This unannounced inspection took place on 20, 22 and 28 March 2018. Number 14 is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Number 14 is registered to provide personal care and support for up to two young people who have a learning disability or autistic spectrum disorder. The home does not provide nursing care. At the time of the inspection there were two people living at the home.

Number 14 had two registered managers 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 home is run.

Number 14 had been developed and designed prior to Building the Right Support and Registering the Right Support guidance being published, we found it followed some of these values and principles. These values relate to people with learning disabilities living at the home being able to live an ordinary life.

The home’s quality assurance and governance systems were not always effective. The provider used a variety of systems to monitor the quality and risk at the home. Although some systems were working well, others had not identified the concerns we found during this inspection.

Risks to people’s health and wellbeing were not always managed safely and the systems in place to manage risk could not be relied upon. We found some risks such as those associated with people's complex needs or the environment had not always been assessed or managed safely.

The provider did not have a systematic approach to determine the number of suitably qualified and competent staff required to meet people’s needs. This had led to one person being left on their own and some staff not receiving the necessary training to carry out the role required of them.

We checked whether the home was working within the principles of The Mental Capacity Act 2005 (MCA). We found the home was not taking appropriate action to protect people's rights. For example, where the home restricted or managed people’s access to the internet or mobile phone usage. There were no mental capacity assessments to show that people did not have capacity to manage their own use of the internet or mobile phones. There were no records to show the rational for these decisions, or whether this was being carried out in their best interests.

People were encouraged and supported to engage with a range of healthcare services and staff supported people to attend appointments. People received their medicines when they needed them and in a safe way.

People were cared for and supported by staff who knew them well. Both registered managers and staff understood their roles and responsibilities to keep people safe from harm and protect people from discrimination.

People were encouraged and supported to maintain links with the community to help ensure they were not socially isolated. People’s support plans contained detailed information about people’s hobbies and interests. Staff explained how they empowered people to manage their own needs independently and supported them to be as independent as possible with the planning, shopping and cooking their own meals.

People were aware of how to make a complaint and felt able to raise concerns if something was not right and people were encouraged to share their views. We received mixed views about the management of the home. Some relatives and healthcare professionals told us the home was well managed, and described the management team as open, honest and approachable. While others did not know who the registered managers were. Both registered managers were aware of their responsibilities in en