About the service: Choice Support Crewe Road is a care home which provides personal care and accommodation for up to four people with a range of needs including learning disabilities. There were three people living at the service at the time of the inspection.

The care 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.

People’s experience of using this service:

People living at the service received safe care from familiar staff who understood their needs. Staff treated people with dignity and respect and took account of their individual needs when providing care and support. Processes were in place to protect people from avoidable harm. Risks to people had been assessed and were safely managed.

People were supported by staff who had been recruited safely and were well trained. Staff felt supported and told us communication was good. They were kept updated through regular supervisions, team meetings and staff briefings.

The service was responsive to people’s changing needs and staff promoted choices where possible. Where people were unable to express their needs and choices, staff understood their way of communicating. Support plans were in place and included details about people’s likes and preferences. These had all recently been re-written and were now very detailed. Support plans had been developed in consultation with people and their relatives. The service worked well with other agencies to promote people’s health and well-being

Staff were knowledgeable about The Mental Capacity Act 2005 (MCA) They took appropriate action to ensure any restrictions on people’s liberty was correctly assessed and authorised. People were supported to make day to day decisions and where necessary these were made in people’s best interests.

People were supported to take part in activities based on their interests and had developed links within the community. Staff supported people to achieve specific goals and these were kept under review.

The registered manager had worked hard to implement new systems and make improvements to support plans. The management team had a clear understanding of what was needed to ensure the service continued to develop, and ensure people received high-quality care. Feedback was gathered from people and staff and this information was used to make ongoing improvements to the service. The provider had effective systems in place to monitor the service and the quality of the care.

Rating at last inspection: The service had been re-registered under a new provider in January 2019. This was the first inspection under the new provider.

Why we inspected: This was a planned inspection based on our inspection programme.

Follow up: We will continue to monitor the service through the information we receive until we return to visit as per our re-inspection programme. If any concerning information is received we may inspect sooner.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk