Reach Upton Court Road is a 'care home'. It is a detached property, providing accommodation over two floors and has a private rear garden for people to enjoy. 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. The service is registered to provide accommodation and support to eight people with a learning disability or autistic spectrum disorder. At the time of our visit, there were eight people using the service.

The service had a registered manager as required. A registered manager is a person who has registered with the CQC 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. The registered manager was present and assisted us during the 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. However, we found improvements had been made in the Responsive domain which is now rated Outstanding.

People told us they felt safe and they had built trusting relationships with the staff. Medicines were managed safely and people were supported to receive them at the required times. Staff were knowledgeable in how to safeguard people, they had received training and understood their responsibilities to report concerns. Risks related to people and their well-being had been assessed. Measures were in place to minimise identified risks without restricting people’s freedom. The provider had a robust recruitment procedure which was followed to ensure as far as possible only suitable staff were employed. The service was clean, fresh and well maintained. Appropriate personal, protective equipment was supplied and used to help control the spread of infection.

People continued to receive effective support from staff who had the necessary skills to fulfil their role. Staff received an induction and training which was refreshed on a regular basis. Staff felt well supported and received regular one to one supervision and had annual appraisals of their work. Staff supported people to eat a healthy and nutritious diet. When necessary, advice was sought from healthcare professionals in relation to people’s diet and other healthcare needs. People had routine health checks with their GP and were supported to attend appointments with other healthcare professionals. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible, the policies and systems in the service supported this practice.

The service continued to be caring. People told us they liked the staff and said they had were kind towards them. It was clear trusting relationships between people and staff had been built. People laughed and talked with staff in a relaxed manner. Staff understood how to protect people’s privacy and showed respect for people’s wishes to spend time alone and have personal relationships. People were fully involved in making decisions about their care. Staff worked hard to encourage people to develop and maintain as much independence as possible.

The service had improved and showed outstanding practice in responding to people’s individual needs. Staff kept focus on the wishes of each individual and worked in a person-centred way, considering people’s personal preferences, culture, beliefs and protected characteristics. People's support plans were very comprehensive and reflecte

Reach Upton Court Road provides accommodation and support for eight people with learning disabilities. The service is close to Slough town centre and from some rooms, has a view of Windsor Castle.

People living at Upton Court Road were supported by staff who knew their needs well. Conversations with staff demonstrated they knew people’s likes and dislikes and how they supported them to promote their independence. We saw good examples of how people were supported to take ownership in regards to aspects of their care in a safe way.

People were treated with dignity and respect. Staff were respectful and polite when speaking to people and engaged in conversations about things they enjoyed. There was laughter and joking throughout the day of our inspection.

People’s safety was promoted through effective risk assessments and procedures in place. Staff had received effective training in order to help them support people with their social and health needs. People’s medicines were managed safely and recruitment checks were in place to ensure staff suitability to work with people living at the service.

The service had a homely feel and people told us they felt happy living at Upton Court Road. There were good procedures in place to assess the quality of the service including the oversight of the day to day running of the service.

Staff told us they felt happy and supported in their roles by an effective management team. Staff were supported to undertake their roles effectively and to support people in an independent and person centred way.

Care records provided clear information to staff about how to meet people's identified needs. We saw that people were listened to. We saw that people's care plans and risk assessments were regularly reviewed, and involved the person and their families, where the person wished it.

There was a calm atmosphere during our visit. People were supported in sensitive ways, with respect and dignity. People were relaxed around staff. One person said "I like it here, especially the garden". Another person told us how they went out to college and enjoyed it.

People in the service told us that they felt safe and knew how to raise concerns. Each person also told us that they were happy. One person said "staff are very nice" and "helpful".

The service had a system whereby the opinions of people, staff and visitors were listened to, and any complaints or concerns were acted upon immediately.

We spoke with five people who used services. Staff told us about the wide range of activities that were available. We saw the activities listed on the activities timetable which included social clubs, swimming, bingo and car washing. We observed the preparations for a visit to the shopping centre on the morning of the inspection by four people. We saw one person having her nails done prior to the shopping trip. We saw that there were sufficient staff all of whom were respecting and involving people. People were protected from abuse. Some people’s needs were not accurately assessed and this was reflected in their individual care plans.