We carried out this inspection on 19 October 2018. The inspection was unannounced.

In July 2018, a new provider took over Sunnyfields and another small service in the area. This is the first time the service has been rated since the change in ownership in July 2018.

Sunnyfields is a small ‘care home’. People in care homes receive accommodation and nursing and 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 provides support for up to four people with learning disabilities. Three people lived at the service on the day of our inspection. Some people had difficulty communicating and were unable to tell us about their views and experiences of living at the service.

The care 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 and autism using the service can live as ordinary a life as any citizen. The provider had developed and adapted Sunnyfields in response to changes in best practice guidance.

There was a registered manager, who was registered for both Sunnyfields and the other service. The registered manager had been working full time at the other service since the provider had taken over both services in July 2018. 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 and associated Regulations about how the service is run. The house manager was the person in charge at Sunnyfields and the house manager and the provider assisted with the inspection process.

Staff were compassionate, kind and caring and had developed good relationships with people using the service. Staff were aware of how to respect people’s privacy and dignity. People were comfortable in the presence of staff.

CQC is required by law to monitor the operation of the Deprivation of Liberty Safeguards (DoLS). DoLS applications had been made to ensure that people were only deprived of their liberty, when it had been assessed as lawful to do so. All interested parties were invited to best interest meetings in line with the principles of the Mental Capacity Act 2005.

Staff knew about the signs and symptoms of abuse and how to raise a concern inside and outside the organisation. People’s care was delivered safely and staff understood their responsibilities to protect people who were vulnerable.

Risks assessments were being updated regularly and were in place for the environment, and for each individual person who received care. Any accidents or incidents were monitored by the provider in order to minimise any risks identified.

The care plans included information about people's life history, likes and dislikes and who was important to them. They contained 'communication passports' and details about how people would let staff know if they were upset or in pain.

People’s health, social and physical needs were assessed and guidance was in place to ensure they were monitored and supported to access health care and advice as required. People were supported to have a variety of foods which met their health needs and cultural preferences.

There were policies and a procedure in place for the safe administration of medicines. Incidents and accidents were recorded and checked by the provider to see what steps could be taken to prevent incidents happening again. There was a procedure covering the actions to be taken in emergency situations.

People were encouraged and supported to pursue activities inside and outside of the service. Staff made people aware of what was happening in the local community.

There were policies in