Choices Housing Association Limited - 535 High Lane

At the last inspection in January 2016 the service was rated as Good. At this inspection we found the service remained Good.

There was a registered manager 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 gave us positive feedback. They told us they were happy, liked the staff and were supported to partake in activities and trips that they enjoyed.

We have made a recommendation about the provider considering best practice guidance in relation to their Statement of Purpose and achieving outcomes for people.

People were kept safe by the systems the home had in place. There were sufficient amounts of safely recruited staff to support people and staff understood their responsibilities to recognise potential abuse and to report their concerns.

There were detailed risk assessments and plans in place and staff were following these. Medicines were managed safely and action had been taken if things had gone wrong and learning put in place to reduce the likelihood of incidents reoccurring. People were protected from the risk of infection as the home was clean and tidy and checks were made in relation to infection control.

People were protected under the Mental Capacity Act 2005 (MCA). People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

People were supported to have food they liked and people were kept safe if they were at risk whilst eating. People had access to other health professionals when necessary and people's health conditions were monitored and there were care plans were in place to guide staff.

Staff knew people well and people had personalised plans in place. People were supported to partake in a

range of activities and trips. People had differing ways of communicating and these were planned for and staff knew how to communicate with people. People were supported to make plans for the end of their life and people's preferences were recorded. People were able to complain and a suitable policy was in place.

Systems were in place to monitor of the service and to try and improve people's experience of care. There were regular resident and staff meetings to discuss people's feelings and people's changing needs. People liked the registered manager and staff felt supported. The last CQC rating was on display and notifications were submitted as required by law.

The five questions we ask about services and what we found