Ventana Homes Limited Also known as Ventana

The people we met had complex learning disabilities and were not able to tell us about their experiences of life at the home. We therefore used our observations of care and our discussions with relatives and staff to help form our judgements.

People’s experience of using this service:

The people received personalised care which met their needs. People's care plans contained personalised information which detailed how they wanted their care to be delivered.

Staff knew people well and expressed care and affection for them and worked hard to enable people to share their views and live active lives as independently as possible.

The home was registered for up to eight people before the Registering the Right Support guidance was implemented by CQC in 2017. However, the outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; people's support was focused on them having as many opportunities and choices as possible.

People's relatives spoke highly of the service. The service had strong person-centred values and staff placed people at the heart of everything.

There was a stable core staff team that people knew well and achieved positive outcomes and strong relationships. People were very relaxed and happy in the company of staff and the registered manager.

Risks to people's health, safety and wellbeing were assessed and management plans were put in place to ensure these were reduced as much as possible.

People were supported to make choices and staff supported people in the least restrictive way as possible. Staff were aware of the legislation to protect people’s rights in making decisions.

Staff described how they supported people by treating them with respect and dignity. People participated in chosen activities and staff encouraged people to participate in things of interest to the them.

There was strong leadership at the service and relatives and staff spoke highly of the registered manager. There was a positive culture at the service where staff felt listened to and supported.

The registered manager had quality assurance systems in place to assess, monitor and improve the quality and safety of the service provided.

Rating at last inspection: At the last inspection the service was rated Good. (Report published 13 August 2016)

Why we inspected: This was a planned inspection based on the rating at the last inspection. The service remains good.

Follow up: Going forward we will continue to monitor this service and plan to inspect in line with our inspection schedule for those services rated as Good. We will continue to monitor the intelligence we receive about the service. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Ventana had a registered manager. 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.

One person told us they liked living at Ventana and a member of staff said, “It’s a great home, all sorts of activities, nice food and nice staff”.

People we spoke with told us they felt safe and staff had received training in safeguarding adults. Staff were safely recruited to make sure they were suitable to work with vulnerable adults and people received their medicines as prescribed because there were effective systems in place.

Staff supported people in accordance with their wishes, protecting people’s privacy and maintaining their dignity. People were involved in planning the care and support they received.

People led active lives and staff told us about how they supported people to make sure they did the things they wanted to do.

Staff were well trained to make sure they understood how best to support or help people. Staff told us they were well supported and found supervision and appraisals helped them to understand their role.

People and staff told us they felt the service was well led. There were systems in place to monitor and improve the quality of the service provided and staff told us they felt people received a high quality of service.

Policies and procedures were in place to ensure care and support was delivered to people in line with their needs and wishes and we saw each case had been assessed appropriately.

Care plans were kept under regular review and risks to people's safety were assessed. Plans to reduce and monitor risks to both people using the service and staff were recorded.

We saw where people received any care or treatment they were asked their consent and the provider acted in accordance with their wishes. Where people did not have the capacity to consent the provider acted in accordance with legal requirements.

There were processes in place to monitor accidents and incidents and the quality of service being provided. People using the service and their families were involved through annual questionnaires and spot checks.

The provider had taken steps to provide care in an environment that had been suitably designed and adequately maintained.

We found that people using the service were treated with respect and were involved in discussions about their care and how it was provided.

People's health and care needs had been assessed and they were given appropriate care by skilled staff.

People were protected from the risk of abuse because the provider had made arrangements to keep people safe.

People who lived at the Ventana Care Home were supported by sufficient members of staff.

There was a appropriate statement of purpose in place which described the services available at the home.