This announced comprehensive inspection took place on 16 October 2018. 109 Mason Hill provides care and support to people living in a supported living setting, so they can live as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support. At the time of this inspection, the service was providing care and support to seven people.

The care service has 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.

There was a registered manager in post. 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.

This is the first inspection of the home since their registration with the provider, Care Management Group.

The provider had safeguarding policies and procedures in place and staff knew of their responsibility to safeguard people in their care. Risks to people had been identified, assessed and there were management plans in place to prevent or minimise the risk occurring. There were enough staff available to support people’s needs and the provider had followed safe recruitment practices. People were supported to take their medicines as prescribed by healthcare professionals and staff followed appropriate infection control practices to prevent the spread of infectious diseases. The service had effective systems in place to manage accidents and incidents and prevent repeat occurrences.

Before people started using the service their needs were assessed to ensure they could be met. People were supported to have maximum 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 supported to prepare and eat healthy food in sufficient amounts for their health and well-being. Where required, people were supported to access healthcare services and staff worked in partnership with other professionals to ensure people’s needs were met. Staff had appropriate skill and knowledge to support people’s needs because they received support through induction, training and supervisions.

People were supported by staff that were kind and caring towards them. Relatives told us they felt people were happy at the service. People and their relatives where appropriate were consulted about their care and support needs. People’s privacy and dignity was respected and their independence was promoted.

People received care and support that met their needs. Each person had a care plan which provided staff with guidance on how their needs should be met. People were supported to maintain relationships with those that were important with them. People were supported to participate in activities that interested them including swimming, cycling and art sessions. Staff promoted diversity and supported people without discrimination. People’s communication needs had been assessed and information was presented in formats that met their needs. The provider had a complaints policy in place and relatives told us they knew how to make a complaint. People's end of life wishes had been discussed with them, where they wished to do so, and appropriate plans had been put in place to ensure their wishes would be met.

The service had an effective system in place to monitor and assess the quality of the service and lessons learnt were used to continuously improve on the servi