About the service: Cream IV Limited is a residential care home which is registered to provide care to one person. The home provides a service to a person who has a learning disability.

People’s experience of using this service:

The service has been developed and designed for the person who lived at the home. This was in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence.

The person who lived at the home received person centred care and support designed around their wishes and needs. This included being supported by a small staff team who knew them well.

The person was supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Staff worked with other professionals and family members to make sure the person’s choices were respected.

The provider had systems and processes which helped to keep the person safe. The person was very comfortable and relaxed with the staff who supported them. We saw kind interactions and friendly banter which helped to create a warm and caring environment for the person to live in.

The person lived in a home where staff felt well supported and received the training required to effectively meet the person’s needs. The management team listened to suggestions for changes which may improve the person’s safety or quality of life.

The person’s independence was promoted by risk assessments which minimised risks but enabled them to take part in activities of their choosing. This included learning new skills such as shopping for food and helping to prepare meals.

The provider monitored the standard of support provided to the person to make sure they received safe and effective care. The provider made changes and improvements where necessary to enhance the person’s well-being.

Rating at last inspection: This is the first inspection since the home was registered on 28 April 2018.

Why we inspected: This was a scheduled/planned inspection based on date of registration.

Follow up: We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If any concerning information is received, we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk