Reach Learning Disability Care C.I.C

The service was last inspected in March 2016 and the overall rating for that inspection was Good. However, improvements were required in Effective. At this inspection we found that improvements had been made.

On the day of our inspection there was a registered manager in post who was available throughout the inspection. 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 received safe care. Staff were aware of their responsibility to keep people safe. Risks were assessed and managed to reflect people's current needs. Staffing levels were adequate. Safe recruitment was followed to ensure suitable staff were employed. Medicines were managed safely. The provider followed relevant guidance for infection control. Systems were in place to monitor accidents and incidents and to identify any lessons learned and make improvements where required.

People received care and support from knowledgeable and suitably trained staff. Care needs were assessed and considered the full range of people's diverse needs.

People received sufficient to eat and drink. Staff encouraged people to cook for themselves and eat and drink nutritious food. People's healthcare needs were monitored to ensure their day to day needs were met. People used equipment and technology to ensure they could be independent.

People were involved in making decisions about their care. Staff were working within the principles of the Mental Capacity Act 2005. People could choose which staff cared for them. Staff understood the requirements about consent and people's capacity.

There was a strong person-centred culture throughout the service. Staff were sensitive to times when people needed caring and compassionate support. People were extremely positive about the caring nature of staff. People were empowered to make decisions about their care and support. Respect and dignity was at the heart of the services culture and embedded in everything they did.

Care was tailored to meet individual needs. People were supported without exception to lead meaningful and independent lives. Information was provided in formats that were accessible to people. Complaints and

concerns were fully Investigated, with lessons learned and action taken appropriately.

The service was extremely well led, with a clear focus on person centred care, which empowered people and their relatives to make decisions about their care. Care planning involved people and their families to be fully involved and enabled them to be as independent as possible. The quality assurance systems in place effectively monitored the service. The registered manager responded positively and was proactive to change to continually strive to improve the service.

The five questions we ask about services and what we found