We carried out an unannounced inspection on 7 February 2017.

Langley View provides accommodation and personal care for up to six people with a mental health condition and learning disability, some of whom live with physical health conditions. At the time of our inspection there were five people living in the home.

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.

There were risk assessments in place that gave guidance to staff on how risks to people could be minimised and how to safeguard people from the risk of possible harm. People’s medicines had been managed safely.

The provider had effective recruitment processes in place and there were sufficient staff to support people safely. Staff understood their roles and responsibilities and would seek people’s consent before they provided any care or support. Staff received supervision and support, and had been trained to meet people’s individual needs.

People’s needs had been assessed, and care plans took account of their individual needs, preferences, and choices. The service supported people with health care visits and access to the community.

There was a formal process for handling complaints and concerns. The registered manager encouraged feedback from people and relatives and acted on the comments received to continually improve the quality of the service. There were effective quality monitoring processes in place to ensure that the home was meeting the required standards of care.

We undertook an unannounced inspection of Langley View Residential Home on the 16 April 2015.

The service provides accommodation and personal care for up to six people with mental health and learning disability support needs. On the day of our inspection, there were three people using the service.

There was no 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 staff had undertaken risk assessments which were regularly reviewed to minimise potential harm to people using the service.

There were appropriate numbers of staff employed to meet people’s needs and provide a safe and effective service. Staff were aware of people’s rights and choices, and provided people with person centred care.

The provider had a robust recruitment process in place which ensured that staff were qualified and suitable to work in the home. Staff had undertaken appropriate training and had received regular supervision and an annual appraisal, which enabled them to meet people’s needs.

People were supported to make decisions for themselves and encouraged to be as independent as possible. People, relatives and /or other professionals were involved in planning the support people required.

People were supported to eat and drink well and to access healthcare services when required. Staff were quick to act on peoples’ changing needs and were responsive to people who required support.

Medicines were administered safely by staff who had received training.

The service was not meeting the requirements of their CQC registration to have a registered manager. However, a deputy manager provided effective leadership.

Staff were well supported to deliver a good service and felt supported by their management team.

The provider had an effective systems in place to monitor the quality of the service they provided.

We spoke with one person living in the home and observed how staff interacted with two other people, who were not able to speak to us due to their medical conditions. We spoke with three members of staff and reviewed the care plans and records for three people living in the home. Each person had a person centred care plan that provided detailed guidance for staff to enable them to provide appropriate support for the people in the home.

One person told us "I am happy here. I go out and I go to the Gateway Club."

Staff told us "everything runs smoothly" and the deputy manager was "approachable and very good with staff". Staff felt supported by the senior staff. There were enough staff on duty, who had the right skills and training, to meet the needs of the people in the home when we visited.

We looked at the systems for handling people's medicines and found robust systems in place to ensure people were not placed at risk from the unsafe use of medicines.

The premises were decorated to a high standard and were safe and appropriate for the people in the home. The home had robust systems in place to ensure the environment and facilities were checked and maintained appropriately.

The provider had robust quality assurance systems in place to ensure that the views and experiences of the people in the home were listened to and acted upon.

There were three people living at the home. We were able to speak to one of the people living at the home, other people were unable to communicate verbally due to their condition and we made observations during our visit. The person we spoke to told us they were happy with the care they received and found the staff to be friendly and helpful. They told us, "I like living here, the staff are good, they’re always nice and friendly” and that, “I feel supported here and the food is good too”. “I like going to the pub and to the football” We were told that people’s privacy and dignity was respected and that staff encouraged them with meeting their personal care needs and provided them with plenty of opportunities to undertake activities. We observed the home to be visibly clean on the day, all the people appeared to have had their personal care needs met. We found that support plans were detailed and records were maintained and regularly reviewed.

Overall we found that standards were being met.