Our inspection took place on 31 May 2017 and was unannounced. This was the locations first inspection since they registered with us.

Adderley Green care Centre is a care home providing nursing care for people with neurological conditions or complex care needs. The service provides both long term and respite care facilities for up to 135 people. At the time of the inspection there were 32 people residing at the location.

There was 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.

People told us they felt safe. Staff knew how to recognise and report signs of potential abuse. Risks to people’s health, safety and well-being were identified and managed and staff demonstrated a good knowledge of people’s risks and how to manage them. People were supported by sufficient numbers of staff who had been recruited safely. The provider had systems in place to ensure medicines were managed safely and administered as prescribed.

People were supported by staff that had the skills, knowledge and support to provide effective care. People consented to their care and support and the provider was appropriately applying the principles of the Mental Capacity Act to ensure people’s rights were protected. People were supported to eat and drink sufficient amounts to maintain their health and were provided with choices. People were supported by a multi-disciplinary team of healthcare professionals to ensure prompt advice, guidance and support was provided when needed. Staff were following healthcare professionals advice and this meant people were supported to maintain good health.

People were supported by staff who were caring and treated people with kindness and respect. People were supported to make decisions about their care and support. Staff supported people in a way that maintained their privacy and dignity and people were successfully supported to maintain or regain their independence.

People were supported by staff who knew their needs and preferences well and people’s personal preferences and wishes were respected. People’s care plans were reviewed regularly to take account of people’s changing needs and risks and people and their relatives were involved in the planning and review of their care. People had opportunities to engage in activities both with in the service and out in the local community and they were supported to maintain their personal hobbies or interests. People knew how to raise a concern or complaint and the provider had a complaints process to effectively manage complaints.

The registered manager had effective systems in place to monitor the quality and consistency of the care provided. People, relatives and staff were encouraged to give feedback on the service and information from audits, surveys and quality checks was used to drive improvements. Staff felt supported in their roles and understood their responsibilities. The registered manager was appropriately notifying us of events they are required to do so by law, such as allegations of abuse.