• Care Home
  • Care home

Valley Road

Overall: Good read more about inspection ratings

151 Valley Road, Lillington, Leamington Spa, Warwickshire, CV32 7RX (01926) 357019

Provided and run by:
Heart of England Mencap

Important: The provider of this service changed. See old profile

All Inspections

During an assessment under our new approach

Our view of the service

About the service

The service is a care home, providing respite care. There were 4 people using the service at the time of the inspection.

Who the service is for

This is a specialist service for people with a physical disability, learning disability and autistic people. 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.

Key findings

We carried out this assessment between 16 June 2026 and 18 June 2026. This service was previously rated as good. We carried out this assessment to confirm whether the rating of good remains accurate. This report does not provide detailed information on areas where we found practice continues to meet a good standard. Instead, our findings focus on any areas where the service needs to improve or where we found exceptional practice.

People were supported by sufficient staff, who had been safely recruited and who received good levels of support to enable them to provide safe care. Staff told us they felt valued and were encouraged to continue developing their knowledge and skills. This approach was contributing to a sustained reduction in the use of agency staff, helping to promote continuity and stability within the service.

Staff understood their safeguarding responsibilities, including how to recognise and report any concerns which may indicate a risk of abuse. Staff were confident senior staff would take prompt action to support people, if required. Leadership at the home were pro-active and transparent in managing safeguarding concerns and communicating these to other agencies, to promote people’s safety.

Regular checks were undertaken on the safety and suitability of the premises. The provider planned to further enhance the environment for people’s continued enjoyment by additional development of the sensory and garden areas and to replace some furniture items.

People can only be deprived of their liberty to receive care and treatment with appropriate legal authority. In care homes, this can be done through a procedure called the Deprivation of Liberty Safeguards (DoLS), which is part of the Mental Capacity Act 2005 (MCA). We checked whether the service was working within the principles of the MCA and how they managed DoLS within the service. Staff and management worked within the principles of the Mental Capacity Act 2005 (MCA). Deprivation of Liberty Safeguards (DoLS) authorisations were appropriately applied for and overseen. People were not subject to unlawful or excessive restrictions, and they had choice, control and freedom over their lives.

Staff worked closely with people, relatives and health and social care professionals to develop clear, detailed and person‑centred risk assessments and care plans. These provided guidance to help staff consistently reduce and manage risks, including those linked to people’s anxiety and complex health needs. One staff member said, “You need to make [people] safe, so you discuss risk assessments.”

People received their medicines safely and as prescribed. Staff were not allowed to administered people’s medicines until they had received training and their competency to administer them had been checked. Staff were clear about the actions to take if an error occurred, and described a supportive culture in which senior staff encouraged learning from incidents and near misses. We saw staff administering medicines in a safe, person‑centred way which reflected the guidance set out in people’s care plans.

People and relatives had opportunities to visit Valley Road before care began. Staff worked closely with people and relatives before each stay, to understand any changes in needs and ensure the right support was in place.

The service ensured people were supported to have maximum choice and control over their lives. People and relatives were at the centre of care planning and review of support; this ensured they received personalised care in line with their preferences and diverse needs. One staff member said although they got to know people’s routines, they still checked. They told us, “You ask [people] what they want to do or wear.” We saw people were asked what they would like to eat and drink.

People were supported by caring and compassionate staff who communicated with them in ways they preferred. Staff spoke warmly about people and valued the bonds they had built with them. Staff respected and promoted people’s right to dignity and worked at people’s pace. We saw people made their own day to day choices and this was respected by staff. Staff gently encouraged people to do as much as possible, so their independence was promoted.

Staff demonstrated a strong understanding of what mattered to people and used this knowledge when caring for them, so people received person-centred care. One staff member told us about a person with complex well-being needs and said, “If you find out something new that works, you pass it on.” Systems were in place to manage any concerns and to address them promptly. Staff took action to ensure people were treated fairly and respected their unique needs.

Leaders were described by staff as approachable, visible and supportive. This helped to create a collaborative approach which focused on meeting people’s needs. The registered manager and provider completed checks on the quality and safety of the service. They also took part in provider and network meetings to share learning and bring back best practice to strengthen the service further.

25 February 2019

During a routine inspection

About the service:

Valley Road provides short respite accommodation to people who have learning disabilities and complex health needs. The care home is a ground floor building and is registered to provide care for up to four people. However, a maximum of three people could currently stay at the service due to ongoing maintenance work. Nobody resides at the care home on a permanent basis. At the time of our inspection visit there were two people staying at the service. The service is currently provided to fifteen people.

People’s experience of using this service:

• Improvements had been made since our previous inspection to the way the quality and safety of the service was managed and processes were improved for people in accordance with the Mental Capacity Act 2005 (MCA).

• People felt safe using the service.

• Staff recognised the risks to people’s health, safety and well-being and understood how to recognise and report abuse.

• People had access to support from staff when needed.

• Staff recruitment processes included a check of their background to review their suitability to work at the service.

• People received support with the medicines. Regular checks were undertaken to ensure people received the correct medicines by staff who were competent to support them.

• Staff understood and practised infection control techniques and had access to protective equipment to promote this.

•The registered manager ensured people’s care was based on best practice and staff had training to meet people’s needs.

• Staff training was reviewed and guidance on people’s needs was also shared through supervision meetings and group staff meetings.

