We carried out this unannounced inspection on 9 March 2018. At our last inspection, on 3 November 2015 the service was rated Good. At this inspection we found the service had retained its rating of Good.

24 St Marks Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

24 St Marks Road provides accommodation and personal care for up to eight adults. People living at the home have a range of needs including learning and physical disabilities, autism, acquired brain injuries, and associated complex healthcare needs. It is situated in Chaddesden close to Derby city centre. The home has eight ground floor bedrooms, all with ensuite facilities and ceiling hoists. The home has a sensory room, hydro bath, shower room with a shower trolley, a large lounge, a kitchen, and a dining room. The home also has a secluded garden. All areas of the home and garden are wheelchair-accessible. At the time of our inspection seven people were using the service.

The home 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 living at the home could live as ordinary a life as any citizen.

The home has a registered manager. This 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 home provided high-quality person-centred care and people and relatives were directly involved in how it was run. The registered manager was passionate about the home and committed to the well-being of the people living there, relatives, and staff.

Staff were caring and had built open and honest relationships with people and their relatives. They were knowledgeable about how best to communicate with people and to advocate for them and ensure their views were heard. People were involved in every aspect of their care and support. Staff knew people’s personal histories and cultural backgrounds and shared their interests with them.

Relatives told us their family members were safe at the home because it was well-staffed and the staff were caring and observant. All staff were aware of their safeguarding responsibilities and knew how to protect people’s well-being. Staff were safely recruited and people living at the home met potential staff and one person assisted with interviews.

The staff were highly-motivated and proud to work at the home. Morale was high and teamwork much in evidence. Relatives spoke of the family atmosphere at the home and the genuine interest staff took in the people they supported.

Good systems were in place to ensure medicines were stored and administered safely by trained staff. The premises were risk assessed to identify hazards and steps taken to minimise risks to people. All areas were warm and clean and staff knew how to protect people from infection.

Meals were prepared in accordance with people’s known preferences and to enable healthy choices. People had regular healthcare appointments and reviews and staff worked with healthcare professionals to improve people’s quality of life.

The home was spacious and uncluttered. People's bedrooms were personalised and decorated according to their wishes and needs.

The registered manager and staff followed the MCA (Mental Capacity Act 2005) and supported people to make decisions for themselves. 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 sys

This inspection took place on 3 November 2015 and was unannounced.

24 St Marks Road provides accommodation and personal care for up to eight adults. People living at the home have a range of needs including learning and physical disabilities, autism, acquired brain injuries, and associated complex healthcare needs. It is situated in Chaddesden close to Derby city centre. The home has eight ground floor bedrooms, all with ensuite facilities and ceiling hoists. The home has a sensory room, hydro bath, shower room with a shower trolley, a large lounge, a kitchen, and a dining room. The home also has a secluded garden. All areas of the home and garden are wheelchair-accessible.

The home has a registered manager. This 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.

People were valued at the service and the staff enjoyed their company and took pride in their achievements. The atmosphere was lively and people were supported to be independent, have fun socialising and take part in activities.

The pleasant environment contributed to people’s well-being. The interior of the home was spacious, uncluttered and clean. Some people preferred to get around without aids and adaptations at times and the smooth warm floor made it easy for them to do this.

People were safe in the home. Staff members knew people well and understood what signs to look out for if someone was unhappy or distressed. There were enough staff on duty in the home to meet people’s needs. Staff had the time to provide both one-to-one and group support for people.

Some people had complex healthcare needs so staff worked closely with a range of healthcare professionals including GPs, district nurses, physiotherapists, and learning disability experts. Staff advocated for people to ensure their healthcare needs were met.

The staff were caring and kind and wanted to make a positive difference to the lives of the people they supported. During our inspection we witnessed some excellent interactions between staff and the people using the service and saw they enjoyed each other’s company and got on well together.

Staff were innovative in the way they supported people. For example, they used music and song to encourage people to accept personal care and keep themselves healthy. They also supported people to take part in a range of mainly one to one activities including cinema, shopping, and cycling (using adapted bicycles). We observed four people taking part in a craft activity and saw they enjoyed this.

The registered manager provided inspirational leadership to the staff team and was dedicated to ensuring the people using the service had a good quality of life. All areas of the service were quality assured with relatives and people using the service contributing to this process.