We undertook the unannounced inspection on 7 February 2018. The service provides residential and personal care for five people who are living with complex learning difficulties on the autism spectrum. On the day of our inspection, five people were using the service. Broughton house, 12 High Street is a ‘care home’. People in care homes receive accommodation and personal care as single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection.

The service was provided in one contained unit over two floors.

At our last inspection we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and on-going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to be protected from the risk of abuse and felt safe. Staff had a good understanding of their roles and responsibilities if they suspected abuse was happening. The manager shared information with the local authority when needed.

People received their medicines as prescribed and the management of medicines was safe. They lived in a clean environment and were protected from the risk of infection.

People continued to be supported by sufficient numbers of staff who had received adequate training for their role.

People were protected from the risks of inadequate nutrition. Specialist diets were provided if needed. Referrals were made to health care professionals when needed. The premises were well maintained and had been adapted to meet the needs of the people who lived there.

People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice. The principles of the Mental Capacity Act (MCA) were followed.

People who used the service, or their representatives, were encouraged to contribute to the planning of their care. People were treated in a caring and respectful manner and staff delivered support in a relaxed and considerate way.

People received individualised person centred care from staff who had a good understanding of their needs. They were supported to take part in a range of social activities of their choice.

People who used the service, or their representatives, were encouraged to be involved in decisions and systems were in place to monitor the quality of the service. People also felt they could report any concerns to the management team and felt they would be taken seriously.

Further information is in the detailed findings below.

This inspection took place on 6 January 2016 and was unannounced.

Broughton House and College specialises in the care of people who have a learning disability. Number 12 High street provides accommodation for up to 5 people who require personal acre and support. On the day of our inspection there were five people living at the home on a permanent basis.

At the time of our inspection 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.

On the day of our inspection we found that staff interacted well with people and people were cared for safely. The provider had systems and processes in place to safeguard people and staff knew how to keep people safe. Risk assessments were in place.

There were sufficient staff available to support people, this was usually on a one to one basis. A recruitment process was in place.

Medicines were stored and administered safely. Medicine administration records (MAR) were completed fully.

The provider acted in accordance with the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). If the location is a care home Care Quality Commission is required by law to monitor the operation of the DoLS, and to report on what we find. We found that people’s health care needs were assessed and care planned and delivered to meet those needs. People had access to other healthcare professionals such as an occupational therapist and GP.

Staff were kind and sensitive to people when they were providing support. Staff had a good understanding of people’s needs. People had access to leisure activities and excursions to local facilities. People had their privacy and dignity considered. Staff were aware of people’s need for privacy and dignity.

People were supported to eat enough to keep them healthy. People had access to drinks during the day and had choices at mealtimes. Where people had special dietary requirements we saw that these were provided for.

Staff were provided with training on a variety of subjects to ensure that they had the skills to meet people’s needs. We saw that people were involved in making decisions about their care and how their day was managed. Staff felt able to raise concerns and issues with the registered manager. People were encouraged to raise issues both formally and informally.

The provider had a complaints policy in place and used a variety of methods to gain people's views about the service.

Audits were carried out on a regular basis and action put in place to address any concerns and issues.

During our visit we spoke with two people who lived at the home, three members of staff and the registered manager. We also looked at records and observed care. Overall we observed people were supported by skilled and experienced staff who understood their roles and responsibilities.

We observed care and saw staff were responsive to people and interacted with them positively. People told us the staff were good and looked after them well.

People told us the food was good and we saw people were involved in planning and cooking.

When we spoke with staff they told us they had received training to enable them to provide safe and appropriate care to people.

Many of the people living at 12 High Street had difficulty communicating. We spoke with one person. We also spoke with staff and looked at records.

Overall we observed that people were supported by skilled and experienced staff who understood their roles and responsibilities.We saw people were treated with dignity and respect and supported to make decisions about their care.

We spoke to one person during our visit. They told us they liked living at the home.

They told us they did activities such as swimming and going to the pub.

We asked them if they liked the food and they said it was good.