This comprehensive inspection took place on 1 February 2018 and was unannounced. Bournville Village Trust - 191 Redditch Road is a purpose built bungalow and provides accommodation with personal care for adults with learning disabilities, autistic spectrum disorder or mental health needs for up to five people. At the time of our inspection the service was supporting four people.

At our last inspection 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 on-going 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.

At this inspection we found the service remained ‘Good’.

People are protected from avoidable harm. Assessments identify how staff are to support people from any risk of harm presented by their conditions. Staff maintain records of incidences so they can recognise and patterns and prevent people from experiencing similar events again. People are protected by staff who know how to recognise if a person is experiencing or at risk of abuse. People are supported by enough staff to meet their care needs and keep them safe. People are supported to take their medications safely. There are effective practices and policies to prevent and control the spread of infection.

People’s needs are assessed and plans put in place to provide safe and effective care. Staff receive regular training so they are able to meet people’s specific care needs. People receive food and drinks they enjoy. Staff communicate effectively between themselves and with other organisations. People are supported to live healthier lives and have access to other professionals. There are suitable equipment and adaptations so people can move safely around the home and garden. People are supported to have maximum choice and control of their lives and staff support them in the least restrictive way possible; the policies and systems in the service support this practice.

Staff and the people they supported regularly shared positive and happy interactions. Consistent staffing enabled people to develop meaningful relationships with the other people and staff at the service. Staff respect people’s privacy and promoted their independence.

Staff respond promptly to people’s needs and are knowledgeable about the activities that people enjoy. Staff understand the importance of respecting people’s individual wishes and lifestyle choices. People are supported by staff who have the skills to assess their needs and support them to express their views. People can access the provider’s formal complaints policy if they wish. People have the opportunity to discuss their end of life wishes if they want to.

The service is well run and people benefitted from using the service. The registered manger is aware of their responsibilities to the commission. Staff said they enjoyed working in an open and transparent culture. The provider monitors the quality of care people receive and takes action when necessary to improve how people are supported. People and staff have the opportunity to influence and develop the service because there is a culture of learning and improvement. The provider works in partnership with other agencies so people experience a smooth transition between health care providers.

Further information is in the detailed findings below.

This inspection took place on 21 July 2015 and was unannounced. We last inspected this service in April 2013. At that time the provider was meeting the regulations and the needs of the people living at the home.

191 Redditch Road is home for up to five people who have a learning disability. The accommodation is on the ground floor. People each have their own bedroom and they share a lounge/diner and the kitchen. The home has two bathrooms which have been adapted to meet the needs of people who require support with their mobility.

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 using this service were safe. The registered manager and provider had been pro-active in assessing, identifying and acting upon risks that people may present or be exposed to. Measures had been put in place to ensure these risks were well managed and that people were protected, however this was undertaken in a way that still enabled people to enjoy freedom, independence and to maintain their human rights.

Adequate numbers of staff were on duty. The staff had been well trained and had been supported to develop the skills they needed to meet the needs of the people they were working with. Robust checks were made on staff before they started work in the home to ensure they were suitable to work in adult social care.

Medicines were safely managed. Evidence was available to show people had received the medicines they had been prescribed.

People had been supported to stay healthy. Opportunities were provided and people had been supported to see a wide range of health professionals and to attend health related appointments.

People had access to a wide range of food and drinks. Assessments had been undertaken for people at risk of not eating and drinking sufficient amounts. People received food according to guidelines regarding the textures needed to enable them to swallow safely.

Staff were aware of their responsibilities under the Mental Capacity Act 2005. They had ensured people received the assessments and support they required and when necessary had made applications to the local supervisory body for Deprivations of Liberty Safeguards (DoLS) to protect their rights.

We observed and were informed that staff were kind and compassionate in the way they supported and cared for people. People were treated as individuals and had chance to pursue interests and hobbies that were of interest to them.

There was a complaints procedure in place. Following this would ensure that any complaints were identified and acted upon. No complaints had been received about the service offered at the home.

We received consistent feedback that 191 Redditch Road was a good place to live, to work and visit. We were informed that the home was well managed, and the findings of our inspection supported this. The registered provider had developed and used a wide range of tools and systems to ensure the service being offered was consistently safe and of good quality.

We met two of the five people who reside at 191 Redditch Road during our inspection. Two people were enjoying a holiday of their choice, and one person was receiving treatment in a local hospital. People we met all looked well and when we asked them how they were, one person nodded and smiled at us and said "Yes", the other person said "Well, thank you." People looked very content in the home and we saw people and the staff supporting them interact in a friendly and relaxed manner.

We found that people were being consulted about how they wished to be treated, and their agreement was sought in everyday activities such as eating and drinking. People were encouraged to make more significant decisions when they were able, and if they were not systems were in place to ensure decisions were made in their best interest.

We found people were receiving care and support to a good standard. An advocate said," I thoroughly enjoy visiting here because I am made very welcome and I consider the care to be first class."

The home was clean, and systems were in place to ensure that harmful infections could not be passed from one person to another.

Staff told us they felt well supported by their colleagues, the homes management team, and the registered provider. We found staff had been provided with the skills they needed to support people well.

Records we looked at were up to date and easily located within the home.

We used a number of different methods to help us understand the experiences of people using this service, because people had complex needs which mean't they were not able to tell us their experiences. We looked at feedback relatives of people living at the home had given. Over many years this had been positive, and comments included, "Thanks for all you do, keep up the good work" and "A very pleasant environment, the clients are looked after very well."

We spent time sitting close to people who lived in the home. We observed that people looked settled and content. People had interesting things to do, and staff responded quickly when someone expressed a need.