Mrs Lavinia Dawn Bellis & Mr Andrew William Bellis - 1 Arkwright Suite

This inspection took place on 20 and 21 November 2018. We gave the provider 2 days' notice of the inspection as we needed to make sure the registered manager would be available.

At our last inspection on 7 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

The service had 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.

Recruitment checks took place before staff started work but we have made a recommendation in the 'Safe' section of the report around the need for more robust pre-recruitment checks. The service had safeguarding and whistle-blowing procedures in place and staff had a clear understanding of these procedures. There was enough staff available to meet people's care and support needs. Risks to people had been assessed and reviewed regularly to ensure their needs were safely met. Medicines were managed appropriately, and people were receiving their medicines as prescribed by health care professionals.

Staff completed an induction when they started work and they received training relevant to people's needs. They had received training in infection control and food hygiene and they were aware of the steps to take to reduce the risk of the spread of infections. Assessments of people's care and support needs were carried out before they started using the service. People's care files included assessments relating to their dietary support needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice.

The service was caring. Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people's preferences of care. Staff always worked hard to promote people's independence through encouraging and supporting people to make informed choices.

People and their relatives had been consulted about their care and support needs. Most people could communicate their needs effectively and could understand information in the current written format provided. Most of this was provided in an easy to read or pictorial format. People and their relatives said they were confident their complaints would be listened to and acted on. Staff said they would support people according to their diverse needs.

The registered manager and management staff had a good understanding of the Mental Capacity Act 2005 and acted according to this legislation. People had access to health care professionals when they needed them.

The provider recognised the importance of monitoring the quality of the service provided to people. They took people's views into account through telephone monitoring calls, spot checks and satisfaction surveys. Staff said they enjoyed working at the service and they received good support from the registered manager. There was an out of hours on call system in operation that ensured management support and advice was always available for staff when they needed it.

Further information is in the detailed findings below.

The five questions we ask about services and what we found