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Inspection carried out on 31 December 2019

During a routine inspection

About the service

Fenwick is a residential care home, supporting up to three people with learning disabilities. At the time of our inspection there were three people using the service. The home is a three- bedroom residential property with a lounge, kitchen and dining area as well as a garden.

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.

People’s experience of using this service

The provider had appropriate systems in place to identify risks to people’s health, safety as well as their risk of experiencing abuse. There were enough staff working at the service and all had been appropriately vetted before working with people. The provider supported people effectively with their medicines and staff received annual training, but their competencies were not checked every year. We have made a recommendation about the completion of medicines competency assessments. The provider maintained good levels of hygiene within the home and had appropriate systems in place to deal with accidents and incidents.

The provider was not always following best practice guidance as they were not conducting annual medicines competency assessments. The provider gave staff the support they needed to do their roles and supported people with their health and nutritional needs, working with external professionals as needed. The home was appropriately designed and decorated to meet people’s needs.

People’s relatives gave good feedback about the care workers and told us their family members were well treated. People were supported to express their views and were supported with their religious needs. The provider respected people’s privacy and dignity and supported people to be as independent as possible.

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 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.

The provider planned people’s care to ensure their needs and preferences were met. The provider supported people to communicate their needs and had clear communication care plans in place. They were meeting the requirements of the Accessible Information Standards (AIS) and were able to provide information to people in different formats when needed. People were supported to participate in a varied activities programme of their own choosing. There were clear complaints and end of life care policies and procedures in place to guide staff if needed.

People’s relatives told us the service delivered high quality care and they were asked for their feedback. Staff told us the registered manager was supportive. She and other staff understood their responsibilities and the quality of the service was monitored effectively.

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 10 January 2019 and this was the first inspection.

Why we inspected

This was a planned inspection based on when the service registered with us.

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.