This was an unannounced inspection which took place on 8 January 2018.

10 Spennithorne Road is a care home without nursing which is registered to provide a service for up to four people with profound learning disabilities, all of whom have physical needs. There were four people living in the service on the day of the visit. The accommodation is single storey and is light and spacious. All of the bedrooms are single and each has a sink. There is a communal kitchen and sitting area and a shared bathroom.

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. People with learning disabilities using the service were supported to live as ordinary a life as any citizen.

At the last inspection in 26 August 2015 the service was rated Good. At this inspection we found the service remained Good.

The service had a registered manager. 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.

Staff responded to people's needs and went 'over and above' to ensure these needs were met. Behaviour management plans were detailed and included least restrictive interventions. All staff were enthusiastic about their role and the quality of care they provided. This meant that people who had previously challenged other services were being successfully supported by an outstanding responsive approach to their individual needs.

Staff lived the values of the provider and put people at the heart of everything they did. Staff were all clear that they worked as a team and for the benefit of the people living at 10 Spennithorne Road.

People were actively encouraged to be involved in all aspects of their care. Systems had been implemented to ensure people understood information relating to their care and that enabled people to be actively involved in reviewing their care plans with staff. Care plans were drawn up in an accessible format in line with the Accessible Information Standard.

The management team had control measures in place to maintain people's environmental safety. This included a variety of risk assessments and tools to safeguard them from potential hazards. Staff demonstrated a good awareness of how to protect people from potential harm or abuse.

The service remained safe. People's safety was contributed to by staff who had been trained in safeguarding vulnerable adults and health and safety policies and procedures. Staff understood how to protect people and who to alert if they had any concerns. General risks and risks related to the needs of individual people were identified and appropriate action was taken to reduce them.

Staffing levels were sufficient to meet people's needs. We found staff were recruited in a safe way; all checks were in place before they started work and they received an in-depth comprehensive induction. Staff were kind and caring and they knew about people's needs and preferences. We observed staff treated people with dignity and respect and it was clear they knew people well and their preferences for how they wished to be supported. This ensured people were fully involved in all decisions and were enabled to take control of their lives; staff gained consent before undertaking any support tasks.

There were positive and caring interactions between the staff and people. People were comfortable and at ease with the staff. Staff had a clear understanding of people's individual needs, preferences and routines. People were involved as fully as possible in decisions about the care and support they received. When people could not communicate verbally staff anticipated or int

We inspected 10 Spennithorne Road on 26 August 2015. We rang the registered manager the day before so they could let the people who lived there know we were coming. Our last inspection took place on 29 November 2013. At that time we found the service met the five standards we inspected against.

10 Spennithorne Road is a care home for four people with physical and learning disabilities, situated in Urmston. There is a parking area to the front of the building and an enclosed garden to the rear. The accommodation is single storey and is light and relatively spacious. All of the bedrooms are single and each has a sink. There is a communal kitchen and sitting area and a shared bathroom.

The service had a registered manager. 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.

The registered manager had been at the home for nearly three years. Relatives told us that the staff team was very stable, which was very important for the people who lived at the home as well as for them.

There were enough staff on duty to meet people’s needs. Staff told us they felt supported by the manager and that training opportunities were good. Relatives we spoke with told us they liked the staff and had confidence in them.

We found the service was meeting the legal requirements relating to Deprivation of Liberty Safeguards (DoLS).

Due to their complex care needs it wasn’t possible for us to ask the people who lived at 10 Spennithorne Road how they felt about living there, so we asked their relatives. They told us that they felt their relatives were safe and well cared for. We saw that staff understood how to keep people safe and responded appropriately to situations when people were observed to become unsettled.

Relatives told us the meals were good and that staff at the home knew what the people who lived there liked and disliked. We saw that there was a relaxed atmosphere at meal times and people could eat when they wanted to.

On the day of our visit we saw people looked well cared for. We saw staff speaking calmly and respectfully to people who used the service. Staff demonstrated that they knew people’s individual characters, likes and dislikes.

Activities were planned for each of the people who lived at 10 Spennithorne Road based upon their personal preferences. Days out, trips to the shops and other activities were recorded in a diary. People were given options about where to spend their time, for example in the lounge, in their bedroom or in the kitchen/dining area. There was also a large enclosed garden which was accessible to the people who lived at the home.

We saw that there were detailed risk assessments and care plans in place for each of the people that lived at the home. These incorporated personal preferences, people’s life history and important information on how each person liked to communicate.

Relatives told us they were always made to feel welcome and could pop in whenever they liked. They also said that if they had any concerns or complaints they would feel able to take these up with the manager.

We saw there were systems in place to monitor the quality of the service. Staff supported the people using the service to input into the running of the home and relatives could feed back their views at house meetings and during care planning meetings.

Due to the nature of the service we were limited to the number of people using the service we could communicate with verbally and therefore we spent time observing staffs interactions with each person and reading care plan documentation. We also spoke with the registered manager and one member of staff on duty.

People’s needs were assessed and care and treatment was planned and delivered in line with their individual support plan.

Information was available to demonstrate that all staff had received appropriate safeguarding training and all staff we spoke with during our inspection visit understood the different types of abuse and what action they would take if they had any concerns.

We saw evidence to confirm that staff received appropriate training to enable them to carry out their job roles effectively and safely.

We found that the provider had appropriate systems to monitor the quality and standard of service being provided to people using the service.