This inspection took place on 5 December 2017 and was announced.

Heathcotes Derby is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Heathcotes Derby accommodates up to eight people. The accommodation includes shared bathrooms, toilets, lounge, dining room and kitchen facilities. At the time of our inspection there were seven people in residence.

Heathcotes Derby has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

This was our first inspection of the service since they registered with us on 12 October 2016.

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 using the service. A range of risk assessments were completed, managed and reviewed regularly. People were involved and made decisions about all aspects of their support and were encouraged to take positive risks.

Staff knew how to keep people safe and understood their responsibility to protect people from the risk of abuse. Staff were safely recruited and there were sufficient numbers of staff to provide the care and support people needed.

People received their medicines at the right times. People were involved in planning and the preparation of meals. Cultural dietary needs were met. People had access to a range of specialist health care support. The registered manager and staff worked closely with relevant health care professionals to ensure people’s ongoing health needs and goals to live independently were met.

Staff received comprehensive induction and ongoing training which helped them to understand the needs of the people they were supporting. Staff worked closely with health care professionals to support people with complex needs. Staff received support and guidance through supervision and meetings to meet people’s needs effectively.

People were involved all aspects of their care and decisions made were documented. They were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice.

People received responsive and personalised care and support that promoted their daily living skills, and enabled them to achieve their aspirations and goals to live independently as possible. Care plans and relevant information was made available in accessible formats to help people understand their care and support plans. Care records were reviewed and kept up to date. These provided staff with clear guidance and information to meet people’s ongoing needs.

People told us they were treated as individuals and their values; cultural diversity and lifestyle choices were respected. People took part in activities that were important to them both at home and the wider community. Staff worked in a flexible way so that they could meet people's needs in a person centred way.

People were supported by kind, respectful and caring staff that knew them well. Staff had developed positive trusting relationships with people who were skilful in their interactions with people and focussed on promoting their independence. Staff treated people with dignity and respect. The design of the environment helped to ensure people’s privacy was promoted.

People knew how to raise a concern or to make a complain