This inspection took place on 30 May 2017 with follow up visits on 31 May and 1 June 2017. The provider was given 48 hours' notice because the location provides a domiciliary care service and we needed to be sure the registered manager would be available for the inspection. This was the services first inspection since being registered with the Care Quality Commission.

The service provides 24 hour care and support to fifteen people with learning disabilities who live in their own homes across six different locations.

The service has 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.

The service was managed by the registered manager and two service managers who shared responsibility for running the service on a day to day basis across the six locations.

People told us they were happy and felt safe using the service. We saw that people were comfortable and relaxed with staff. Relatives told us their family members were safe. Staff had received training in safeguarding and knew how to protect people from the risk of abuse and how to report any concerns.

Risks to people's safety were assessed and guidance was provided to staff on how to manage them. Staff were aware of the risks to people and the management plans in place keep people safe from harm. There were sufficient staff deployed who had been safely recruited to meet people’s needs.

Medicines were managed safely and people received their medicines as prescribed. People received appropriate support to take their medicines by staff who were trained and assessed as competent to administer medicines safely.

Staff received an induction, mandatory and specialist training so they had the skills and knowledge to meet people's needs. Staff felt they were well supported by the management team and received supervision and annual appraisals to help them develop professionally.

The service supported people to have enough to eat and drink which reflected their preferences and helped them maintain a healthy balanced diet. People's health and wellbeing was maintained. The service kept detailed health records and shared this information appropriately with the relevant health and social care professionals to ensure that people received any treatment they required in a timely fashion.

Care was planned and delivered in a way that met people's needs and took account of their wishes and preferences. Staff encouraged and supported people to maintain their independence and confidence. People were involved in the assessment of their needs and their consent was sought before providing care and support.

Staff were caring and treated people with kindness, dignity and respect. People and staff had positive relationships. Staff knew people well and understood people’s needs and the way they communicated and used this knowledge and understanding to help people make decisions.

People received care and support in a personalised way and were supported to make choices about how they wanted to live their day to day lives including exploring interests and maintaining relationships that were important to them. Staff supported people to take part and try new activities and experiences in their homes and in the community.

The provider had a complaints policy and procedure in place which was shared with people and their relatives who told us they knew how to raise concerns or complaints.

The culture within the service was person-centred, open and transparent with a focus on empowering people and promoting independence.

There was a clear management structure in place and staff and people felt comfortable talking to the managers about any issues and were sure that any concerns would be ad