• People were supported to have enough to eat and drink to maintain their well-being.

• People were supported to obtain advice from healthcare professionals, which was incorporated into people’s care.

• Staff worked within the principles of the MCA. People were supported to have 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.

• The service applied the principles and values of 'Registering the Right Support' and other best practice guidance.

• Staff understood the importance of supporting people with empathy and compassion and provided reassurance when people became anxious.

• People were treated with dignity and their independence was promoted wherever possible.

• People and those important to them, were involved in planning their care with support.

• Staff supported people with activities that reflected their interests and were encouraged to explore new opportunities for people to experience.

• People and their families understood how to complain if they wanted to.

• A new manager was in post since our last inspection and staff recognised there had been changes in the way the service was managed.

• Relatives and staff worked together to ensure people’s care was continually monitored, reviewed and reflected people’s needs.

• Senior staff worked with external organisations to develop the service they provided.

We found the service met the characteristics of a 'Good' rating in all areas; More information is available in the full report.

Rating at last inspection:

Requires Improvement with breaches of the Health and Social Care 2008 (HCSA 2008) Regulations 11 and 17 (29 March 2018)

Why we inspected:

This was a planned inspection based on the rating at the last inspection. The inspection was to monitor improvements to the service the provider had promised to make to address breaches of regulations 11 and 17 HSCA 2008 (Regulated Activities) Regulations 2014.

Follow up:

We will continue to monitor intelligence we receive about the service until we return to visit as per our inspection programme. If any concerning information is received we may inspect sooner.

24 January 2018

During a routine inspection

The inspection site visit took place on 24 and 29 January 2018 and was announced.

Valley Road 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.

The service provides short respite accommodation to people who have learning disabilities and complex health needs. The care home is a ground floor building and is registered to provide care for up to four people. Nobody resides at the care home on a permanent basis. At the time of our inspection visit there were three people receiving a respite service on both days of our inspection. The service is currently provided to twenty people.

At the last inspection in November 2015, the service was rated Good overall. However at this inspection we found improvements were required in relation to how the service assessed, monitored and improved the quality and safety of the service for people. Therefore the rating has changed since our previous inspection, from Good to Requires Improvement overall. This is the first time the service has been rated Requires Improvement.

There was 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 was in the process of making improvements to the service. However, we found medicines were not always managed safely and checks had not identified where improvements were required. Risks to people’s safety were not always properly managed. We found processes to monitor the quality of service were not always effective and improvements were required in the way the service assessed, monitored and improved the quality and safety of the service for people.

The registered manager did not always work within the principles of the Mental Capacity Act 2005 [MCA]. Improvements were required to ensure people’s capacity was assessed, best interest decisions were recorded and consents were obtained in accordance with the MCA.

People were protected from the risks of harm or abuse because staff were trained in safe-guarding and understood their responsibilities to raise any concerns with the registered manager. The registered manager made sure there were enough suitably skilled, qualified and experienced staff to support people safely and effectively.

Care plans were personalised and easy to understand. However information was missing in some care plans, for example, some identified risks had not been assessed.

People knew how to complain, however improvements were required in the way complaints were managed. We found there were limited ways people could share their experiences of the service and information was not always accessible to people with complex needs.

The provider checked staff’s suitability to deliver care and support during the recruitment process. Staff were trained to meet people’s needs effectively and people were supported to maintain their health. People were supported to eat and drink enough to maintain a balanced diet that met their needs and preferences.

People told us staff were caring. Staff knew people well and understood their likes, dislikes and preferences for how they wanted to be cared for and supported. Staff respected people’s right to privacy.

We found breaches of the Health and Social Care Act 2008 (Regulated activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

3 November 2015

During a routine inspection

Valley Road provides a respite service for up to three people with a learning disability. There were two people staying at the service at the time of our inspection.

We inspected the service on 3 November 2015. The inspection was announced. This was to ensure the registered manager and staff were available when we visited, to talk with us about the service.

The service has a registered manager. 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 and their relatives told us they felt safe using the service. Staff demonstrated they understood the importance of keeping people safe. They understood their responsibilities for reporting any concerns regarding potential abuse. Risks to people’s health and welfare were assessed and support plans gave staff instructions on how to minimise identified risks, so staff knew how to support people safely.

There were enough staff on duty to meet people’s needs. The recruitment process checked staff’s suitability to deliver care safely. Staff received training and support that ensured people’s needs were met effectively. Staff supported people with kindness and compassion, and treated people in a way that respected their dignity and promoted their independence.

Management and staff understood their responsibility to comply with the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS) and supported people in line with these principles. The registered manager had made a DoLS application where a potential restriction on a person’s liberty had been identified. The application had not yet been authorised. People did not have mental capacity assessments recorded on their support plans. However people’s families or representatives were involved in decisions regarding their care and treatment.

People were encouraged to maintain their independence and were involved in planning how they were cared for and supported. Care was planned to meet people’s individual needs and preferences.

People were encouraged to share their opinions about the quality of the service and we saw improvements were made in response to people’s suggestions.

The registered manager maintained an open culture at the home. There was good communication between staff members and staff were encouraged to share ideas to make improvements to the service. People said the registered manager was visible and accessible in the service.

The registered manager was dedicated to providing quality care to people. There were processes in place to ensure good standards of care were maintained for people. However there was no process in place to regularly check the accuracy of people’s support plans.