Bramley Avenue provides accommodation and personal care for up to five people who have learning difficulties. Accommodation is provided on one level and all bedrooms are single rooms. There are two communal rooms for people to spend time with their families and visitors.

This unannounced inspection was carried out on 10 October 2017. This was the first inspection of the service since being re-registered on 1 November 2016.

There was no registered manager at the time of this inspection. However, provision had been made as there was a general manager in post to oversee the day-to-day running of the service. They had applied with the Care Quality Commission (CQC) to become the registered manager. 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 manage risks appropriately and to protect people from avoidable harm. There were enough staff to meet people's needs and staff recruitment procedures ensured that only suitable staff were employed.

Medicines were managed safely and people received their medicines as prescribed.

People received care from staff who were well trained and well supported. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible.

People were assisted to have enough to eat and drink. People were supported to manage their health and wellbeing and to access a range of healthcare professionals.

Staff were kind, caring and respectful towards people. They respected people's privacy and dignity. People were involved making decisions about their day to day lives.

People's care plans were being reviewed to make them more personalised reflect people’s goals that they wished to achieve.

Staff supported people to access a range of hobbies, interests and activities.

People were given opportunities to speak with staff and the manager if they were not happy with the service.

The manager was approachable. Arrangements were in place to ensure that the quality of the service provided for people was regularly monitored. People who lived in the service and their relatives were encouraged to share their views and feedback about the quality of the care and support provided.

Further information is in the detailed findings below.