We inspected the service on 11 January 2017. The inspection was announced. Nuthall Road – Supported Living provides care and support to people with a learning disability. This is a small service and at the time of our inspection seven people were receiving care and support.

The service had a registered manager in place 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 were supported by staff who knew how to recognise and respond to abuse and systems were in place to minimise the risk of harm. Risks associated with people’s care and support were effectively assessed and managed.

There were sufficient numbers of staff available to meet people’s needs. Safe recruitment practices were followed and staff were provided with regular supervision and support. Medicines were not managed or stored safely, however the management team took swift action to rectify the issues identified.

People were supported by staff who had the knowledge and skills to provide safe and appropriate care and support. People were supported to make informed decisions and where a person lacked capacity to make certain decisions they were protected under the Mental Capacity Act 2005.

People were supported to eat and drink enough. People had access to healthcare services and people’s health needs were monitored and responded to.

People were provided with information in a way that was accessible to them and staff had a good understanding of how people communicated.

Staff were kind and compassionate and treated people who used the service with respect. People’s rights to privacy and dignity were promoted and upheld. People and their families were supported to raise issues and staff knew how to deal with concerns if they were raised.

Where possible people and their families were involved in planning their care and support, staff knew people’s individual preferences and tailored support to meet their needs. People were enabled to make choices about their care and support and encouraged to be as independent as possible.

People led full and varied lives and were supported to have a social life and to pursue their interests.

The management team were passionate about the service and friendly, open and approachable. People using the service and staff were involved in giving their views on how the service was run and there were effective systems in place to monitor and improve the quality of the service provided.