LD Care – Moreton Avenue is a care home for two adults who have learning disabilities. At the time of the inspection there were two people living at the service. The service was managed by LD Care Limited, a private provider who ran this and two other care homes in the London Borough of Hounslow. Both people living at LD Care – Moreton Avenue had lived at the service for a number of years. They had close links with the people living in the other homes managed by LD Care Limited and regularly socialised with them.

At the last inspection, 4 November 2014, the service was rated Good.

At this inspection, 10 January 2017, we found the service remained Good.

Why the service is rated Good

People living at the service were happy there. Their relatives and other stakeholders were happy with the way in which the service was run.

People living at the home were protected from the risks of harm because the provider had appropriate procedures in place. The staff were aware of these and had training in order to help keep people safe. The environment was safely maintained and people received their medicines appropriately.

People's capacity to consent to their care had been assessed and the staff supported them to be involved in making decisions about their care. The provider had acted in accordance with their legal responsibilities in order to ensure decisions, which people did not have the capacity to consent to, were made in their best interest by those who knew them best.

The staff were appropriately trained and supported and were given opportunities to share their feedback and ideas about how well the service met people's needs. They were recruited in a safe way which ensured checks on their suitability were made before they started working with people.

People were able to make choices about the food they ate and they were supported to live a healthy life style. The staff monitored people's health and worked closely with other professionals to make sure health needs were being met.

The staff were kind, caring and considerate. They had positive relationships with the people who they were supporting.

People had access to a range of different leisure, social and educational opportunities both at home and in the community. The staff supported them to learn independent living skills and to do as much for themselves as they could.

The staff had assessed and recorded people's care needs. There were clear plans to describe the support each person needed and evidence that these plans were followed.

The service was appropriately managed. There were comprehensive systems for monitoring the quality of the service and making sure complaints were dealt with appropriately. The provider listened to and learnt from the feedback of others making changes and improving the service. Records were very well maintained. The care plans, risk assessments and records of care provided were of a high standard and clear and well thought out. These were regularly reviewed.

The service met or exceeded all the relevant fundamental standards we inspected and provided a positive, homely and forward thinking environment for the people who lived and worked there.

Further information is in the detailed findings below.

The inspection took place on 4 November 2014 and was unannounced.

LD Care - Moreton Avenue supports up to two people with a learning disability. The service is registered to provide accommodation and personal care. There was a registered manager 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 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.

We found that people were well cared for and their needs were met. The service was safe and there were appropriate safeguards in place to help protect the people who lived there. People were able to make choices about the way in which they were cared for and the staff listened to them and knew their needs well. The staff had the training and support they needed. Relatives of people living at the home and other professionals were happy with the service. There was evidence that the staff and managers at the home had been involved in reviewing and monitoring the quality of the service to make sure it improved.

This inspection was to follow up the compliance actions imposed at the previous inspection of the service, therefore we did not speak with any people who use the service. However, we did speak with a healthcare professional involved with the service.

People or their representatives were involved in identifying where they needed support and how this was to be provided. This was reflected in the care plans which detailed how people’s needs were to be met by the staff.

Health and safety checks were carried out on the equipment used to support people, and on the environment to ensure the service was safe for people.

The staff received training to support people with their needs and to ensure that medicines were administered appropriately.

At the time of our inspection there was one person using the service. Due to the complexity of their needs, we were unable to communicate with them. We saw that the staff treated them with respect and engaged them in in-house activities that they liked.

However, we found areas where the service did not ensure that people were kept safe. The care planning and risk management plans did not reflect all the needs of the person, and could put them at risk of inappropriate care.

Some equipment and areas of the home were a risk to people who use the service and the staff. For example, such as where equipment had not been tested and where staff did not have the right equipment to carry out health and safety checks.

The staffing levels could put people who use the service at risk of inappropriate care and support.