Bowens Field is a residential care home for three adults with learning disabilities. The house is in walking distance of local shops and amenities. Bowensfield meets the principals of Registering the Right Support CQC policy. At the time of inspection three people were using the service.

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 ongoing monitoring that demonstrated any 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.

People were supported by enough staff to keep them safe. Staff understood how to recognise and report abuse. Staff were recruited using safe recruitment procedures. People had risk assessments in place that ensured they could safely participate in activities they enjoyed. People’s medicine was administered safely.

People’s health and social care needs were assessed and reviewed on a regular basis. People were supported by staff that had received training relevant to their role. Staff worked well together to help people achieve their agreed outcomes. People had access to drinks and a balanced diet. People had access to relevant healthcare. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this. People lived in a homely environment.

People were treated by staff with kindness and compassion. Staff actively sought people’s views and communication was tailored to suit people’s individual needs. People had the support of an advocate when they lacked capacity to make a decision. Staff respected people’s privacy and made sure their care records were kept secure.

People's care plans were person centred and people accessed activities that matched their interests. Staff could identify when people were upset or concerned and supported them to seek a resolution Staff understood the complaints procedure and what to do if they received a complaint. Due to people being in good health the provider was yet to explore peoples wishes surrounding end of life care

The registered manager had systems in place to monitor the quality of the service being delivered. Staff felt supported by the manager and received supervision. The provider shared information with the team around best practice.

Further information is in the detailed findings below.

This inspection took place on 25 and 26 August 2015 and was unannounced. At our previous inspection no improvements were identified as needed.

Bowens Field is registered to provide accommodation and personal care to a maximum of three people who have learning disabilities. There were three people living at the home on the day of our inspection.

A registered manager was in post and was present during our 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.

Staff had received training and understood how to keep people safe at the home. Staff understood the procedures they needed to follow if they suspected people were at risk.

People’s medicines were managed safely by staff and people received their medicines when they needed them. Staffing levels were monitored by the registered manager and additional staff were put on shift to meet the needs of people and to keep them safe.

People’s right to make their own decisions were supported by staff. When people could not make their own decisions these were made on their behalf and in their best interests by people who knew them.

People were supported by staff who knew them well and had good relationships with them. Staff made sure people were involved in their own care and made sure information was given to them in a way they could understand.

People were as independent as they could be and staff encouraged and supported this both inside and outside of the home. Staff treated people with kindness and respected people’s right to privacy and dignity.

People were supported to take part in activities that they wanted to and that reflected what they were interested in. People were involved in agreeing what they wanted to do, what they enjoyed and what they had not enjoyed and this information was used to personalise people’s care and support.

Staff at the home worked for the benefit of the people that lived there. People’s opinions were sought and listened to and they were involved in what happened within their home.

Regular checks were completed by the provider and registered manager to monitor the quality of service that staff delivered at the home and improvements were made where needed.