This announced inspection took place on 5 and 6 July 2018.

Glebe Cottage is a 'care home'. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. The Care Quality Commission (CQC) regulates both the premises and the care provided, and both were looked at during this inspection. Glebe Cottage provides supported weekend breaks and short breaks to people with learning disabilities; it is registered to provide accommodation and personal care for three people. At the time of the inspection there were eleven people regularly accessing the service for short stays.

The 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 complex needs using the service can live as ordinary a life as any citizen.

At our last inspection on the 21 January 2016, we rated the service "Good." At this inspection, we found the evidence continued to support the rating of 'Good' and there was no evidence or information from our inspection and on- going monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the polices and systems in the service supported this practice. People were encouraged to make decisions about their care, daily routines and preferences. Staff worked within the principles of the Mental Capacity Act and there was documentation to support this.

People told us that they felt comfortable and safe when staying at Glebe Cottage. Relatives agreed their family members were supported in a safe way by staff. Staff understood their responsibilities to keep people safe from harm and to report potential risks to their safety.

People received their medicines as prescribed and staff supported people to access support from healthcare professionals when required. The service worked with other organisations to ensure that people received coordinated and person-centred care and support.

Staff recruitment procedures ensured that appropriate pre-employment checks were carried out to ensure only suitable staff worked at the service. Staffing levels ensured that people's care and support needs were safely met.

Effective systems and checks were in place to ensure the premises were safe. Staff told us they had the appropriate personal protective equipment to perform their roles safely. Staff supported people in a way which prevented the spread of infection.

Some communal areas of the house were in need of refurbishment and re-decoration. A plan of refurbishment was in place and some areas had been completed. The provider needs to ensure that all areas are completed in a timely manner.

People's needs were assessed prior to them receiving the service to ensure that staff were able to fully meet their needs. The staff were skilled, knowledgeable and experienced and had the necessary training to enable them to carry out their roles.

People were supported to choose their meals and staff encouraged people to have a healthy balanced diet while staying at Glebe Cottage.

The culture of the service was caring, person centred and inclusive. Staff treated people with kindness, dignity and respect and spent time getting to know them and their specific needs and wishes. Staff encouraged people to follow their interests and many outings and activities took place while people were staying at the service.

There were effective systems in place to monitor the quality of the service. People that used the service and their relatives had the opportunity to comment on the quality of the support and care that was provided. Any requ

The inspection took place on 21 and 25 January 2016 and was announced. The provider was given 48 hours noticed of the inspection because the location provides a weekend short breaks service. We needed to be sure that the registered manager would be available to speak with us.

Glebe Cottage provides accommodation to people who require personal care for up to three people who have a learning disability or autistic spectrum disorder. The service is for people to have a short break at the weekend. The home is located on two floors, with a stair lift to access the first floor. The home has a variety of communal rooms and areas where people can relax. At the time of the inspection 13 people were using the service in total, although only a maximum of three people could be accommodated at any one time.

The service had 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 that they felt safe. Staff knew how to identify and report abuse and the provider had a system in place to protect people from the risk of harm.

Risk assessments were in place which set out how to support people in a safe manner.

The provider had a robust recruitment process in place and carried out pre-employment checks.

People received their medicines safely and at the right time.

Care workers were supported through training and supervision to be able to meet the care needs of the people they supported. They undertook an induction programme when they started to work at the service.

Staff told us that they sought people’s consent prior to providing their care.

The feedback from relatives we spoke with was that they felt people were cared for very well.

Staff knew people well and understood their care needs. Staff treated people with dignity and respect.

People received care and support that was centred on their individual needs. Their care plans included information about how they wanted to be supported.

People were involved in decisions about their care and support and care plans included assessments of risks associated with this. Support was offered according to people’s likes, dislikes and preferences.

People were supported to take part in a wide range of activities.

People told us that they were happy to raise any concerns with the manager and felt confident they would be listened to.

People were asked for feedback on the service that they received. People were involved in developing the service.

There were effective systems in place to monitor the service being provided.