Care Management Group - 23 Pierrepoint Road is a care home for up to 11 adults who have a learning disability and may also have other health conditions, autism, mental health needs or physical disabilities. 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. At the time of our inspection nine people were living at 23 Pierrepoint Road. The people living there had a range of different mental health, learning and physical disability needs. There was a registered manager in post who had worked at the service for many years.

At the last inspection on 14 July 2015 we rated the service Good.

At this inspection on the 27 June 2017 we found the service Good.

People living at the service and their relatives were happy with the care they received. They felt at home and were able to make choices about their lives and how they spent their time. The staff treated people with kindness and respect and there was a friendly and caring atmosphere at the service. People's needs were assessed, planned for and met by the staff working with other health care professionals. People took part in a range of different activities which met their needs and reflected their preferences.

There were procedures designed to keep people safe. These included assessing individual risks and planning how to minimise the likelihood of harm for people. People received their medicines in a safe way and as prescribed. The staff understood about abuse and how to report any concerns they had. They also knew how to report and respond to inquiries and incidents.

There were enough staff to keep people safe and meet their needs. The staff team worked well together and supported one another. Communication within the staff team was good and they planned how to meet people's needs each day. The staff felt supported and told us they could speak with the registered manager about any concerns they had. They took part in regular team and individual meetings and an annual appraisal of their work. There were good opportunities for the staff to learn new skills and take part in training which helped them to understand their roles and responsibilities.

The service was well-led by an experienced manager who worked alongside the staff team to support people who used the service. There were good systems for auditing the quality of the service. Records were appropriately maintained, clear and up to date. The registered manager told us that the provider was supportive and they had the guidance and information they needed.

During this inspection we did not speak with any of the people who use the service. We visited Care Management Group - 23 Pierrepoint Road to follow up on a compliance action we issued in relation to the records maintained at the service. This was due to us finding at our inspection on the 31 August 2013 that the service did not maintain accurate and appropriate records in relation to the care and treatment people received.

At this inspection we found that improvements had been made to ensure that people were protected from the risks of unsafe or inappropriate care, where each person's care had been reviewed and new support plans and risk management plans were in place to enable staff to support people with their needs.

During our visit we spoke with three people who use the service and two staff. People told us they liked living at the home and the food provided. The staff conveyed an in-depth knowledge of each person’s needs and how they liked to be supported. We saw the people who use the service and the staff had developed positive relationships with each other and there was good communication and a relaxed atmosphere within the home.

People were involved in identifying their preferences and wants. This was reflected in the individualised support plans that detailed how people liked to live their life and how they were supported with this.

People received support with their medicines and these were stored appropriately within the home.

Staff received support and training in their work and the staff we spoke with said there was good team work to ensure people received a consistent level of support.

However, we found that the records relating to the care and support that people received were not kept up-to-date and some were not reviewed regularly. This did not ensure that people received the most relevant care for their needs.

We spoke with four people using the service, two representatives and four staff. People said they had been able to visit the service before moving in to see if it was somewhere they wanted to live. People told us staff listened to them and treated them with respect. People said they had seen their person centred plan and had been involved with this. They confirmed that they were being well looked after at the home. One person said the staff were “very helpful” and made sure they were ready to attend the day centre and other activities during the week. They said staff were “supportive” and encouraged them to maintain their independence.

People confirmed that they were able to speak with staff if they had any concerns. People expressed their satisfaction with the staff and confirmed there was always someone available when they needed help and support. One person said “staff are nice”. People and their representatives spoken with said they were able to express their views about the service provided and they were listened to.

Representatives told us they were kept up to date with any changes in the health and welfare of their relative and had received satisfaction surveys to complete during 2011. We viewed the feedback book in which there were comments from two healthcare professionals which included “fantastic care home with a lovely atmosphere” and “very friendly, professional staff.”

This inspection took place on 9 and 14 July 2015. The visit on 9 July was unannounced and we told the provider we would return on 14 July to complete the inspection. We last inspected the service in August 2013 when we found the provider needed to improve record keeping. We followed up this inspection in January 2014 and found the provider had made the necessary improvements.

23 Pierrepoint Road is a care home for up to 11 people with a learning disability. When we inspected, 11 people were using the service.

The service has a registered manager. 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 told us they were very happy with the support they received and their relatives and health and social care professionals involved in people’s care commented extremely positively on the service. They told us the provider and registered manager identified and met people’s health and social care needs.

Staff supported people in a caring and professional way, respecting their privacy and dignity.

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

Support staff understood and followed the provider’s safeguarding and whistleblowing procedures. They also understood the importance of reporting any concerns about the welfare of people using the service.

People and their relatives told us they knew about the provider’s complaints procedure. They were confident the provider and the registered manager would respond to any concerns they might have.

People consistently received their medicines safely and as prescribed.

We found the service to be meeting the requirements of the Mental Capacity Act 2005 (MCA) and the Deprivation of Liberty Safeguards (DoLS). DoLS provides a process to make sure that people are only deprived of their liberty in a safe and correct way, when it is in their best interests and there is no other way to look after them.

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

The provider and registered manager followed effective systems to monitor the quality of the service.