Shakespeare house is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Shakespeare House provides accommodation and personal care to up to three people who might need support with the mental health or may be living with a learning disability. There were three people living at the home when we inspected.

The service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities using the service can live as ordinary a life as any citizen.

Rating at last inspection

At the last inspection, the service was rated ‘Good.’

Rating at this inspection

At this inspection we found the service remained 'Good'.

Why the service is rated Good

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. People continued to lead the lives they wanted to, people were supported to meet friends, follow their hobbies and to get jobs if this is what they wanted.

People felt safe and well supported by enough trained and caring staff. Staff knew how to recognise and respond to abuse, there was a feeling of mutual respect, trust and equality. The stable experienced staff team knew people very well and everyone had the support they needed. Staff were checked before they worked with people.

Everyone was involved in the cooking and cleaning and the premises suited people’s needs. The home was clean and well maintained. People had support to keep well and healthy and to take the medicines they needed. People were involved in making decisions about what happened at the service so that they all had a say. Risk taking was managed well so that people were not restricted but enabled.

The registered manager had been managing the service for several years and was experienced and skilled at supporting people with learning disabilities. There was a clear vision for staff to follow and audits and checks of all areas of the service were carried out regularly. Any accidents, incidents or complaints were reviewed and learned from. There was a clear complaints procedure that people knew about.

Staff worked together with people and their representatives to make sure everyone had the right support. People’s needs were regularly assessed and support plans gave staff clear instructions about people’s needs and hopes and dreams for the future. People’s support plans were held securely and included information about what support people wanted at the end of their lives.

Further information is in the detailed findings below.

This inspection was carried out on 10 November 2015 and was unannounced.

Shakespeare House provides accommodation and personal care support for up to three people who may have a learning disability. Each person has their own bedroom and they share a bathroom and separate WC. There is a garden and parking at the side of the property.

There was a registered manager in post who was present at the 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.’

The registered manager had been in charge at the service for a long time She knew people and staff well and had good oversight of everything that happened at the service. The registered manager led by example and promoted the ethos of the service which was to support people to achieve their full potential. The registered manager made sure there were regular checks of the safety and quality of the service. She listened to peoples’ views and opinions and acted on them.

Staff were trained and competent to carry out their roles. Staff were supervised and had yearly appraisals. There were enough staff on duty to meet peoples’ needs with staffing planned around peoples’ appointments and activities. All staff were checked before they started work at the service to make sure they were safe to work with people. Staff knew about abuse and the signs to look for and how to report it. Staff were kind and caring and were skilled at supporting people to learn and develop new skills.

Risks to people were managed and supported so that people were not restricted. New activities were fully supported and people were encouraged to achieve their goals and aspirations. Support was planned with people and kept under review so people continued to receive the right support. People were supported to take control of their medicines and health needs.

The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards which applies to care homes. Arrangements were in place to check if people were at risk of being deprived of their liberty. Systems were in operation to obtain consent from people and to comply with the Mental Capacity Act 2005. People were supported to make decisions and choices about all aspects of their lives.

People were supported to participate in hobbies and activities that they enjoyed and one person had a new job, which they told us about proudly. There was a lovely atmosphere, with lots of joking and laughter, people told us about their holidays and about parties that had helped to plan and organise. People were involved in planning the menu and cooking meals and were supported to have a balanced diet; everyone said the food was good.

Each person had a support plan that they had been involved in writing and updating. Pictures and photographs were included to make the plans meaningful to people. Staff had a good understanding of how people preferred to communicate and adjusted their support to meet peoples’ individual needs. Staff knew people very well and people told us they were comfortable in telling staff about any concerns or complaints they might have. People said that the staff would listen to them and act on their concerns.

This inspection was carried out on 10 November 2015 and was unannounced.

Shakespeare House provides accommodation and personal care support for up to three people who may have a learning disability. Each person has their own bedroom and they share a bathroom and separate WC. There is a garden and parking at the side of the property.

There was a registered manager in post who was present at the 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.’

The registered manager had been in charge at the service for a long time She knew people and staff well and had good oversight of everything that happened at the service. The registered manager led by example and promoted the ethos of the service which was to support people to achieve their full potential. The registered manager made sure there were regular checks of the safety and quality of the service. She listened to peoples’ views and opinions and acted on them.

Staff were trained and competent to carry out their roles. Staff were supervised and had yearly appraisals. There were enough staff on duty to meet peoples’ needs with staffing planned around peoples’ appointments and activities. All staff were checked before they started work at the service to make sure they were safe to work with people. Staff knew about abuse and the signs to look for and how to report it. Staff were kind and caring and were skilled at supporting people to learn and develop new skills.

Risks to people were managed and supported so that people were not restricted. New activities were fully supported and people were encouraged to achieve their goals and aspirations. Support was planned with people and kept under review so people continued to receive the right support. People were supported to take control of their medicines and health needs.

The Care Quality Commission is required by law to monitor the operation of the Deprivation of Liberty Safeguards which applies to care homes. Arrangements were in place to check if people were at risk of being deprived of their liberty. Systems were in operation to obtain consent from people and to comply with the Mental Capacity Act 2005. People were supported to make decisions and choices about all aspects of their lives.

People were supported to participate in hobbies and activities that they enjoyed and one person had a new job, which they told us about proudly. There was a lovely atmosphere, with lots of joking and laughter, people told us about their holidays and about parties that had helped to plan and organise. People were involved in planning the menu and cooking meals and were supported to have a balanced diet; everyone said the food was good.

Each person had a support plan that they had been involved in writing and updating. Pictures and photographs were included to make the plans meaningful to people. Staff had a good understanding of how people preferred to communicate and adjusted their support to meet peoples’ individual needs. Staff knew people very well and people told us they were comfortable in telling staff about any concerns or complaints they might have. People said that the staff would listen to them and act on their concerns.