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Inspection carried out on 30 September 2019

During a routine inspection

About the service

The Annexe is a service providing live in care to people in their homes. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

The service supported three people at one location, where two people received personal care. They shared a single ‘house in multi-occupation’. People who used the service had needs associated with learning disabilities and other complex needs.

People’s experience of using this service and what we found

People felt safe and at home at The Annexe. People were treated with dignity and respect and their lifestyle and equality needs and choices were understood and respected. The registered manager told us, “We know each person very well and are clear about the support they want”. People told us they were happy with the support they received. People had privacy when they wanted it.

People were protected from the risks of harm and abuse and any concerns they or staff had, were listened to and acted on. Risks had been assessed with people and family members acting on their behalf. People were supported to remain independent and as safe as possible in ways that had been agreed.

Staff supported people to remain healthy. People enjoyed a balanced diet which met their needs and were supported to lead active lives. People’s medicines were managed safely. People were protected from the risk of infection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

People had planned their care with staff and were supported to maintain their routines. They were supported to take part in a range of activities they enjoyed. People had been offered the opportunity to share their end of life preferences and these had been documented.

The provider and registered manager had oversight of the service. They completed regular checks on the quality of care people received. People, staff and relatives were asked for their views about the service. These were listened to and acted on to improve the service.

The registered manager understood their legal responsibilities and had shared information with us and others when they needed to.

There were enough staff to support people when needed. Staff had the skills required to care for the people and were supported by the management team. Staff were recruited safely.

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting 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.

For more details, please see the full report which is on the CQC website at

Rating at last inspection

This service was registered with us on 16/10/2018 and this is the first inspection.

Why we inspected

This was a scheduled inspection based on timescale for unrated services.

Follow up

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