This service provides personal care and support to people living with learning disabilities, including some with physical disabilities. At the time of our inspection there were 11 people using the service across two supported living settings in Derbyshire. This enables people to live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The service is run from an office in the village of Creswell, near Worksop in North East Derbyshire. We carried out this inspection on the 18 & 29 June and 2 July 2018, 13. We visited the provider on 18 June and spoke with staff and relatives on the 29 June and 2 July 2018. The provider was given 3 working days’ notice of our inspection as we wanted to make sure the registered manager was available to support our inspection.

There was a registered manager for the service. 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 personal have legal responsibility for meeting the requirements of the Health and Social Care Act 2008 and associated Regulations about how the service is run.

At our last inspection in February 2016 we rated the service as Good. At this inspection we found the evidence continued to support the rating of Good. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection in October 2015.

People continued to receive safe care from staff who were safely recruited to help ensure this. The provider’s medicines, risk management, staffing and care systems were effectively operated and followed by staff when required for people’s care. This helped to protect people from the risk of harm or abuse.

People continued to receive effective care. People were provided with care in line with their assessed needs and choices and received consistent, timely support when they moved between services. People were supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible: polices and systems in the service supported this practice. People were supported to maintain or improve their health and nutrition, in consultation with external health professionals when required. Staff were trained to carry out their role and responsibilities for people’s care. Revised care induction and staff support systems were recently introduced to ensure this.

People continued to receive care from staff who were kind, caring and had established good relationships with them and their relatives. Staff treated people with respect and promoted their rights and emotional support. Staff followed what was important to people for their care and daily living arrangements. People were supported to express their views about the service and provided with accessible information to help them understand what they could expect from their care. The provider ensured relevant principles for people’s confidentiality and rights in their care, were understood and followed by staff. This helped to ensure people were treated equally as ordinary citizens.

People continued to receive responsive care. People’s care was timely and supported their individual needs and wishes. Staff understood how to communicate with people effectively, in a way that was helpful and meaningful to them. People were supported to engage with others and participate in routine and preferred daily living activities within their own home and often in the local community. Action was in progress to obtain an additional, suitably adapted vehicle to optimise people’s choice and opportunities for community acc