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Inspection carried out on 12 June 2017

During a routine inspection

Edmund House is registered to provide personal care to people in their own homes. At the time of this inspection there were 61 people using the service who had a learning disability.

This announced inspection took place on 12 June and 14 July 2017.

At the time of the inspection there was a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 experienced a level of care and support that meet their needs, and promoted their health and wellbeing. People were happy, felt safe and felt cared for. Staff were aware of how to reduce risks to people and what to do if they thought anyone had been harmed. People and their relatives were involved in the recruitment of new staff. People received their medication as prescribed from staff that had been trained and deemed competent to administer medication.

Staff received the training and support they needed to be effective in their roles. Staff completed thorough inductions when new to the service and were given time to get to know people and understand how they liked their support to be delivered.

Staff knew how to implement the guidelines of the Mental Capacity Act (MCA) 2005 to ensure people’s rights were upheld. People only had restrictions placed on them when the correct procedures had been followed.

People were cared for by staff who knew them really well and who had been well trained to support people. Staff were kind and caring and encouraged people to make decisions. People and their families were involved in the planning of their care. People's care plans were detailed and very personalised which helped staff deliver the support people wanted and needed. Staff supported people to take part in activities that they enjoyed.

The registered manager provided strong leadership and had a clear vision about the direction of the service. They were highly committed to improving people's lives and ensuring people had the best care they could receive, and expected the same high standards from the staff who were as committed to these values as the registered manager was. The registered manager and provider had put procedures in place to continuously review the service they were delivering. This identified areas of good practice and where improvements were needed. Action plans detailed clearly what action was needed and by whom.