Esther Care Home

Esther Care Home is a residential and respite service that provides personal care and accommodation for adults with learning disabilities. At the time of inspection, the provider had created an additional room creating capacity for 12 people. However, the additional room was not being used and the service remained registered for a maximum of 11 people. When we inspected there were 11 people using the service.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it. The service was a large home, bigger than most domestic style properties. This was larger than current best practice guidance. However, the building fitted into the residential area and the other large domestic homes of a similar size. There were no identifying signs, intercom, cameras, or anything else outside to indicate it was a care home. Staff did not wear anything that suggested they were care staff when coming and going with people.

Our inspection focused on the two questions of safe and well led. We did not look at the key questions of effective, caring and responsive. We considered the conditions in place on the day of our inspection with 11 people using the service and this report reflects our findings.