This announced inspection took place on 21 December 2016. We last inspected this service on 15 August 2013 under the regulations that were in force at that time. We found that the provider met all the regulations during that inspection.

Meadow View is a residential care home registered to provide care and accommodation to one person who has a learning disability. Meadow View is owned by Mrs Jacqueline Douglas who is the registered provider and also the main carer. Meadow View is situated in the hamlet of Gullom Holme nine miles east of Penrith which is the nearest large town.

At the time of our inspection there was one person living in Meadow View and we were able to spend time with them during our visit. They told us they felt safe living in the home and had lived with the provider for many years.

There was no requirement for this service to have a registered manager in place. The registered provider, who was also the main carer, provided all the personal care and support to the one person who lived in Meadow View.

The registered provider was aware of her role and responsibility to keep vulnerable people free from harm and the threat of abuse. We observed warm and friendly interactions between the registered manager and person who lived in Meadow View.

We found that medicines were managed well and in line with person’s prescription. The person was encouraged to eat a healthy diet but could also choose their favourite food. Healthcare needs were met through peoples’ doctors and consultants were necessary. Dental, optical and chiropody services were accessed when required.

We noted the dependency levels of the person who lived in the home and saw these were well managed by the registered provider. The person had been fully assessed when they first moved into the home.

The commissioning authority, Flintshire County Council had provided a care plan for the registered provider and completed an annual review of the assessed needs.

The person who lived in Meadow View knew they could speak to the registered provider at any time as they considered themselves to be one of the family. They knew how to make their concerns known and were confident that any problems or complaints raised would be listened to. There was an open culture in the home with the registered provider supporting the one person who lived in Meadow View to live as fulfilling a life as possible.

The person using the service told us they were "Very Happy" at Meadow View and that their carers were "Kind and lovely".

We saw the person using the service was encouraged to live as independently as possible and was involved in making decisions about their care.

We found that the person who used the service was encouraged to eat a healthy, balanced diet and could choose what food they ate. The person told us they enjoyed going out to eat and that the food they ate at Meadow View was "Very good".

We found the person was encouraged to express if they were unhappy with the care they received. However, the person using the service told us "Everything's good," and, "There's nothing wrong...I'd say if there was".

In talking to the person who used the service we evidenced that they understood the support choices available to them and could express their views and were involved in making decisions about their care and support. They told us “I do not want to live anywhere else”.

The person told us that they liked to spend time in their own room watching television but also liked to be downstairs. They explained they took all their meals with the family. They told us “XX is a good cook!”

The person told us that their carers were very attentive and knew their needs and care requirements.

They said that: "They are brilliant. They are always so kind."