This inspection took place on 15, 26 and 29 November 2018. This was the first inspection since the service had registered in December 2017. Eliot Gardens provides extra care housing to older people, some of whom may also have; learning disabilities, physical disabilities or mental health needs. The service also supports people under 55 if, following assessment, they were felt likely to benefit from the service.

People who were living in Eliot Gardens were identified as person supported, we have therefore used this term throughout this report. There were 35 people supported, living in the service. Not everyone received a regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of this inspection there were 18 people in receipt of a regulated activity. People's care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people's personal care service.

Eliot Gardens consists of 35 ground floor apartments ranging in size from studios, to one or two bedrooms each with their own bathroom and kitchenette. There were five units each consisting of a lounge area with seven apartments adjacent to each one. Each unit had a small kitchen which people could use if they wished to prepare their own meals. There was a communal dining area, laundry facilities and accessible bathrooms. There were large accessible secure gardens.

There was 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.

Without exception, people living in Eliot Gardens and their relatives told us they felt the service was safe.

Safeguarding policies and procedures were in place and had been followed which ensured people were protected from the risk of harm and abuse. Staff were knowledgeable about what might indicate a person was experiencing harm or abuse.

The amount of support people needed was commissioned on an individual basis staffing levels fluctuated according to the level of need people had. Supported people and staff felt there was enough time to provide safe levels of support.

The staff team supported people to manage the risks in their daily lives in exceptional ways which had empowered them to achieve their goals and increase their independence through the use of positive risk taking strategies.

The service had robust recruitment practices in place. All staff had been newly appointed following the service registering in December 2017. We found all necessary documentation was in place.

Medicines had been managed safely. There was a medicines champion who provided additional guidance and support.

Infection control policies and procedures were in place. Staff were observed to use gloves and aprons when supporting people with personal care.

Accidents and incidents had been recorded and we saw how the service investigated each event to establish the cause and avoid reoccurrence.

The building was very well maintained and decorated and furnished to a high standard.

The service supported people to develop their own personal emergency evacuation plans, (PEEPS). These provided specific information about the support the person would need to evacuate, for example, in a fire.

People and their relatives had been involved in the initial assessments of their needs and preferences prior to moving in to the service. Assessments were thorough and addressed all areas of the person's health and social care needs. Other professionals input had also been included.

The service were wor