This announced inspection took place on 21 October 2018. This was the first inspection of the home since it registered with the Care Quality Commission in November 2017.

St Agatha's Presbytery 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. The home 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.

St Agatha's Presbytery had been developed and designed in line with the values that underpin Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. We found the home 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.

St Agatha's Presbytery had a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the home. 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.

The home’s quality assurance and governance systems were not always effective or robust. The provider used a variety of systems to monitor the quality and risk at the home. In addition, the home used an external company who provided independent monthly reports on the quality and safety of the care provided. We found the arrangements in place had not identified the concerns we found at this inspection.

Quality assurance systems had failed to identify that the home was not always working within the principles of The Mental Capacity Act 2005 (MCA). For example, records for one person showed access to their money, the internet and their mobile phone was restricted. There were no mental capacity assessments to show the person did not have capacity to manage their own monies, the use of the internet or their mobile phone prior to these decisions having been taken.

The home did not have an effective system in place to assess or to monitor staff training. This meant the registered manager could not be assured staff had the necessary skills and knowledge to meet people’s assessed needs in safe way.

We have made a recommendation in relation to staff training.

Systems and processes did not support the management of the home in protecting people’s right to privacy by preventing the sharing of personal and/or confidential information.

People told us they felt safe living at St Agatha's Presbytery. One person said, “Yes I do feel safe living here.” Another said, “very safe, the staff are good and I can talk to them if I have any concerns. I don’t as it’s all good here.”

People were protected from the risk of harm. People's support plans contained detailed risk assessments and guidance for staff on how to ensure people's safety was maintained, while encouraging people to be as independent as possible.

People received care and support from sufficient numbers of staff to meet their needs. Checks were carried out on staff before they started work to assess their suitability.

People received their medicines when they needed them and in a safe way and people were supported by staff who knew them well. Staff were kind, caring and treated people with dignity and respect. The registered manager and staff understood their roles and responsibilities to keep people safe from harm.

The home was responsive to people's needs. Support plans were personalised and people could make choices about their day to day lives. People were aware of how to make a complaint and felt able t