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Inspection Summary

Overall summary & rating


Updated 19 September 2019

About the service:

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 23 people. 23 people were using the service. This is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

What life is like for people using this service:

People who live at Royal Avenue have their needs met by sufficient numbers of suitably trained staff. People told us staff were kind to them.

There were appropriate risk assessments in place to guide staff on how to reduce risks to people. These had been recently updated to a new format which was clearer for staff. There was sufficient information in people’s care plans about how risks should be mitigated to protect people from harm.

The service understood how to safeguard people using the service from the risk of abuse. Where required, there were specific plans in place for safeguarding people who accessed the community independently.

Medicines were monitored, managed and administered safely. The service was clean and plans were in place to limit the potential spread of infection.

Appropriate action was taken by the service in response to incidents and accidents to reduce the risk of recurrence.

For more details, please see the full report which is on the CQC website at

Rating at last inspection (and update):

At the last inspection the service was rated Good (report published 1 November 2018).

Why we inspected:

We received concerns in relation to the management of people’s falls risk. As a result, we undertook a focused inspection to review the Key Questions of Safe and Well-led only.

We reviewed the information we held about the service. No areas of concern were identified in the other Key Questions. We therefore did not inspect them. Ratings from previous comprehensive inspections for those Key Questions were used in calculating the overall rating at this inspection.

The overall rating for the service has remained the same. This is based on the findings at this inspection.

You can read the report from our last comprehensive inspection, by selecting the ‘all reports’ link for Royal Avenue on our website at

Follow up:

We will continue to monitor information we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.

Inspection areas



Updated 19 September 2019

The service was safe.

Details are in our Safe findings below.



Updated 1 November 2018

The service was effective.

People’s capacity to consent to care and treatment was assessed and recorded to determine people’s level of understanding in accordance with the MCA.

People’s dietary needs were assessed and people had access to on going healthcare support

The service accommodation was being refurbished at the time of the inspection.



Updated 1 November 2018

The service was caring.

People were treated with dignity and respect by staff that knew them well.

Staff were understanding, attentive and caring in their interactions with people.

People’s independence was promoted.



Updated 1 November 2018

The service was responsive.

People received personalised care that was responsive to their needs.

There was a complaints and compliments process in place which took into account people’s feedback and put things right where necessary.

People were given the opportunity to participate in activities to enhance their well being.


Requires improvement

Updated 19 September 2019

The service was well-led.

Details are in our Well-Led findings below.