We found the service had systems in place to ensure the Care Quality Commission was notified of incidents at the service. We saw the manager had reviewed the circumstances to establish why the Care Quality Commission were not informed of a previous relevant incident and measures were in place to ensure that future incidents were notified.
People who lived at the service had complex mental health needs and learning disabilities. Records and discussion with staff showed they had a detailed understanding of people's support needs. Staff had developed strategies and routines to support people and most people engaged in activities of interest to them.
People were aware of their care plans, they had signed and agreed them. Care documents were regularly reviewed and people were given the opportunity to express their views and make decisions about their care.
We saw positive interactions between staff and the people who lived at the service. People were offered choices and we saw that their dignity and independence was respected. Staff spoke with people in a calm professional manner and explained what they were doing when they supported them.
During this inspection we identified concerns that some areas of the service were not cleaned to a hygienic condition. We also found that the service had not told us about an incident when they were obliged to do so.