This unannounced inspection took place on 27 July 2017.

Broadview is a service which provides support and accommodation for up to six people who live with a learning disability. The service has a main house which provides accommodation for four people, a one bedroom self-contained flat attached to the main building and a separate one bedroom self-contained flat. At the time of our inspection there were six people living in the service.

At the time of our inspection visit there was not a 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 had been a number of management changes since our previous inspection, however the previous registered manager had returned to Broadview almost two months before our inspection. They submitted an application to become the registered manager which was approved shortly after the inspection visit.

At the last inspection in August 2015 the service was rated overall Good. However, a rating of requires improvement had been identified in the 'safe' domain as improvements were needed to ensure the safe management of medicines. This had now been addressed by the management team and good medication practices were in place.

Risks associated with people’s needs and support were understood and managed well. Detailed care plans were in place which were personalised and updated regularly to ensure they reflected people’s needs.

There were enough staff to meet people’s needs. They had been recruited safely and received the training and supervision they needed to meet people's needs.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff understood the importance of seeking consent and followed the principles of the Mental Capacity Act 2005.

Staff ensured people received support from other health professionals when this was needed and supported people to maintain a balanced and health diet.

People said staff were kind and caring. Observation demonstrated staff understood the need for dignity and privacy to be maintained. People were supported to be as independent as possible and involved in decisions about their care.

No one had any complaints but knew what to do if they did. Staff spoke highly of the manager who operated an open door policy and took a “hands on” role in the service. People were confident to approach the manager with any issues they wanted to discuss.

Systems were in place to ensure a quality service was provided. Feedback from people, their relatives, staff and professionals was sought. Where improvements were identified; plans were developed to ensure these were addressed.

Broadview is a two-storey domestic detached house, and the accommodation comprises four single bedrooms with en-suites facilities and two self-contained flats. It is registered to provide a service for six adults under the age of 65 years, with learning disabilities. At the time of our inspection there were five people living in the service.

We found that people were involved in their care and were supported to make choices. People told us they were able to express their views and felt confident these were listened and responded to.

We looked at two people's care records in detail and found that care was planned in accordance to people’s needs, wishes and preferences. We spoke to four out of the five people using the service who told us that staff knew how to support them and meet their needs. People told us that staff were nice and they liked living in the home.

We found that people were not always safeguarded against the risk of abuse because appropriate actions were not always taken when concerns were identified.

We found that staff were supported effectively and received appropriate professional development. We spoke to six staff who told us they were supported, they were comfortable to talk to the manager about any issues and were confident they will be listened to.

People were able to express their views about the service and their care and these were listened to and acted upon.

During our visit we spoke to people who use the service and their relatives. People who use the service told us they were respected and involved in the care given to them. They were given choices and supported to make decisions in their daily lives. Relatives told us that they were pleased with the care given. People we spoke to said that they had no concerns about the care they received.

We saw that the routines of the service were unrushed. There was a sense of calm atmosphere throughout the day whilst we were there. We saw how residents and staff interacted and saw good rapport between them. We observed staff talking to people in a supportive and a gentle manner.

On the day of our visit, we found that there were enough staff on duty to provide one to one support for people using the service. We looked at a sample of care plans and saw that there was information about how people make decisions relating to their care. People liked the food that was offered.

The premises were clean and maintained in good physical repair and condition. People told us they were happy with their rooms. The rooms appeared comfortable. Each room had its own en-suite facility.

This unannounced inspection took place on 22 and 24 June 2015.

Broadview is a service which provides support and accommodation for up to six people who live with a learning disability. The service has a main house which provides accommodation for four people, a one bedroom self-contained flat attached to the main building and a separate one bedroom self-contained flat. At the time of our inspection there were six people living in the service.

The service had a 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.

People told us they felt safe at the home and their relatives confirmed this. There were clear procedures in place for safeguarding people at risk and staff were aware of their responsibilities and the procedures to follow.

Risks associated with peoples care were identified and plans developed to reduce any risk. Incidents and accidents were monitored and used to inform the delivery of care. Medicines were stored safely and administered as prescribed. However the records were not always accurate and temperature checks of medicines storage did not consistently take place. We have made a recommendation about this.

There were enough skilled and experienced staff who received appropriate training and support to meet people’s needs. Procedures in relation to recruitment of staff were followed and all required information was obtained to help the employer make safer recruitment decisions.

The Care Quality Commission (CQC) monitors the operation of the Deprivation of Liberty Safeguards (DoLS) which applies to care homes. The registered manager and staff had a good understanding of DoLS and the action they needed to take. Applications had been made to the local authority.

Staff demonstrated a good understanding of the need for consent and an understanding of the Mental Capacity Act 2005. People confirmed they made their own decisions and said staff always asked them first. The registered manager and staff knew how to undertake assessments of capacity and when these may need to be completed.

People were provided with a choice of healthy food and drink ensuring their nutritional needs were met. People’s physical and emotional health was monitored as required. This included the monitoring of people’s health conditions and symptoms so appropriate referrals to health professionals could be made.

People had developed good relationships with staff who were kind and caring in their approach. People were treated with dignity and respect. They were encouraged and supported to be involved in making decisions about their care and day to day life. Plans of care for people were individualised and staff responded to people's changing needs.

People said they had not needed to raise a complaint but were aware of the complaints procedure. They felt confident they would be listened to and action taken to respond to any concerns they may have.

The registered manager operated an open door policy and encouraged staff and people to make suggestions or discuss any issues of concerns. They supported both people and staff by taking a hands on approach to support. A system of audits was in place and used to identify where improvements could be made. Action plans were developed as a result and monitored to ensure they were carried out.