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Inspection carried out on 23 April 2019

During a routine inspection

About the service: 3 Ferrers Drive is a registered care home and provides accommodation and support for up to five people living with learning disabilities. There were five people living at the service when we visited.

The care service had been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People’s experience of using this service:

¿ People using the service felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and they felt confident in how to report these types of concerns. People had risk assessments in place to enable them to be as independent as they could be in a safe manner. There were sufficient staff with the proper skill mix on duty to support people with their needs and keep them safe. Effective and safe recruitment processes were consistently followed by the provider. Medicines were managed safely.

¿ Staff had the right skills, experience and support to meet the needs of people who used the service. People were supported to maintain a healthy weight and were provided with a balanced diet with a choice of meals that they had chosen. Staff knew how to recognise changes in people's health and well-being. People were supported to access healthcare services. The premises met the needs of people and provided a safe, comfortable and homely environment. Staff followed the principles of the Mental Capacity Act 2005 and associated Deprivation of Liberty Safeguards.

¿ Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People and relatives, where appropriate, were involved in the planning of people’s care and support. People were treated with dignity and respect and their independence was promoted.

¿ Staff supported people to enjoy a range of activities which reflected people's individual interests. Staff worked together with the registered manager to ensure people's care was continually monitored, reviewed and reflected people’s changing needs. People were encouraged to share their thoughts and ideas for their care. People and their relatives knew how to complain. There was a complaints procedure in place which was accessible to all.

¿ People and staff felt supported by the registered manager. The provider had effective systems and processes in place to ensure the quality and safety of service.

Rating at last inspection: Good (report published 18 May 2017).

Why we inspected: This was a planned inspection based on the previous rating.

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

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

Inspection carried out on 25 April 2017

During a routine inspection

This unannounced inspection took place on 25 April 2017. At the last inspection, in April 2015, the service was rated Good. At this inspection we found that the service remained Good.

The service was registered to provide accommodation and personal care for up to five people with learning disabilities. At the time of our inspection five people were using the service.

At the previous inspection in April 2015, we found the provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the Care Quality Commission (Registration) Regulations 2009. This was because people were restricted of their liberty without appropriate authority.

After our inspection in April 2015, the provider informed us what action they were taking to meet the legal requirements in relation to the breach. At this inspection, we found improvements had been made in the required areas and the provider was no longer in breach of the regulations.

People continued to receive safe care and there were enough staff to meet people’s needs. Staff had been suitably recruited to ensure they were able to work with vulnerable people. People had risk assessments in place to enable them to be as independent as possible. Staff were able to recognise abuse and knew how to report it appropriately.

The care that people received had improved to be effective. The service was meeting the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff had received specific training in this area and were able to explain to us how they used their learning in practice.

Records showed staff received the training they needed to keep people safe. The manager had taken action to ensure staff’s training was kept up-to-date and future training was planned. Staff told us they felt supported by the management and received supervision and appraisals which helped to identify their training and development needs.

People were supported to eat and drink sufficiently and to maintain a balanced diet. They were also encouraged to eat meals as independently as possible. People were assisted in maintaining good health and received additional support from healthcare professionals when required.

The service remained caring. Staff were considerate, kind and helpful to people. Their knowledge of the individual choices and preferences of people enabled them to provide people with relevant care and support. People were involved in the planning and review of their care and family members continued to play an important role in these processes as well. People's privacy and dignity were maintained at all times.

The service continued to be responsive to people’s needs. People's individual care plans included information about what was important to them. People participated in a range of different social activities and were supported to access the local community. The management team appreciated and acted on people's and relatives’ opinions on the service.

The service continued to be well-led. People and staff had confidence in the manager as their leader and were complimentary about the positive culture within the service. There were systems and processes in place to help monitor the quality of the care people received.

Inspection carried out on 27 April 2015

During a routine inspection

We inspected Ferrers Drive on 27 April 2015. Ferrers drive is a small five bed home in a peaceful residential area for adults with learning disabilities. This was an unannounced inspection. This was the first inspection of this service since they changed their location in October 2013.

There was a registered manager in post at the service. 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 did not have an understanding of the Mental Capacity Act 2005 in relation to DoLS. No applications had been made to lawfully deprive people of their liberty for their own safety despite four of the five people being supported not being able to leave the home unsupervised.

The service was safe, people had support plans in place that identified and managed risks. Staff understood these risks and understood the steps to take to ensure people were safe. Care staff also had a good understanding of safeguarding and what action they would take if they suspected abuse.

People were supported by staff who had the skills and knowledge to meet their needs. Staff received regular training and on going supervision and support from their manager. People received a healthy and varied diet and had access to appropriate health care when required.

Staff were described as caring and this was supported by our observations. Staff were warm and respectful to the people they supported. People's home was respected and well looked after. The house and surrounding gardens was well maintained and had a very homely feel.

People’s needs were assessed and these assessments were used to create care plans. These plans were regularly reviewed and when people’s needs changed the service responded. People had access to a wide range of activities and the staff team were flexible around the choices people would make with regard to their activities. People had full choice and control over their lives and were supported within a culture that adhered to the key principles of person centred practice.

People, staff and relatives all spoke highly of the leadership within the home. Everyone described the home as well led. There was a caring culture within the home that was kept under regular review by the manager who had regular conversations with people to ensure their happiness. There was a clear vision for the ethos within the home that staff understood and we observed being carried out.

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

We recommend that the registered manager and all staff familiarise themselves with the Mental Capacity Act 2005 Code of Conduct.