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Inspection carried out on 5 March 2018

During a routine inspection

Montpelier Terrace is a residential care home for up to six people with Autism Spectrum Disorder. There were four people living at the service when we inspected.

At our last inspection we rated the service good. 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.

At this inspection we found the service remained Good.

People received good care, in the way they wanted it, from kind and caring staff. A person said, “I would say that they employ good staff, they have good intentions. I feel like they are good people and speak to me in a friendly and concise way, which is what I like.” A relative commented, “[Family member] is extremely well cared for, staff are extremely helpful and make sure [family member] doesn’t get into any trouble, I can’t fault them.”

Staff had a good understanding of safeguarding and the whistle blowing procedure. They also knew how to report concerns if required.

The provider followed effective procedures when recruiting new staff.

Trained staff administered medicines safely and accurate records were maintained.

The provider carried out health and safety checks to maintain a safe environment.

Relatives described the home as willing to learn from situations and adapt accordingly to meet people’s changing needs.

Staff received good support and had access to relevant training opportunities.

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

People were supported with their nutritional and health care needs.

People’s needs had been assessed to identify the support they needed. This was used to develop personalised care plans. Staff used a visual tool to monitor people’s progress across various aspects of the life.

People were provided with opportunities to participate in activities of their choosing.

There had been no complaints about the service. People and relatives gave us positive feedback about the service.

The service had an established registered manager. People, relatives and staff described the registered manager as approachable and supportive.

A range of quality assurance checks were completed to help ensure people received good care and support.

People, relatives and staff had opportunities available to provide feedback about the home. Recent feedback from relatives had been very complimentary.

Further information is in the detailed findings below.

Inspection carried out on 20 January 2016

During a routine inspection

This inspection took place on 20 January 2016. The last inspection of this care home took place on 1 October 2013 and the service met the regulations we inspected against at that time.

Montpelier Terrace is registered to provide care and support for up to six people with autism spectrum condition and associated complex needs. There were four people living at the home during this inspection. The house is divided into three flats. This home does not provide nursing care.

Montpelier had a registered manager in place. 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.

People told us they felt “safe” at the home and enjoyed living at the house. The people who lived here were able to comment on the service they received and said they would feel able to raise any issues with the registered manager or with their own relatives. Other people we spoke with had no concerns about the safety of the service. A relative commented, “I feel very reassured that my family member is safe.”

Staff told us they were confident that any concerns would be listened to and investigated to make sure people were protected. There were enough staff to meet people’s needs. The provider made sure only suitable staff were employed. Staff helped people manage their medicines in a safe way.

People were supported to increase their daily living skills and were fully involved in shopping, choosing and preparing meals. Staff felt well trained and supported by Education and Services for People with Autism (ESPA) to carry out their role. People were assisted to contact health services, such as GPs and opticians, whenever needed.

People were supported to take acceptable risks so they had as independent a lifestyle as possible. Staff understood the Mental Capacity Act 2005 for people who lacked capacity to make a decision and Deprivation of Liberty Safeguards to make sure they were not restricted unnecessarily.

People told us they liked the staff and the service and felt well supported. One person commented, “I like the staff. I like being at Monty [Montpelier].” Other people told us they felt the registered manager and staff were “nice” and “very good”. There were good relationships between people and staff. People were supported in a way that respected their abilities, preferences and diversity.

A relative told us, “[My family member] has an excellent quality of life and we as a family are most appreciative of the valuable work done at Montpelier and ESPA.” A care professional told us that the service was caring “without question” and that they had witnessed this first hand when visiting the home.

Care records were written in a positive, personalised way that valued the individuality of each person. People had a range of social and vocational activities they could take part in. People were also involved in domestic tasks such as cleaning, cooking and laundry which were an essential part of their goals towards greater independent living skills.

Relatives said they were invited to comment on the service at reviews and through surveys and felt there was good communication with staff at the home. People knew how to raise concerns or complaints and were confident these would be looked into and resolved

People, relatives and staff felt the organisation was well run and the home was well managed. There was an open, approachable and positive culture within the home and in the organisation. People were asked for their views of the service and were kept informed about the running of the home.

The provider had a quality assurance system that included checks by the registered manager and staff of the safety of the service.

Inspection carried out on 1 October 2013

During a routine inspection

The home at Montpelier Terrace provided a transitional service for people to be supported towards more independent living. Each person had key workers who spent time with them each day to help them develop their independent living skills.

People had clear information about the service. People had information in different ways to help them make their own decisions. One person told us, �I use pictures of my favourite places to choose where I want to go.�

People felt the home supported them to gain new skills. One person said, �It�s brilliant here. They�ve really helped me. I can do so much now, like travel training and cooking. I can cook my meals now which I couldn�t do before.�

People felt they were involved in planning their support. One person told us, �I�m involved in making plans about what I�m going to do and choosing what I want to do.�

Staff were well trained and supported by the provider. Staff told us, �We�re always kept up to date with our training. There lots of training in relevant subjects.�

The provider had systems to check the quality and safety of the service. Records used to manage the service were stored in the right way.

Inspection carried out on 20 December 2012

During a routine inspection

The home at Montpelier Terrace provided a transitional service for people to be supported towards more independent living. Each person had key workers who spent time with them each day to help them develop their independent living skills.

One person told us, �The staff support me with household things, advice and budgets. We go out whenever and wherever we choose. It�s really good here but I�m hoping to move on sometime.�

Each person was involved in setting the menus, shopping for groceries and preparing meals. Each person had a catering budget and staff supported people with healthy lifestyles.

The house was divided into three flats. The accommodation was well decorated and furnished. The two people we spoke with felt the standard of their accommodation was �good�.

People told us they were �comfortable� and �safe� at this home. All the people we spoke with felt confident about making any comments or raising concerns with either their key worker or with the manager.

Inspection carried out on 17 January 2012

During a routine inspection

When we visited we spoke with two of the four people who used the service. One person we spoke with said about the staff �they help me.� And "I like living here, we go to the Discovery Centre.�We spent some time observing the support they received from staff with their everyday lives. We saw that people looked comfortable and at ease with the members of staff supporting them.

The atmosphere in the house was quiet and calm and the staff were very focused on the people they were supporting.

Reports under our old system of regulation (including those from before CQC was created)