This inspection took place on 11 July and was unannounced.

Delos – Willowtree House (Creative Support) provides accommodation and personal care to people with learning disabilities and autism.

At the time of our inspection the provider confirmed they were providing personal care to 5 people.

There was not a registered manager in post. The service had a manager that was going through the process of registering with the 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.

People told us they felt safe. Staff had received training to enable them to recognise signs and symptoms of abuse and how to report them.

People had risk assessments in place which recognised their rights and enabled them to be as independent as they could be.

There were sufficient staff, with the correct skill mix, on duty to support people with their needs.

Effective recruitment processes were in place and followed by the service, to ensure that only suitable staff were employed to work with people.

Medicines were managed safely and the processes in place ensured that the administration and handling of medicines was suitable for the people who used the service.

Staff received a comprehensive induction process and on-going training. They were very well supported by the manager and had regular one to one time for supervisions.

Staff had attended a variety of training to ensure they were able to provide care based on current practice when supporting people.

Staff always gained consent before supporting people. People told us that staff always checked with them before doing anything and respected their privacy.

People were supported to make decisions about all aspects of their life; this was underpinned by the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. Staff were very knowledgeable of this guidance and correct processes were in place to protect people.

People were able to make choices about the food and drink they had, and staff gave support when required.

People were supported to access a variety of health professional as and when required.

Staff provided care and support in a caring and meaningful way. They knew the people who used the service well. People were comfortable around staff and confident in communicating with them.

People and relatives where appropriate, were involved in the planning of their care and support. People told us they felt in control of their own lives.

People’s privacy and dignity was maintained at all times. People were supported to follow their interests and maintain friendships and relationships.

A complaints procedure was in place and accessible to all. People knew how to complain and were confident that they would be listened to.

Effective quality monitoring systems were in place. A variety of audits were carried out and used to drive improvement.