This inspection took place on 8 December 2016 and was unannounced. At the last inspection of the service on 10 March 2016 we found breaches of the Health and Social Care Act 2008. Medicines were not always managed and recorded safely and there were no effective systems in place to monitor safe medicines practice within the home. Staff had not been supported through regular supervision and the provider did not have systems in place to ensure staff received an appraisal of their practice and performance. We carried out this inspection to check the outstanding breaches had been met and also to provide a review of the rating for the service.

1a Webb Road is a small residential care home that provides accommodation and personal care support for up to six people with profound and multiple learning and physical disabilities. At the time of our inspection the home was providing support to six people. There was an acting manager in post at the time of our inspection and they were in the process of registering with the CQC to be the registered manager for 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.

At this inspection we found the provider had made the required improvements and was now compliant with the requirements of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

Risks to the health and safety of people using the service were assessed and reviewed in line with the provider's policy. Medicines were managed, administered and stored safely. There were arrangements in place to deal with foreseeable emergencies and there were safeguarding adult’s policies and procedures in place. Accidents and incidents were recorded and acted on appropriately. There were safe staff recruitment practices in place and appropriate numbers of staff to meet people’s needs.

There were processes in place to ensure staff new to the home were inducted into the service appropriately and staff received training, supervision and appraisals. The service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People’s nutritional needs and preferences were met and people had access to health and social care professionals when required.

People were treated with respect and were consulted about their care and support needs. Staff respected people’s dignity and privacy. People’s support needs and risks were identified, assessed and documented within their care plan. People were provided with information on how to make a complaint. There were systems and processes in place to monitor and evaluate the service provided. People using the service and their relatives were asked for their views about the service through residents meetings and satisfaction surveys.

This inspection took place on 10 March 2016 and was unannounced. 1a Webb Road provides accommodation and personal care support for up to six people with profound and multiple learning and physical disabilities.

At this inspection we found breaches of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. You can see what action we told the provider to take at the back of the full version of the report.

Medicines were not always managed safely as medicines records were not always promptly kept up to date and there were no regular effective systems in place to monitor and check safe medicines practice within the home. Staff had not been supported through regular supervision and the provider did not have systems in place to ensure staff received an appraisal of their practice and performance. The service manager later confirmed after our inspection that staff personal development plans were now in place and we will review these at our next inspection of the service.

There were appropriate policies and procedures in place that ensured people were kept safe from harm. Staff received training in safeguarding adults and were aware of the potential types of abuse that could occur and the actions they should take. Incidents and accidents involving the safety of people using the service were recorded and acted upon and there were arrangements in place to manage foreseeable emergencies. Assessments were conducted to assess levels of risk to people’s physical and mental health and care plans contained guidance for staff that would protect people from harm by minimising risks.

There were sufficient numbers of staff on duty to ensure people were kept safe and there were safe recruitment practices in place to ensure people were cared for and supported by staff that were suitable for their role. Medicines were stored and administered safely. People were supported by staff that had appropriate skills and knowledge to meet their needs and staff received appropriate training.

There were processes in place which ensured the service complied with the Mental Capacity Act 2005 (MCA 2005). This provides protection for people who do not have capacity to make decisions for themselves. People were supported to eat and drink suitable healthy foods and sufficient amounts to meet their needs and ensure well-being. People were supported to maintain good physical and mental health and had access to health and social care professionals when required.

Staff treated people in a kind and caring manner and care plans contained guidance for staff on how best to communicate with people. People were supported to maintain relationships with relatives and friends. People were supported to understand the care and support choices available to them. People received care and treatment in accordance with their identified needs and wishes. People’s diverse needs, independence and human rights were supported, promoted and respected. People were supported to engage in a range of activities that met their needs and reflected their interests. People and relatives told us they knew who to speak with if they had any concerns.

There was registered manager in place. 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. There were systems in place to evaluate and monitor the quality of the service provided and where possible the provider took account of the views of people using the service through surveys.