This inspection took place on 31 August and 1 September 2016. The Wilf Ward Family Trust Domiciliary Care Scarborough provides support and care to adults with a learning disability and/ or autistic spectrum disorder. Care and support is offered to people who received 24 hour support in supported living accommodation. The service was caring for approximately 50 people, providing care in their own homes.

The service had a registered manager. 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.

This inspection was prompted in part by notification of an incident following¿ which a service user died whilst on holiday two months prior to the inspection visit. This incident was subject to police enquiries and as a result this inspection did not examine the circumstances of the incident. A Coroner's Inquest into this matter will follow.

However, the information shared with CQC about the incident indicated potential concerns about the management of risk when people took part in activities whilst receiving support away from their home but supervised by staff. This inspection examined those risks.

We found risks had not always been fully assessed or risk management plans put in place to ensure people were protected from harm. This had been a breach of regulation which had been rectified by the time of this inspection. We have made a recommendation regarding on going review of risk.

We found the provider’s systems around risk management had not been robust enough and did not include thorough risk assessment when a person went on holiday. The provider had not recognised this and this had placed people at risk of harm. Once alerted to this the provider had responded and implemented a new system which was in place at the time of this inspection.

At the inspection staff were able to tell us what they would do to ensure people were safe and people told us they felt safe when being supported by the service.

Medicines were safely handled to protect people.

The service had sufficient numbers of suitable staff to care for people and staff were safely recruited. People were protected by the infection control procedures carried out by staff.

Staff had received training to ensure that people received care appropriate for their needs. Training was up to date across a range of relevant areas.

Staff had received up to date training in Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS). Staff understood that people should be consulted about their care and they understood the principles of the MCA and DoLS. People were supported and protected around their mental capacity.

People’s nutrition and hydration needs were met. People enjoyed the meals and they had choices around their meals and snacks.

People were treated with kindness and compassion. We saw staff had a good rapport with people whilst treating them with dignity and respect.

Staff had knowledge and understanding of people’s needs and worked well together as a team.

Care plans provided detailed information about people’s individual needs and preferences. Care plans were kept up to date when people’s needs changed, and people were encouraged to take part in drawing up their care plans, their reviews and to give their views which were acted upon.

Records and observations provided evidence that people were treated in a way which encouraged them to feel valued and cared about.

People were supported to engage in daily activities they enjoyed and which were in line with their preferences and interests. Staff were responsive to people’s wishes and understood people’s personal histories and social networks so they could support them in the way they preferred.

People told us their