Rutland Villa provides accommodation, nursing and personal care for up to three people. People living at the home may have a learning disability. At the time of our inspection there were three people living in the home. At the last inspection, in September 2015, the service was rated Good. At this inspection we found the service remained Good.

People continued to receive care and support in ways which helped them to remain as safe as possible. Staff understood risks to people’s safety and supported people receive their medicines as prescribed. There was enough staff to provide care and support to meet people’s needs.

Staff received training which helped them develop the knowledge and skills to meet the needs of people who lived at the home. People made day to day decisions about their care and staff used their skills to make sure people were consenting to the care offered to them. People were supported by staff if they needed help making key decisions about their life. People were cared for so they had enough to eat and drink and their food preferences were met. Staff supported people to see health professionals so they would remain well.

People enjoyed spending time with the staff that cared for them and were treated with dignity and respect. Staff spoke affectionately about the people they cared for and encouraged them to make their own day to day decisions and maintain as much independence as possible.

People's care was planned in ways which reflected their preferences and wishes. There was a complaints procedure in place, although no complaints had been received in the last twelve months, people and their relatives were aware of how to raise a complaint or concern.

The registered manager, deputy manager and provider regularly checked the quality of the care people received. Where actions were identified these were undertaken to improve people’s care further.

The inspection took place on 28 September 2015 and was unannounced.

The provider of Rutland Villa is registered for accommodation and personal care for up to three people. There were three people living at the home at the time of this inspection. 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.

People responded affectionately to the care staff that supported them in a friendly, positive manner. Relatives told us they had no concerns and they felt the staff knew how to keep their relative safe.

People received care from staff who understood their individual health needs and how to manage risks when caring for them. People were supported to take their medicines. They received their medicines at the correct time and were safely administered and stored. The registered manager regularly audited the medicines to make sure people were not put at risk of medicine errors.

People received support and care from staff that were supervised by the registered manager and were able to discuss any concerns they may have raised. People received care from staff that understood their individual requirements. Staff were trained regularly to meet the needs of the people they cared for.

People’s consent was appropriately obtained by staff. People who were unable to make decisions for themselves were supported by staff within the requirements of the law so that decisions were made in people’s best interests. The registered manager understood their requirements under the law and responded appropriately.

People enjoyed home cooked nutritious meals that they were supported to prepare and cook. People were offered a choice of mealtimes with any special dietary needs accounted for and had plenty to drink so that the risk of dehydration was reduced.

People’s health needs were assessed and reviewed regularly. People had access to external health professionals as required.

People liked the staff who supported them. Staff treated people with dignity, kindness and respect. They supported people to make choices and maintain as much independence as possible. People’s individual circumstances were considered and treated with sensitivity.

People were supported to take part in activities of their choice.

People who lived at the home and staff had a positive relationship with the registered manager. The staff team was consistent and everyone knew their individual role and responsibilities. The registered manager regularly conducted quality audits to monitor and improve the quality of the care people received.

We inspected Rutland Villa and spoke with two of the people who lived at the home. We were unable to hold conversations with the people who lived at the home due to their communication difficulties. We spent time and observed the care and support people received. We looked at their care files and other supporting documents. We had discussions with the registered manager and a care worker about how people were being supported. Staff told us that: “People have a choice in what they need or want”.

People’s needs had been assessed and care and treatment was planned and delivered in line with their individual care plan. Staff told us they were aware of each person’s needs and how to give care and support to meet those needs. When asked people told us: “Yes” they liked living there.

We saw that people appeared comfortable in their home and with the staff that supported them. We saw that staff were kind and caring in their approach to people who lived in the home.

The provider and registered manager of the home had taken steps to monitor and assess the quality of care and support provided to people who lived at the home.

At the time of our inspection there were two people living at the home. Conversations with people were limited. We looked at their care files and other supporting documents. We had discussions with the registered manager and a care worker about how people were being supported.

We observed how staff interacted with people to support them in making decisions about their lifestyles. We saw that staff respected the decisions that people made. The body language of both people indicated that they were relaxed and comfortable with staff and happy in their environment.

The two care files that we reviewed indicated that arrangements had been made to support people in receiving their health care needs. The care files included information about people's preferences about activities and accessing the community and how they were met. From discussions held with staff we found that people were well supported in leading a varied lifestyle that suited their individual preferences.

People were encouraged and supported to do things for themselves but were given choices. We found that there were enough staff available to support people in being independent.

The home had a complaints procedure in place which had been written in a format that assisted people in understanding it. We were told that people would be supported by an external agency in making a complaint if they wanted to. We found that no complaints had been made during the last 12 months.

We carried out this review to check on the care and welfare of people using this service.

When we visited Rutland Villa we met people who lived there and staff who worked there.

Many of the people who lived at Rutland Villa were not able to tell us much about their experience at the home due to their condition. We saw that staff at Rutland Villa looked after people well and wrote down what help everyone needed. Staff said they were trained to help them understand how to meet people’s needs and give people the support they wanted.

We saw that staff interacted with people who use the service in a friendly, courteous and respectful manner. Staff demonstrated they were aware of people’s care and support needs.

We saw that people were very relaxed and at ease with staff and within their home environment. The atmosphere was calm and relaxed with staff attentive to people’s needs and moods as they changed throughout the day.

We looked at care records for two people living at the home and found their records provided clear and up to date information for staff to follow so they could give people the care and support they needed.

The home was clean and tidy and we saw that some rooms had recently been redecorated and new carpets fitted. The manager said that this work was ongoing and that all rooms would be redecorated in due course.