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Inspection carried out on 24 October 2018

During a routine inspection

Chapel View is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Chapel View can accommodate up to three people who have a learning disability and autism. At the time of our inspection two people were living there. People had their own bedrooms and shared a shower and bathroom. They shared two lounges and a kitchen/dining room. Grounds around the property were accessible.

Chapel View had been developed and designed in line with the values that underpin the Registering the Right Support, Building the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service lived as ordinary a life as any citizen.

This inspection took place on 24 October 2018. At the last comprehensive inspection in March 2016 the service was rated 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 on-going 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.

A registered manager was in post who had been registered with the Care Quality Commission (CQC) in 2010. 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’s care and support was person centred. They had been supported by a core group of staff for some time, providing them with consistency and continuity of care. They had positive relationships with staff, who understood them well, anticipating what would make them anxious or uncertain. People were involved in the planning and review of their care and support. They discussed their needs, any risks and concerns with staff. Risks were well managed promoting people’s independence. Staff knew how to keep people safe and how to raise safeguarding concerns. There were enough staff to meet their needs. Satisfactory recruitment processes were in place.

People made choices about their day to day lives. 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. They chose the activities they wish to take part in. They said they liked to take part in football, cricket and rugby. They had voluntary jobs and one person had paid employment. People kept in touch with those important to them. They were supported to visit relatives and meet friends at social clubs or join them in activities. People told us, “Staff are really good” and “A brilliant staff team. They support us 110%.”

People were supported to stay healthy and well. They planned their weekly menu. They prepared their own drinks and lunches. They liked to go out to a local café and pub. People had access to a range of health care professionals. They had annual health checks. People managed their medicines. Staff support was available when needed and medicine audits monitored whether medicines were being taken safely. People had access to easy to read information which used pictures and photographs to explain the text. Staff understood how they preferred to communicate encouraging them to express themselves in the way they found most comfortable.

People’s views were sought to monitor the quality of the service provided. They were confident raising concerns and making a formal complaint. People, their relatives and st

Inspection carried out on 19 March 2016

During a routine inspection

The inspection took place on 19 March 2016 and was announced. The service was last inspected 4 March 2014 and was found to be meeting the requirements of the law at that time.

Chapel View is small home that provides accommodation, care and support for up to three adults. The home is run by Step-a-Side Care and is located in the community and with good access to local amenities. The service 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.

The service supported people to develop independence skills. Staff provided consistent support for people living at the service and worked closely with social workers, family and health professionals. Support was delivered in a person centred way and took account of people’s views and preferences. People were involved in all aspects of the support that they received and took part in regular reviews of their placement at the service. People were also able to attend staff meetings and put forward their views on how the service should be run.

People were supported to be part of their communities. Two people attended work placements. There was an on-going programme of activities for people both in the service and out in the community.

The staff team knew the people living at the home very well and had developed good working relationships with them. They were aware of any restrictions that were in place for people. The registered manager ensured that these restrictions were lawful and had applied to the relevant authorities to get these approved. The service was proactive and allowed people to take controlled risks to enable them to maintain their independence.

The provider ensured that the staff team working at the service were well trained and supported effectively to carry out their roles. Staff told us that they felt valued by the provider and this was reflected in the low turnover rate of staff working at the service.

The service was well managed and care records were maintained and kept up to date. The registered manager ensured that any incidents which occurred were discussed in debrief meetings held shortly after them. During these meetings; staff involved examined what occurred during the incident and how they could be prevented or better managed in future. The registered manager and the staff team worked hard to ensure that the service kept on learning from experiences and improving.

Inspection carried out on 4 March 2014

During a routine inspection

The home is registered for up to three people. On the day of our inspection there were three people living in the home. We met with people who used the service and the manager and staff who were on duty at the time of our visit.

We spoke with one person who used the service, who was very positive about their care and support. "I absolutely love it here" and "the staff know what they are doing and how to take care of me." They told us that their dignity and privacy was respected and that staff were polite and caring in their approach. People told us that staff supported them to maintain their independence and said," I'm involved in all my care plans and risk assessments." People we spoke with said they were assisted to be as independent as they wished to be.

We spoke with two members of staff. We found that people had been involved in planning their care and that some staff had worked with people for years and therefore knew them very well. Other staff who did not work at the home full time, explained that because the care records were clear and comprehensive they quickly became familiar with people's needs. Staff had received appropriate induction and training and their manager provided them with regular supervision. Staff were also supported through a system of supervision and appraisals.

Inspection carried out on 19 March 2013

During a routine inspection

We found that the manager and staff at Chapel View were providing a service which respected the privacy and dignity of people who used their service. We spoke with one person living at the service. The remainder were out on the day of the inspection. Assessment and reviews conducted by the service had consulted with people and recorded how they wished to be supported. The person we spoke with told us �staff help me to do what I want� and �I don�t mind living here�.

Monitoring by the manager had ensured that staff followed support plans and respected the wishes of people using the service. There were sufficient skilled and experienced staff to safely meet the needs of people who used the service. The standard of induction and subsequent training was good. The building had been well-maintained.

In summary, this inspection found that Chapel View was providing a good standard of care and support to the people who were using the services.

Inspection carried out on 22 March 2012

During a routine inspection

People who lived in the home told us they received an excellent service and were well supported by the staff and manager. People said they were treated with respect and were fully involved in planning and reviewing their care and support needs.

We were told it was safe place to live and that they were able to report concerns, raise issues or complain to the staff or the provider if they felt a need arose.

Staff told us they were well supported by the manager and the provider and were provided with good training opportunities. Staff worked well as a team and believed they provided a good standard of care and promoted a safe environment for people to live in and also to safely access the local community.