This inspection took place on the 10 May 2017 and was unannounced. At the last inspection on 18 February 2015 the service was in breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because staff had not undertaken up to date training required for their role. During this inspection we found this issue had been addressed.

The service is registered to provide accommodation and support with personal care to a maximum of four adults with learning disabilities. At the time of inspection three people were using the service.

The previous registered manager left the service in March 2017 and a new manager had been appointed. They told us they were in the process of applying for registration with the Care Quality Commission. 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 were enough staff working at the service to meet people’s needs and robust staff recruitment procedures were in place. Appropriate safeguarding procedures were in place. Risk assessments provided information about how to support people in a safe manner. Medicines were managed in a safe way

People were able to make choices for themselves and the service operated within the spirit of the Mental Capacity Act 2005. People told us they enjoyed the food. People were supported to access relevant health care professionals.

People told us they were treated with respect and that staff were caring. Staff had a good understanding of how to promote people’s privacy, independence and dignity.

Care plans were in place which set out how to meet people’s individual needs. Care plans were subject to regular review. People were supported to engage in various activities. The service had a complaints procedure in place and people knew how to make a complaint.

Staff and people spoke positively about the senior staff at the service. Systems were in place to seek the views of people on the running of the service.

This inspection took place on 18 February 2015 and was announced. At the last inspection of this service in October 2013 we found they were meeting all the standards we looked at. The service provides support with personal care and accommodation for up to four adults with a learning disability some of whom are on the autistic spectrum. Four people were using the service at the time of our inspection.

The service had a registered manager in place. 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.

Staff did not receive all training they required to meet the needs of people in a safe manner. You can see what action we told the provider to take at the back of the full version of the report.

The service had taken steps to promote people’s safety. Staff were aware of how to respond to allegations of abuse. Risk assessments were in place and these covered how to support people who exhibited behaviours that challenged others. There were enough staff to meet people’s needs and medicines were managed safely.

Staff received regular one to one supervision. People had access to health care professionals and the service sought to promote people’s health. People were supported to make their own decisions where they had capacity. Where people lacked capacity proper procedures were followed in line with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards. People were supported to eat sufficient amounts although they were not always provided with a varied diet.

Staff interacted with people in a caring and friendly manner. People’s dignity was promoted through choice, privacy and independence.

Care plans were in place which set out the needs of individuals and we saw these been followed. People had access to leisure and education opportunities. The service had appropriate complaints procedures in place.

The service had clear lines of accountability and staff told us the registered manager was accessible and approachable. Various quality assurance and monitoring systems were in place. Some of these included seeking the views of people that used the service.

We found that although some people were not able to communicate verbally, staff respected people's dignity by offering choices. We saw evidence that the service obtained people's consent when offering care and support.

We spoke to one persons' relative, who commented "so far I am quite happy with everything." Another persons'relative commented "overall we are pleased, X always seems clean and well looked after."

We found that the provider assessed people's needs on a regular basis and recorded changes in their care plans. One person's relative said "they let me know everything."

The home was clean and tidy on the day of our visit. Staff told us they carried out cleaning duties throughout their shift. This was dictated by the shift plan, which we saw a copy of.

We found there were adequate numbers of staff working within the home and they were suitably qualified to meet people's needs.

We saw copies of various meetings held within the home. These showed that staff discussed what improvements were needed within the service.

People who use the service and their carers were involved in making decisions about the care and treatment given. Relatives confirmed they were invited to and attended care planning and review meetings. One relative said that they have had to move out of London but the home gave them plenty of notice when they arranged review meetings so that they could attend.

People who use the service attended regular weekly activities such as going to day centres three times a week. Some users also have one to one sessions provided by a community outreach service, where they are taken out daily to the park, to local cafes or shopping.

Care plans were person centred and clearly documented the care and welfare needs of each person.

The provider had clear policies and procedures in place that addressed safeguarding. Pictorial poster were displayed on the notice board showing various forms of abuse and what people who use the service should do if they were concerned about abuse.

We saw evidence that regular staff training was provided by the organisation through internet based ‘e learning’ and in house training. Topics covered included mental capacity, moving and handling, food hygiene, safeguarding, supporting people with learning disabilities and health and safety.

Questionnaires were sent to relatives annually and one relative told us they always completed the questionnaire as the home had plenty of activities and staff needs to know they were doing a good job.