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Inspection carried out on 23 November 2018

During a routine inspection

This inspection took place on 30 November 2018 and was unannounced. The service had previously been inspected in 2016 and had been rated as good. At this inspection we found the service remained good and the service met all relevant fundamental standards.

Cleveland Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Cleveland Road provides accommodation and support to people with learning disability. Cleveland Road was registered with the Care Quality Commission in November 2010 and is registered to provide accommodation for up to 13 people. There were 11 people living there at the time of the inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion and were embedded within this service which worked to ensure people could live as ordinary a life as any citizen

There was a manager in place who had been registered with CQC since August 2016. 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.’

Staffing levels were based on the needs of people at the home and were reviewed daily. Staff had been trained and were confident to recognise safeguarding issues which meant people were protected from harm.

Risks were assessed and well managed to ensure people's freedoms were not overly restricted and risk assessments were based on positive outcomes for people.

Staff received ongoing support from the management team through a programme of regular supervisions and appraisals and they had been trained to ensure they had the knowledge and skills to care for people

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

We found decision specific capacity assessments had been carried out for people who lacked mental capacity to consent to aspects of their care delivery. These were compliant with the Mental Capacity Act 2005 (MCA). Staff understood the principles of the MCA and how to ensure people's human rights were respected when making decisions on their behalf.

We found all the staff to be caring in their approach to the people who lived there and treated people with dignity and respect. Staff knew the people they supported very well, and we observed people were very happy in the presence of staff and there was a very positive and friendly atmosphere.

There was clear evidence of person-centred care and records contained information detailing people's life histories, preferences and choices to enable staff to support them. People were involved in activities based upon their established routines and preferences. Information was provided in an easy read format to ensure people with different abilities were provided with information in a format they could understand.

Systems and processes for ensuring the quality of the service included nationally recognised evidence-based standards to ensure they provided a quality service to people living there. The service was well-led by a registered manager who aspired to develop the service continuously and who kept abreast of best practice and developments in this field.

Inspection carried out on 6 April 2016

During a routine inspection

The inspection of Cleveland Road took place on 6 April 2016 and was unannounced. We previously inspected the service on 13 November 2013, at that time we found the registered provider was meeting the regulations we reviewed.

Cleveland House is located in a residential area of Huddersfield near to local shops and amenities. The home provides accommodation for up to 13 adults who are living with a learning disability. The home has communal living areas on the ground floor and bedrooms are located on the ground, first and second floor. On the first day of our inspection 10 people were living at the home.

At the time of our inspection the service did not have a registered manager in post. 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 registered manager had recently left the service following a number of years’ service at the home. A manager who was the registered manager from another of the registered provider’s homes had been seconded to the home to provide interim management support for the home.

People told us they felt safe. Staff received regular instruction in how to keep people safe and were aware of the action they should take in the event of a safeguarding concern being raised.

Risk assessments were in place and these were individual to peoples support needs.

Staff recruitment procedures were thorough and there were enough staff to meet people needs on a daily basis.

Medicines were stored, managed and administered safely. There were instructions available for how people preferred to take their medicines.

Staff were supported in their role. They received an in-depth induction and ongoing management supervisions and training. This ensured staff were provided with the skills and knowledge to perform their job.

Our discussions with the manager and staff showed they had an understanding of the Mental Capacity Act 2005 and how they would act in people’s best interests if they lacked capacity to consent.

People were encouraged to choose the food and drink they wanted to eat. We observed the evening meal on the day of our inspection, people were enjoying their meal and the atmosphere during the meal was relaxed and homely.

People told us staff were kind and caring. We observed the atmosphere at Cleveland road to be relaxed, homely yet professional. People were supported to participate in the day to day running of the home.

Care plans were detailed and person centred, recording what people could do for themselves and where support was needed. People were able to participate in a range of activities.

The registered provider had a complaints procedure in place.

The home did not have a registered manager in post but the registered provider had ensured management support was provided for the home. People spoke positively about the registered provider and the manager. There was a robust system in place to continually assess and monitor the safety and quality of the service provided.

Inspection carried out on 13 November 2013

During a routine inspection

On the day of our visit there were 11 people living in the home, three were present at the time of the inspection, eight were out at the time of the visit.

During the visit we looked at four care files and spoke to two people living in the home, we also spoke to the manager and three additional staff who worked at the home.

We were taken into the home by one of the people living in the home who happened to be sitting outside taking fresh air at the time. The home is an old house over three floors. We looked in five bedrooms which were all individually decorated and were well furnished. The bathrooms were communal, but well situated to serve a small cluster of two or three bedrooms. Of the three people in the home one was sitting outside, and later went to the shops, one person feeling unwell spent most of the time in her room and a third person was mainly in his room or the kitchen area.

We saw positive interactions between the staff and the people living in the home with the cook and domestic relating particularly well to the individuals.

We found that the acting manager had only been in post one week, but had worked in the organisation for many years. The staff and the people in the home were very positive about the new manager and said "(the manager) has only been here a short while but you can tell she is going to be good " and (the manager) is putting her stamp on things".

The people in the home told us that they were "happy here".

Inspection carried out on 1 May 2012

During a routine inspection

We spoke with three out of the thirteen people living at Clevland Road as most people were out for the day. The people we spoke with agreed with the inspector that care was good at Clevland Road. One person told us that they had a key to their room as they liked to keep it locked. We observed that their wish was upheld by staff. The staff we spoke with told us that they provided a high quality service and people were involved in making decisions about their care. Staff also told us that they felt well supported by their manager and the organisation.