This unannounced inspection took place on 25 April 2017. At the last inspection, in April 2015, the service was rated Good. At this inspection we found that the service remained Good.The service was registered to provide accommodation and personal care for up to five people with learning disabilities. At the time of our inspection five people were using the service.
At the previous inspection in April 2015, we found the provider was in breach of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 and the Care Quality Commission (Registration) Regulations 2009. This was because people were restricted of their liberty without appropriate authority.
After our inspection in April 2015, the provider informed us what action they were taking to meet the legal requirements in relation to the breach. At this inspection, we found improvements had been made in the required areas and the provider was no longer in breach of the regulations.
People continued to receive safe care and there were enough staff to meet people’s needs. Staff had been suitably recruited to ensure they were able to work with vulnerable people. People had risk assessments in place to enable them to be as independent as possible. Staff were able to recognise abuse and knew how to report it appropriately.
The care that people received had improved to be effective. The service was meeting the requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). Staff had received specific training in this area and were able to explain to us how they used their learning in practice.
Records showed staff received the training they needed to keep people safe. The manager had taken action to ensure staff’s training was kept up-to-date and future training was planned. Staff told us they felt supported by the management and received supervision and appraisals which helped to identify their training and development needs.
People were supported to eat and drink sufficiently and to maintain a balanced diet. They were also encouraged to eat meals as independently as possible. People were assisted in maintaining good health and received additional support from healthcare professionals when required.
The service remained caring. Staff were considerate, kind and helpful to people. Their knowledge of the individual choices and preferences of people enabled them to provide people with relevant care and support. People were involved in the planning and review of their care and family members continued to play an important role in these processes as well. People's privacy and dignity were maintained at all times.
The service continued to be responsive to people’s needs. People's individual care plans included information about what was important to them. People participated in a range of different social activities and were supported to access the local community. The management team appreciated and acted on people's and relatives’ opinions on the service.
The service continued to be well-led. People and staff had confidence in the manager as their leader and were complimentary about the positive culture within the service. There were systems and processes in place to help monitor the quality of the care people received.