service is based in a large house in a residential area of North Bury. At the time of our inspection, the service supported five people.
The service supports young people who have a diagnosis of complex or enduring mental health difficulties, and who may have spent a lot of time in hospital or secure settings. The service provides a psychologically informed therapeutic environment in which young people can receive the appropriate therapy to help them recover and reintegrate back into society.
People’s experience of using this service and what we found
We have made recommendations about the safe storage of medicines.
Staff had a good understanding of safeguarding processes. Risk assessments were robust and relevant. Staff were recruited safely. Medicines were managed safely. Systems were in place to reduce the risk of the spread of infection. Accidents and incidents were reported and analysed in a timely manner.
People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.
The provider was well organised, and the registered manager had a clear vision for the service. Managers were open and honest in their approach to supporting people. The provider had clearly defined roles and managers and staff were clear about their responsibilities. People were given the opportunity to regularly give feedback to improve service provision. The provider had clear audit processes to ensure good quality care.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk
Rating at last inspection and update
The last rating for this service was good (published 16 September 2021).
Why we inspected
The inspection was prompted in part by notification of an incident. This inspection did not examine the circumstances of the incident. However, the information shared with CQC about the incident indicated potential concerns about the management of very high-risk behaviours. This inspection examined those risks.
We looked at infection prevention and control measures under the Safe key question. We look at this in all care home 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.
Recommendations
We have made recommendations about the safe management of some medicines.
Follow up
We will continue to monitor information we receive about the service, which will help inform when we next inspect.