Kingly Terrace is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided and both were looked at during this inspection.

Kingly Terrace provides accommodation and personal care for up to eight people that require support with varied and complex needs primarily arising from an acquired brain injury and, or, neurological disability. The home is a detached property that has been adapted for people that use wheelchairs and need other specialist equipment to manage their disability. There were eight people in residence when we inspected the service on 27 November and 1 December 2017.

There was a registered manager in post at the time of our inspection. 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 benefitted from receiving support from a motivated staff that were enabled to work creatively to achieve outstanding outcomes. Staff had insight into people’s capabilities and aspirations. People were encouraged and enabled to do things for themselves. They were encouraged to set goals and evaluate their progress in attaining these goals. People were enabled as much as possible to relearn skills they had lost as a consequence of their injury or condition. Their individual preferences for the way they liked to receive their care and support were respected. The emphasis was on rehabilitation and enhancing people’s ability to realise their potential for managing their disability and attaining increasing levels of independence in their daily lives. The staff team demonstrated a commitment to providing outstanding care and support and they achieved this by working with each person individually and involving them in all aspects of their care and support.

The provider and registered manager had a rigorous quality assurance system that encouraged reflective practice within the team and ensured that people consistently received care and support that was reflective of best practice. The provider actively participated in national forums for raising awareness in the care of people with acquired brain injury and neurological disabilities. This enabled the provider to be at the forefront of best practice and research into caring for and supporting people living with such disabilities. The provider's vision and values were understood and shared across the staff team and they led with a proactive approach that focused on evaluating ways of making improvements to the service. People and their relatives were encouraged to be involved in making improvements to the home and their feedback was acted upon.

People received care and support from staff that knew what was expected of them. Staff were friendly, kind and compassionate and the team were well-led and evaluated their practice on a day-to-day basis. They were well trained and had the support of the management team and the provider. The registered manager and senior staff inspired and supported their team to aim for and consistently achieve high standards when providing people with care and support. There was an ethos of care that was person centred and valued people as unique individuals, each with their own identity, aspirations and potential to be empowered.

People were safe. People were protected by rigorous recruitment procedures that made sure people did not receive unsafe care from staff that were unsuited to work at the service.

People were cared for by sufficient numbers of staff. They were supported by rehabilitation support workers (RSWs) and professional occupational therapists that had extensive professional training and expe