Care Management Group - 23 Perryn Road is a care home for up to eight people with a learning disability and/or mental health needs. At the time of our inspection eight people were living at the service. They all had learning disabilities and some had additional mental health needs. Some people had autistic spectrum needs. The service is managed by Care Management Group (CMG) Limited, a national organisation providing care and support to adults and children with disabilities in England and South Wales. They manage over 120 services, including other residential care homes, day centres and supported living services. There was a registered manager in post who had worked at the service for many years.

At the last inspection on 2 March 2015 we rated the service Good and found the service was meeting all the required Regulations. Although we found that improvements were needed because the staff did not ensure there were sufficient quantities of nutritious food available at all times.

At this inspection on the 24 July 2017 we found the service remained Good.

People living at the service were happy there. Their needs were being met and they liked the staff. People felt comfortable, relaxed and could spend time how they wanted. People were involved in the day to day running of the home, helping to plan activities and menus and were involved in everyday tasks. People had opportunities to use the community and take part in a range of different activities.

Relatives and other representatives spoke positively about the service. They told us, and the provider's own record of their feedback confirmed, that they felt people were well cared for and their needs were met. They had regular contact with the service and felt appropriately involved.

Support plans were well designed and included information about how the staff should meet people's needs. Risks had been assessed and planned for.

People received their medicines in a safe way and as prescribed. There were procedures designed to safeguard people from abuse and the staff were aware of these.

There were enough staff employed to meet people's needs and keep them safe. The staff were recruited in a suitable way and received the supervision, support and training they needed to carry out their roles.

The staff were kind, caring and had good relationships with the people who they were caring for.

The service was appropriately managed. The registered manager was experienced, qualified and had worked at the service for many years. People using the service, their representatives and the staff found the registered manager approachable and supportive.

There were systems for capturing the views of all stakeholders and evidence that these were listened to and acted upon. There were a number of audits which monitored the quality of the service and ensured continuous improvements.

This inspection took place on 2 March 2015 and was unannounced.

Care Management Group – 23 Perryn Road provides accommodation, personal care and support for up to eight people with learning disabilities. When we inspected, seven people were living in the home.

The Care Quality Commission (CQC) registered the home’s manager in 2012. A registered manager is a person who has registered with the CQC 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 supported people in a caring and professional way, respecting their privacy and dignity.

Staff had the training they needed and they were able to tell us about people’s individual needs and how they met these in the home.

Staff understood the provider’s safeguarding procedures and they understood the importance of reporting any concerns about the welfare and safety of people using the service.

People consistently received their medicines safely and as prescribed.

We found the service to be meeting the requirements of the Deprivation of Liberty Safeguards (DoLS) and Mental Capacity Act 2005 (MCA). The Deprivation of Liberty Safeguards provide legal protection for vulnerable people who are, or may become, deprived of their liberty in a hospital or care home.

Care records reflected people’s health and social care needs and staff regularly reviewed each person’s care and support. The registered manager and staff communicated effectively to make sure all staff were kept up to date with each person’s care and support needs.

The provider carried out regular checks and audits to make sure the service was operating effectively.

We have made a recommendation about the provision of food to people using the service.

During our visit we spoke with two people who use the service. They told us they received good support from the staff and could lead the lives they wanted to. People said staff were responsive to their healthcare needs and made appointments for them to see a GP when they requested this.

People told us that staff had time to spend with them, and we observed this happening at the service. We saw some staff talking with people in the lounge areas. A number of people also went out to the shops with some staff.

People were positive about the care and treatment/is is treatment or support? they received. The staff we spoke with were enthusiastic about their work and spoke fondly about the people who use the service.

People said they were happy at the home and that staff supported them to do things for themselves, for example cleaning and tidying around the home and going shopping for new clothes.

People said staff had encouraged and helped them to become more confident and independent.

People told us they were being well cared for at the home and that staff were available to help them. They said they were supported to go to healthcare appointments, for example to the GP. People said that holidays had been arranged and they had enjoyed them.

People said they felt safe living at the home. They said they would talk to staff or a care manager, if they had any concerns either within the home or any incidents that occurred when they were outside the home.

People told us that staff supported them with their day to day lives and to do the things they wanted to. They said that staff were interested in them and in what they had to say.

We looked at the care records of three people, spoke with four people who use the service and three members of staff. People who use the service told us that they enjoyed living at the service. One person said " I am happy here, I like my bedroom I can have it how I want." Another person told us "I have been here may years and I like it, the staff help me with my care and help me with chores."

We looked at people's care records and found that they were involved in their care. For example people had regular reviews, were supported in community involvement and were supported to maintain and develop family relationships.

We looked at people’s care assessments and risk management plans and found arrangements were suitable to ensure their safety and well-being.

We found that systems in place to safeguard people in the service were adequate. However, further improvement was needed to inform people using the service about abuse.

We looked at staff training and supervision and found people were supported by staff who had been adequately trained. They also received appropriate supervision and support with their career development.

The provider had suitable arrangements in place to monitor the quality of the service provided