This was an announced inspection carried out on 28 February 2017. The registered manager was given an hour’s notice as we needed to be sure that someone would be in to assist with the inspection. The service was previously inspected by the Care Quality Commission in December 2015 and was rated Good. However, we received some concerns from the local authority in December 2016 about the management of the service by the provider and we decided to inspect the service again.

Eden Supported Services provides care and support for up to five adults with learning disabilities. At the time of our visit, there were three people using the service. The service had a registered manager in post. 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.

The provider had measures in place to ensure the environment was suitable and safe for people using the service. Staff had access to relevant safeguarding guidance and contact numbers. They were aware of their roles and responsibilities to report any potential safeguarding incidents. Risks to people had been assessed and there was guidance in place on how to manage them safely.

However, we found that people’s financial records were not always adequately maintained. We have made a recommendation to the provider about ensuring there is a more effective system in place to manage people's money.

People's medicines were managed safely by staff working at the service. People received their medicines at the required times and in the way they had been prescribed.

There were sufficient staff available to meet people's needs. Staff received training in a number of relevant areas to ensure they had the skills to meet people's needs.

People's consent was sought where appropriate. Where people lacked the capacity to consent to decisions, legal requirements were met.

People’s records reflected their current health needs. They had access to meet with other healthcare professionals and staff had a good understanding of their needs. They were supported to express their views and to make decisions about their care. This enabled staff to deliver safe care. We have made a recommendation about updating people’s risk assessments to ensure they covered all health concerns that were identified.

People were supported to eat and drink enough and were given choices when planning the menus. People’s care plans were personalised and contained information about all aspects of their life and histories. Staff interacted well with people and respected their privacy and dignity. People were encouraged to take part in household chores and leisure activities. Their independence was promoted.

There was a complaints procedure in place. Staff were able to support people if they wished to complain. We have made a recommendation for the provider to develop more simplified procedures for people. We made further recommendations about ensuring relatives were contacted more frequently to keep them up to date about the progress of their loved ones who lived at the service.

Staff and people told us the management team were supportive, approachable and friendly. There were systems in place to routinely monitor the safety and quality of the service provided.

The management team demonstrated an understanding of their role and responsibilities. They had taken action to address concerns raised by the local authority and by the CQC. The registered manager was being supported by an external consultant.

We inspected Eden Supported Services on 9 December 2015. This was an announced inspection which meant that the provider knew we were visiting. This was because the location was a small care home for adults who are out during the day and we needed to be sure that someone would be in. The provider was given 48 hours’ notice.

Eden Supported Services is a care home that provides accommodation and support with personal care for people with learning disabilities. The service is registered to provide care and support to three people.

The service did not have a registered manager in place at the time of our inspection. The manager of the service was still in the process of completing registration with the Care Quality Commission. 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.

At the time of our inspection, there were two people using the service. We found that people were cared for by sufficient numbers of qualified and skilled staff. Staff also received one to one supervision and received regular training. People were supported to consent to care and the service operated in line with the Mental Capacity Act 2005 and Deprivation of Liberty Safeguards which meant that their freedom was not restricted. The service had a quality check system in place when staff ended their shift and handed over to the next shift to ensure that medicines were administered safely and recorded accurately. This was particularly important if there was a lot of activity taking place in the service or in pressurised situations.

People were supported to eat and drink sufficient amounts and had choice over what they wanted to eat. People were supported to access healthcare professionals. People’s finances were managed and audited regularly by staff so that people’s money was kept safely and securely.

People’s needs were assessed and care and support was planned and delivered in line with their individual care needs. The support plans contained a good level of information setting out exactly how each person should be supported to ensure their needs were met. The support plans included risk assessments. Staff had good relationships with the people using the service. We observed interactions between staff and people living in the service. Staff were caring and respected people’s wishes and their privacy. Staff supported them to attend meetings where they could express their views. People using the service pursued their own individual activities and interests, with the support of staff. The environment was safe and clear of any health and safety hazards.

There was a structure in place for the management of the service.  People using the service, relatives and visitors could identify who the manager was. People felt comfortable sharing their views and speaking with the manager if they had any concerns. The manager demonstrated a good understanding of their role and responsibilities. Staff and people told us the manager was supportive. There were systems in place to routinely monitor the safety and quality of the service provided.