The inspection of this service took place on the 20 December 2016 and was unannounced. It is registered to provide accommodation with personal care to two people with mild learning disabilities and mental health needs. At the time of our visit there was one person living at the service.

The registered manager became registered in November 2016. ‘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.’

Quality assurance systems were in place but the monthly audits were not consistent with inspection findings. Some records needed updating for example positive behaviour management plans. Where people had capacity, their consent was not always gained to deliver care and treatment. The registered manager informed us following our visits that records were reviewed and how action plans were to be followed.

The people we asked said they felt safe living at the service. One person said the staff made them feel safe. The staff on duty were knowledgeable about the safeguarding of vulnerable adults procedures.

Care plans were in place. They were person centred and included the person’s likes and dislikes. One person on a transition visit said once they had moved into the home they would be seeking employment. Risks were assessed and where they were identified action plans were developed on minimising the risk.

Medicines were administered by the staff. Medicine administration charts were signed to indicate the medicine administered. Protocols were in place for medicines to be administered when required.

A member of staff was on duty at all times and on call procedures were in place for staff to gain support. Recruitment procedures ensured the staff employed were suitable to work with vulnerable adults. New staff received an induction to prepare them for the role they were employed to perform. Staff attended training set by the provider and specific training needed to meet people’s needs. For example, autism, dementia and during induction mental health awareness training was provided.

People told us they made their own decisions. They said they made decisions about their meals and activities. They said the staff were caring and their rights were respected. Members of staff were able to describe how they ensured people felt that what they said mattered to them.

People said they were accompanied on healthcare visits. Staff documented the outcome of the visits and these reports showed people had regular appointments with their GP, dental check-ups and there was input from specialists such as psychiatrists.

People living in the home were positive about the support they received and evidence suggested that they were consulted and involved in how they wished to live their lives.

We found that people's health and welfare needs were being met and that support given was individualised and person centred.

Evidence informed us that systems were in place to protect people from possible abuse and that staff had an awareness of safeguarding issues. The home was found to be clean and hygienic.

We found that staff received appropriate training and support to be able to meet the needs of people living there.

We found the quality of the service was being monitored and systems were in place to ensure people's welfare and safety needs were met.

There were two people living at Callisto when we visited. These people had a mild learning disability but needed support with maintaining their mental health. Both people told us they were happy living at Callisto and liked living there. One person said "I love it here" and the other said they were "very happy here."

Both people said they liked the staff and they were looked after well. They said they were not expected to do anything they did not want to do. People were able to make their own minds up.

We observed care delivered with good humour and a balance between wanting people to be safe but respect for their rights. People appeared happy and comfortable. Staff supported people to have their medicines safely. The service had enough staff with the right skills and experience to support people. People's records and those to run the home were kept confidential and held securely.

People told us that whilst they had only been at Callisto for a very short time, they had settled well and were enjoying their time at the home. They said they could follow their own routines and get up and go to bed when they wanted to. They said they could choose when and what they ate. People told us they did the food shopping with staff support. They checked what was needed and were aware of the need to keep within a budget. They said they completed household tasks such as cooking, cleaning and laundry. They told us they had their own key to their bedroom and the front door of the house. People said staff respected their personal space and did not enter their bedroom unless given permission to do so. They said they could spend time in their bedroom and not be disturbed.

People told us they were given lots of information about the home before they decided to move in. They said they were able to tell staff what support they needed and how they wanted to live their lives. They said they helped complete their own support plan, which explained their needs, wishes and aspirations. People told us they were supported to bring their own furniture and personal possessions with them when they moved to Callisto. They said they could choose the colour schemes of their bedroom.

People told us they liked the staff. They said they were friendly, helpful and supportive. They said staff had helped them to settle into their new environment. People said they felt safe and were looking forward to developing their interests within the local community. They said they had recently changed their GP and were beginning to find out about the local area.

People told us they would inform staff or the provider if they were not happy with any aspect of their care. They said staff regularly asked them if they had any ideas about developing the service. They said they had filled in a questionnaire about their experiences and views of the service they received. The feedback showed people were happy with the staff and the way in which they were supported.