This comprehensive inspection took place on 20 November 2018 and was unannounced.

L'Arche Bognor Regis Zacchaeus is a care home for five adults with a learning disability and or autistic spectrum disorders. At the time of our inspection there were four people living at the service. We refer to L'Arche Bognor Regis Zacchaeus as Zacchaeus House in the body of this report. The service was provided from a domestic style eight-bedroom house over two floors. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission regulates both the premises and the care provided, and both were looked at during this inspection.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At our last inspection, due to not having a registered manager in place at the time of our visit this had limited the rating for well led to requires improvement. This was because it was a condition of the provider's registration that a registered manager be in post at this location. At this inspection, a registered manager was in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered person’s'. 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.

L'Arche originated in France in 1964 and is now an international movement that builds faith based communities with people with learning disabilities. Zacchaeus House is part of an ecumenical, meaning all inclusive, Christian community which welcomes people of all faiths and those who have none. The community has a cycle of events throughout the year that provide a focus for spiritual development. These include an annual pilgrimage, monthly community gatherings, days of reflection and occasional retreats and gatherings. People who live and receive a service at Zacchaeus House are known as 'core members' and staff as 'assistants'. Due to the philosophy of L'Arche that people with disabilities live in a community, three assistants live in the service alongside core members, sharing all of the facilities.

The care service 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.

Staff described procedures that were in place to safeguard the people they supported. They fully understood the safeguarding policies and procedures and felt confident to raise a concern and thought they would be listened to.

Recruitment systems at the home continued to be safe and robust. There were sufficient trained and competent staff to meet people's individual assessed needs. All staff undertook an induction at the start of their employment and completed shadow shifts to fully understand their role and the people they supported. The staff were supported by the management team through on-going supervision and team meetings.

Medicines were ordered, stored, administered and disposed of in accordance with best practice guidelines. All staff had undertaken medicines training and had their competency assessed annually or when needed. The registered provider had medicines policies and procedures in place.

The design and layout of the building was hazard free and met the needs of people who lived there. All areas of the home were clean and in a g

The inspection took place on 22 February and 24 February 2016. The inspection was unannounced.

L'Arche Bognor Regis Zacchaeus provides accommodation for persons who require personal care for up to five people with a learning disability or autism. At the time of our inspection there were four people living at the service. We refer to L'Arche Bognor Regis Zacchaeus as Zacchaeus House in the body of this report.

It is a condition of the provider’s registration that a registered manager be in post at this location.. A registered manager is a person who has registered with the Care Quality Commission to manage the service. The registered provider are also ‘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. The registered manager had left in December 2015.

The provider had notified the Care Quality Commission of this and had started the process of correctly de-registering that person. The service was being managed day to day by a house leader, who was supported by a director. The director told us the registered manager position was being advertised and recruited for. Due to not having a registered manager in place at the time of our visit this has limited the “well led” domain to requires improvement. .

L'Arche originated in France in 1964 and is now an international movement that builds faith based communities with people with learning disabilities. Zacchaeus House is a large property, with bedrooms on the ground and first floors. There is one communal lounge and an open planned kitchen/diner. There is a garden to the rear of the service with an outdoor hut which is used for people to relax in and do activities. Zacchaeus House is part of an ecumenical, meaning all inclusive, Christian community which welcomes people of all faiths and those who have none. The community has a cycle of events throughout the year that provide a focus for spiritual development. These include an annual pilgrimage, monthly community gatherings, days of reflection and occasional retreats and gatherings. People who live and receive a service at Zacchaeus House are known as ‘core members’ and staff as ‘assistants’. Due to the philosophy of L’Arche that people with disabilities live in a community, most assistants live in the service alongside core members, sharing all of the facilities.

Staff worked positively with community professionals such as learning disability nurses, psychologists and speech and language therapists to ensure that people’s needs were met. Changes and recommendations by professionals were clearly communicated to people who lived at Zacchaeus House in an easy to read format which helped them to understand the advice given.

People were protected against avoidable harm and abuse. Good systems were in place for reporting accidents and incidents and the service was responsive to people's individual needs.

Staff completed an induction course based on nationally recognised standards and spent time working with experienced staff before they were allowed to support people unsupervised. This ensured they had the appropriate knowledge and skills to support people effectively. Records showed that the provider's required staff training was up to date. This training was refreshed regularly to enable and ensure staff had retained and updated the skills and knowledge required to support people effectively. Staff told us that they felt supported and had received training to enable them to understand about the needs of the people they care for.

There were sufficient numbers of staff on duty to keep people safe and to meet people’s needs. Staff recruitment procedures ensured only those staff suitable to work in a care setting was employed.

People received their medicines safely, administered by staff that had completed safe management of medicines training and had their competency assessed annually b

On the day of our visit four people were living in the home. We spoke with one person who was at home when we first arrived and talked briefly with two other people when they returned from their day activities. Another declined to talk with us. We also observed the staff interacting with people whilst providing support.

We saw that staff treated people with respect and consideration whilst promoting their right to choice. This approach by staff was confirmed by our review of people's records.

We saw that staff interacted well with people when they were supporting them and appeared knowledgeable about people's needs and preferences. We found staff were respectful and maintained people's dignity, privacy and independence. We saw that activities were provided to suit individual needs and were flexible to accommodate choice.

We were shown examples of person centred care records which were well organised into separate sections. This provided clarity for staff. These had been developed for each individual and documented their wishes and preferences in relation to how their care was provided and were presented in a form that assisted people to understand what care plan goals had been agreed. People were encourage to take a lead in their care plan reviews however a relative's assistance was sought with this where the person was unable to fully contribute themselves.

Equality and diversity had been considered in the service by looking at each individual's needs.

We were informed that there were four people living at Zacchaeus and that three members of staff also lived in the home. On the day we visited all the people were out for the day. Three people were attending workshop activities and working in the gardens ran by L’Arche and another was attending college. In order to gain the views of the people who live at Zaccahaeus we looked through minuets of the home meetings.

We looked around the building which was clean and free from unpleasant odours. The bedrooms were personalised with photographs, books, computers and pictures.

During our visit we were unable to speak to any of the people who use the service. However we spoke with three members of staff (including the registered manager who was responsible for the day to day management of the home) and the L’Arche home coordinator (who is also registered as the manager for the home). We also looked at the care plans of the people who lived at the home and other documentation.

Due to the needs of people we were only able to have limited communication with people.

We spoke to two people and they both said that they like living at the home. People told us that they keep in touch with their family members and attend a number of community activities.