• Care Home
  • Care home

46 Bath Road

Overall: Good read more about inspection ratings

Longwell Green, Bristol, BS30 9DG (0117) 960 1491

Provided and run by:
Milestones Trust

Latest inspection summary

On this page

Our current view of the service

Good

Updated 20 May 2026

Date of the assessment 27 May to 3 June 2026. We visited the service on the 27, 28 May and 3 June 2026. 46 Bath Road is a care home for up to 6 people with learning disabilities. There were 6 people living at the service at the time of the assessment.

This was a comprehensive assessment where we looked at all the quality statements due to the age of rating. The service was previously rated good, at this assessment the service remained good overall.

We have assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted. The provider was working in line with national best practice guidance for supporting people with a learning disability and autistic people. The registered manager and the staff team had embraced this guidance and supported people to ensure they were supported in accordance with their wishes.

People received care that was consistently safe and tailored to their individual needs. There were sufficient numbers of staff deployed to meet people’s needs, and risks were well managed in a way that promoted people’s independence without unnecessarily restricting their choices. Safe recruitment processes were followed to help ensure only suitable staff were employed.

Staff completed a comprehensive induction when they joined the service and received regular training, supervision, and ongoing support. This helped ensure they had the skills and knowledge required to provide safe and effective care.

Staff told us they felt well supported in their roles. They attended regular training, which was continually monitored to ensure they were compliant. Staff demonstrated a clear understanding of safeguarding procedures and their responsibility to protect people from harm, contributing to a safe care environment.

People were actively involved in planning their care, which reflected a person-centred approach. Care plans were detailed and included people’s preferences, abilities, and the support they required while promoting independence. Monthly goals were developed with people, taking into account their aspirations and what they wished to achieve.

Staff had a good understanding of people’s needs and delivered care in line with their preferences. People were supported to make decisions about their care, helping them to maintain control and dignity in their daily lives.

The management team and staff worked effectively in partnership with health and social care professionals to maintain continuity of care, including when people moved between services. Professionals provided positive feedback, highlighting good communication and timely referrals when people’s needs changed. This collaborative approach helped ensure people experienced coordinated, consistent care and had their changing needs responded to without delay.

Robust systems were in place to monitor the quality of the service and drive continuous improvement. Leaders were visible, knowledgeable, and approachable, providing clear direction and support to staff. They promoted a culture of ongoing learning and development, supporting staff to build their skills and confidence in their roles. This helped ensure the delivery of high-quality care and positive outcomes for people.

People's experience of the service

Updated 20 May 2026

We spent time with the 6 people using the service and spoke with them about their experiences of the care provided. We also observed interactions between people and staff. People appeared happy, relaxed and comfortable in the presence of staff.

Staff demonstrated a good understanding of people’s individual needs and responded promptly to any requests for support. People told us staff were kind, and it was clear they enjoyed spending time with them.

People were supported to take part in activities they enjoyed, and these were regularly reviewed by staff to ensure they remained meaningful and relevant. Staff listened attentively to people and responded appropriately, showing respect for their views and preferences.

People spoke positively about the range of activities available to them, both within the home and in the community. These included walks, trips to the pub, shopping, and visiting places of personal interest. Within the home, people took part in activities such as arts, crafts, and baking. One person was supported to spend time gardening, reflecting their individual interests and helping to promote a sense of purpose and wellbeing. People were also supported to maintain relationships with family and friends, reducing the risk of social isolation.

We spoke with 3 relatives about the care and support provided at 46 Bath Road. Feedback was consistently positive. Relatives described the service as welcoming and spoke highly of both staff and management. They told us people were safe and well cared for. Comments included, “Marvellous care, staff really caring. It is like a home from home,” and “No faults, (name of person) is very happy.” This demonstrated that relatives had confidence in the service and the care provided.

People and their representatives were actively encouraged and supported to share feedback, contribute ideas, and raise any concerns or complaints. This open approach promoted a culture where people’s voices were valued and acted upon, supporting continuous improvement.

A visiting professional told us, “Really impressed, the staff know the people really well, they care about the outcomes for people. It is a pleasure to work with the service.” This external feedback further demonstrated the caring culture and commitment to achieving positive outcomes for people.