This inspection took place on 25 and 26 April 2018 and was announced. We gave the provider 48 hours’ notice to ensure someone would be available to speak with us and show us records. We contacted family members by telephone on 2 May 2018 .

We last inspected the service in April 2017 and rated the service as ‘Requires Improvement’ overall. We found the provider had breached Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014 in relation to staffing. This was because training records showed not all staff had completed training relevant to their job role and staff had mixed views whether they had received enough training to perform their job role effectively. During this inspection we found significant improvements in this area and across the service as a whole so the overall rating has improved to ‘Good.’

Burbank Mews is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Burbank Mews provides personal care for up to twelve people with a learning disability and/or autistic spectrum disorder in six bungalows. The 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 and autism using the service can live as ordinary a life as any citizen. On the day of our inspection there were seven people using the service.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission (CQC) to manage the service. Like 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 who used the service appeared comfortable in staff's presence. Relatives told us they were happy with the care provided at Burbank Mews.

Staff had completed training in safeguarding vulnerable adults and understood their responsibilities to report any concerns. Thorough recruitment and selection procedures ensured suitable staff were employed. Risk assessments relating to people's individual care needs and the environment were reviewed regularly. There was a positive approach to risk management.

Medicines were managed safely and administered by staff trained for this role. Each person had an up to date personal emergency evacuation plan (PEEP) which provided staff with information about how to support them to evacuate the building in an emergency situation such as a fire or flood.

Staff training in key areas was up to date. Staff received regular supervisions and appraisals and told us they felt supported.

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 practice. People were supported to have enough to eat and drink and attend appointments with healthcare professionals.

There was a welcoming and homely atmosphere at the service. People were at ease with staff and relatives said staff were kind and caring. Staff respected people’s privacy and dignity.

Staff supported people to do the things they enjoyed and also encouraged independence with daily living. Support plans contained clear information about the person's level of independence as well as details of areas where staff support was required. Support plans detailed people's needs and preferences.

There was an effective quality assurance system in place to ensure the quality of the service and drive improvement.

Relatives and staff felt the service was well managed. Staff described the registered manager as approachabl

This inspection took place on 5 and 6 April 2017 and was announced. The provider was given 24 hours’ notice.

This was the first inspection of this service. It was registered with the Care Quality Commission on 15 June 2015.

Burbank Mews is a residential service for up to 12 people with learning disabilities and/or other needs such as autism, mental health issues and physical needs. The accommodation comprises six bungalows, each with two en-suite bedrooms, a communal kitchen/dining room, living room and a garden. At the time of our inspection there were seven people living in the six bungalows.

The service did not have a registered manager as the registered manager left in November 2016. The provider’s operations manager was currently managing the day to day running of 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 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.

During this inspection we found a breach of Regulation 18 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014. This was because training records showed not all staff had completed training relevant to their job role. Staff had mixed views whether they had received enough training to perform their job role effectively.

You can see what action we told the provider to take at the back of the full version of the report.

Medicines were not always managed safely as people’s prescribed creams were not always dated on opening. The temperature of the rooms where medicines were stored was not always checked regularly to ensure they were within recommended limits. A number of medicine errors had occurred in recent months which had been dealt with appropriately. Daily management checks were now in place to monitor medicines administration.

People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible; the policies and systems in the service did not support this practice. Further staff training on this had been arranged.

The provider's quality assurance processes had not always been effective in identifying and generating improvements for the service. An action plan was now in place and progress was being made in a number of areas.

Staff understood their safeguarding responsibilities and told us they would have no hesitation in reporting any concerns about the safety or care of people. Staff said they felt confident the operations manager would deal with safeguarding concerns appropriately.

A thorough recruitment and selection process was in place which ensured staff had the right skills and experience to support people who used the service. Identity and background checks had been completed which included references from previous employers and a Disclosure and Barring Service (DBS) check.

Risks to people's health and safety were recorded in care files. These included risk assessments about people’s individual care needs. Regular planned and preventative maintenance checks and repairs were carried out and other required inspections and services such as gas safety were up to date.

People and relatives spoke positively about staff. Staff supported people to be independent and to do the things they enjoyed. People were at ease in the presence of staff.

Support plans detailed people’s individual care needs and preferences. People’s needs were reviewed regularly. Relatives told us they were involved in care planning.

Arrangements were in place to deal with complaints. One complaint had been received since the opening of the service; this had been dealt with appropriately and to the satisfaction of the person concerned.

Feedback from people who used the service and their relatives was sought regularly. A form