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Inspection carried out on 10 May 2019

During a routine inspection

About the service:

The service accommodates six people in two adapted domestic style neighbouring bungalows within the local community. Three people live in each of the bungalows.

The size of service meets current best practice guidance. This promotes people living in a small domestic style property to enable them to have the opportunity of living a full life.

People’s experience of using this service:

The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider ensured they were applied.

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; promotion of choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

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.

People were protected from the risk of abuse and harm. Staff had completed training in topics of safeguarding and health and safety and they understood their responsibilities for keeping people safe. People were supported to take positive risks as part as an independent lifestyle. Medicines were safely managed and administered to people at the right time. There was a system in place for reporting and learning from accidents and incidents.

People’s needs and choices were assessed and planned for with their full involvement. Care plans were detailed and identified intended outcomes for people and how they were to be met. Staff provided people with effective care and support. The premises were suitably adapted, designed and decorated to meet peoples' needs and choices and was in keeping with other properties in the neighbourhood. People’s right to make decisions was understood and promoted.

People commented positively about how kind, caring and respectful staff were. People’s independence, privacy and dignity was promoted. Staff knew people well and had formed positive and trusting relationships with them. People’s views about their care and support was regularly obtained and they were listened to.

Care plans reflected people’s needs and choices in a personalised way and people received care and support which was responsive to their needs. People were provided with information in formats which they could easily access and understand. The use of assistive technology enhanced people’s communication, independence and overall quality of life. People knew how to complain and were confident about speaking up.

Managers promoted a person-centred and inclusive culture and provided high-quality care and support to people. Managers of the service were supportive and approachable. There was good partnership working with other professionals. Effective systems were in place to check on the quality and safety of the service and improvements were made when required.

Rating at last inspection: This was the first inspection of the service since it was registered with CQC in May 2018.

Why we inspected:

This inspection was planned to check whether the provider was meeting the legal requirements and regulations associated with the Act, to look at the overall quality of the service, and to provide a rating for the service under the Care Act 2014.

Follow up:

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