Lansdowne Road

Lansdowne Road is one of a number of services provided by the Frances Taylor Foundation, a faith based organisation. Lansdown Road is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Lansdown Road was designed, built and registered before the Care Quality Commission (CQC) 'Registering the Right Support' policy and other best practice guidance was published. 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. Care and support is provided for up to nine for people with a learning disability. At the time of the inspection nine people were living in the service. The service is situated in a residential area with easy access to local amenities and transport links.

At our last inspection on 16 March 2016 we rated the service Good. At this inspection we found the evidence continued to support the rating of Good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

Systems had been maintained to keep people safe. The building and equipment had been subject to regular maintenance checks. Infection control procedures were in place. People remained protected from the risk of abuse because staff understood how to identify and report it. People's care and support plans and risk assessments continued to be developed and reviewed regularly. Medicines were stored correctly and there were systems to manage medicine safely. Issues in relation to medicines highlighted as needing improvement at the last inspection had been addressed.

People and their relatives told us they had continued to feel involved and listened to. The culture of the service remained open and inclusive and encouraged staff to see beyond each person's support needs. The registered manager worked with care staff to develop the service with people at the heart of the service. People had detailed care and support plans which had been regularly reviewed.

A robust recruitment process had been followed and there was ongoing recruitment to maintain sufficient staffing levels. Staff continued to have the knowledge and skills to provide the care and support that people needed. Staff told us they felt well supported and had received supervision and appraisal's.

People continued to live in a service with a relaxed and homely feel. They were supported by kind and caring staff who treated them with respect and dignity. A relative told us, "The staff here are very nice." They were spoken with and supported in a sensitive, respectful and professional manner. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff had a good understanding of consent.

People were supported with their food and drink and this was monitored regularly. People continued to be supported to maintain good health and access healthcare professionals when needed.

Care and support plans were detailed and had been reviewed to ensure any changes in people's support needs had been identified. People had been supported to join in a range of activities.

People, relatives, staff and visiting health and social care professionals told us the service continued to be well led. Staff told us the registered manager was always approachable and had an open-door policy if they required some advice or needed to discuss something. A system had been maintained to respond to any concerns raised. Senior staff had carried out a range of internal quality assurance audits to ensure the quality of the care and support provided. People and their relatives were regularly consulted about the care provided through reviews, residents meetings and by using quality assurance questionnaires. Relatives told us staff kept in touch with them.

The five questions we ask about services and what we found