Woodbury View 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.

Woodbury View accommodates five people in one adapted building. At the time of our inspection three people were living at the home. The home specialises in care for people with complex needs, autism and learning 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.” Registering the Right Support CQC policy.

A registered manager was in post at the time of our 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.

Although people received their medicines on time, we found areas of improvement were required. Staff medication competencies had not been checked annually to ensure they continued to display safe medicine administration practice. Storage temperatures of medication was not always recorded daily to ensure the medicines stayed effective.

Relatives felt their family members were safe living at the home and risks to their safety had been identified. However, there was a lack of monitoring and recording of incidents to identify patterns and so lessons could be learned. Forms used by staff to record seizures and falls had not always been completed.

People could choose what and when they ate their meals. We found some food in the kitchen that was beyond the use by date. The registered manager addressed this immediately and put in checks to stop this happening again.

On the day of our inspection we heard staff have positive communication with the people they supported. However, staff meeting minutes showed this was not always the case.

People were involved in identifying their needs and preferences which staff respected. We saw staff used communication aids to assist people make choices.

Staff knew how to recognise and report incidents of potential abuse or harm to people. There was a provider’s whistleblowing procedure available for staff to raise concerns.

People were supported by staff who were aware of how to support people's rights and seek their consent. The registered manager had fulfilled their responsibilities in making sure where people might have restrictions in place they received care and were safe as these were lawfully applied in people's best interests.

People knew how to make a complaint and were confident these would be listened to and acted upon. People had access to advocacy services if they required.

Relatives and staff were complimentary about the registered manager describing her as very caring and supportive. The registered manager and provider were open and responsive to making further improvements so that people consistently received good standards of care.

The inspection was unannounced and took place on 9 and 10 February 2017.

Woodbury View provides accommodation and personal care for a maximum of five people who have a learning disability. There were three people who living at the home when we visited.

At the last inspection on 22 and 24 July 2015 the service was rated as good. Since the last inspection a new manager had been appointed and is in the processing of registering with the Care Quality Commission (CQC). 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 were cared for by staff who were trained in recognising and understanding how to report potential abuse. Staff knew how to raise any concerns about people’s safety and shared information so that people’s safety needs were met. Staff supported people to take their medicines when they needed them and recorded when they were taken. Staff had received medicines training and there were arrangements in place for managing people’s medication in a safe way.

Staff were available to meet people’s individual needs promptly and demonstrated good knowledge about people living at the home. Staff told us training helped them meet the specific needs of the people living at the home and they attended regular training to ensure they kept their knowledge updated.

Staff understood the importance of ensuring people agreed to the care and support they provided and when to involve others to help people make important decisions. The manager was aware of their responsibilities in regard to the Deprivation of Liberty Safeguards (DoLS) and had submitted the appropriate applications where they had assessed that people were potentially receiving care that restricted their liberty.

People enjoyed a good choice of meals and staff were seen to assist people to eat and drink if required. People were supported to access professional healthcare outside of the home, for example, they had regular visits with their GP. Where appointments were needed at hospital these were supported by staff and any changes to care needs recorded and implemented.

People were relaxed around the staff supporting them. We heard and saw positive communication throughout our inspection and saw people smiling and responding positively to staff. Relatives we spoke with told us staff enjoyed good relationships with people. Staff showed us that they knew the interests, likes and dislikes of people and people were supported to enjoy various activities. We saw that staff ensured that they were respectful of people’s choices and decisions.

Relatives said they were involved in reviews of people’s care and said staff listened to them. Relatives and staff felt confident they could raise any issues should the need arise and that action would be taken as a result.

Relatives and staff were very positive about the service and the way it was managed for the people that lived there. The manager demonstrated clear leadership and staff were supported to carry out their roles and responsibilities effectively, so that people received care and support in-line with their needs and wishes. There were procedures in place for the management team and the provider to monitor and review the quality of the service and make improvements.

During our inspection there were a limited number of people who used the service. We were unable to speak with people as they had limited communication. However we were able to speak with one relative and talk to them about their experiences of the service their relative had received. Therefore we have not made any direct quotes for people who used the service.

We spoke with two care workers and found they respected people as individuals and knew a lot about their personal lives, background, families and personal preferences. We observed how care workers interacted with people to support them in making decisions about their day to day care needs.

People’s needs had been assessed and care and treatment was planned and delivered in line with their individual care plan.

The premises were suitable for people who required wheelchair access and people were able to access all parts of the home and garden.

People were cared for, or supported by, suitably qualified, skilled and experienced care workers.

The provider had a system in place that monitored the quality of the service.

The provider had a complaints procedure in place and we saw that the provider had responded to complaints and had taken the appropriate action.

A relative told us they and their family member had been involved in making decisions about care and support as well as everyday things such as how their room had been decorated. They told us, "I feel very involved, everything is discussed with me."

The relative told us that the service was meeting their daughter’s needs. They told us, "We've always been pretty satisfied," and, "the staff know my daughter well." The relative told us that, "She is well looked after," and added, "I think X is very happy. We see her on a regular basis. They get her out and about. She is clean, comfortable and well fed. She seems contented."

The relative told us that the home was good at personalised care and said, "It's a small home where everyone knows each other. It's got a real family feel to it." They said, "I have no major concerns. We know X is okay and well looked after".

The relative told us that they knew what to do if they were worried about anything. They told us, "If I had any concerns I'd go to the manager. We'd talk through them and they would be addressed.”

The inspection took place on 22 and 24 July 2015 and was unannounced.

The home provides accommodation for a maximum of five people requiring nursing or personal care. There were three people living at the home when we visited. A manager was in post who had applied to become the 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 and associated Regulations about how the service is run.

People responded positively to the care staff looking after them and engaged with them in a friendly and warm manner. Relatives told us their family member was safe, that they had no concerns and that care staff knew what to do to keep them safe.

People received care from staff who understood their individual health needs and how to manage risks when caring for them. People were supported to take their medications when they were required to do so. People received their medicines at the correct time and medications were safely administered and stored. The manager made regular checks to ensure people received their medication correctly.

People received care and support from staff who were regularly supervised and who could discuss aspects of people’s care they were unsure of. People received care from staff who understood their needs and knew their individual requirements. Staff received regular training and understood well how to care for people.

People’s consent was appropriately obtained by staff. People who could not make decisions for themselves were supported by staff within the requirements of the law. The manager understood the requirements of the law and had responded appropriately.

People enjoyed their food and were supported to prepare drinks and meals. People were offered choices at mealtimes and were supported with special dietary requirements. Staff understood people’s needs and assisted people with their meals if they required additional help. Staff understood people’s like and dislikes and ensured people received the food they liked.

People health needs were assessed regularly and care staff understood how they should care for people. Staff kept families informed about their relative’s care. People were referred to other health professionals as appropriate.

People liked the staff that cared for them and responded to them with smiles and tactile affection. People’s privacy and dignity were respected and people were supported to make choices.

People were supported to take part in activities they liked or had an interest in. Care staff understood each person’s interests and positively encouraged participation. Families were encouraged to contribute to discussions about their family member’s care.

People were relaxed around the manager. Staff caring for people were positive about the manager and felt part of a team that understood the people who lived there as well each person’s role within the team.

People’s care was regularly checked and reviewed by the manager and operations manager. The quality of care people received was routinely reviewed to ensure it could be monitored and improvements made where required.