We undertook an unannounced inspection of Tony Long House on 22 November 2017.

The service provides personal care and support to six people with needs arising from either physical disabilities or a combination of learning and physical disabilities. 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. On the day of our inspection six people were living at the home.

At the last inspection, the service was rated Good.

At this inspection we found the service remained Good overall.

Why the service is rated Good:

People remained safe living in the home. There were sufficient staff to meet people's needs and staff had time to spend with people. Risk assessments were carried out and promoted positive risk taking which enable people to live their lives as they chose. People received their medicines safely.

People continued to receive effective care from staff who had the skills and knowledge to support them and meet their needs. People were supported to have choice and control of their lives and staff supported them in the least restrictive way possible; the procedures in the service supported this practice. People were supported to access health professionals when needed and staff worked closely with people's GPs to ensure their health and well-being was monitored.

The service continued to provide support in a caring way. Staff supported people with kindness and compassion. Staff respected people as individuals and treated them with dignity. People were involved in decisions about their care needs and the support they required to meet those needs.

The service continued to be responsive to people's needs and ensured people were supported in a personalised way. People's changing needs were responded to promptly. People had access to a variety of activities that met their individual needs.

The service was led by a registered manager who promoted a service that put people at the forefront of all the service did. There was a positive culture that valued people, relatives and staff and promoted a caring ethos.

The registered manager monitored the quality of the service and looked for continuous improvement. There was a clear vision to deliver high-quality care and support and promote a positive culture that was person-centred, open, inclusive and empowering which achieved good outcomes for people.

The inspection took place on the 10th and 11th of February 2015 and was unannounced.

The service provides personal care and support to six people with needs arising from either physical disabilities or a combination of learning and physical disabilities. Limited personal care support is also provided on a domiciliary care basis to four people living independently in the adjacent flats.

The service is required to have a registered manager and one was 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 in the service were actively involved in making decisions about their care and were asked for their consent before being supported. Relationships between staff and people were relaxed and positive.

People chose how they wanted to spend their time. They had a wide range of opportunities to take part in activities and events and could access the community when they wished.

Prospective staff were subject to appropriate checks of their suitability and received the training and support they needed to carry out their role and to keep people safe.

The service responded flexibly to people’s individual wishes and changing needs and sought support from health and wellbeing specialists when necessary. People’s dignity and privacy were respected and supported by staff.

If concerns or issues were raised they were addressed and people felt the manager and staff were approachable and listened to their point of view. People’s views had also been sought through surveys and resident’s meetings.

The format of care plans was being revised to one which was more focused on the individual and better reflected their wishes and choices. The manager and provider carried out a series of audits to monitor the operation of the home and action was taken to address any issues identified.