This inspection was carried out on 26 July 2018 and 1 August 2018. The first day of our inspection was unannounced. The second day was announced as we were visiting people in their own home and needed to be sure people and staff would be available.

This was the first inspection of the service since it registered with the Care Quality Commission in June 2017.

Livability York House Shrewsbury is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection. Livability York House Shrewsbury also provides care and support to people living in three supported living settings, so that they can live in their own home as independently as possible. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for supported living; this inspection looked at people’s personal care and support.

The care home provides a service for up to 10 adults who have a learning disability, associated physical disability and/or autistic spectrum disorder. At the time of our visit there were six people living at the home. Four people were receiving a service in their own homes.

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. Registering the Right Support CQC policy

There was a registered manager in post who ensured the home was well managed. 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 received a safe service. The provider ensured that people were supported by sufficient staff who knew how to protect people from the risk of harm or abuse. The provider’s procedures for staff recruitment helped to ensure people were only supported by staff who were suitable to work with the people who used the service. People were able to live their lives with reduced risks to themselves. Staff followed safe procedures for the management and administration of people’s medicines. Staff followed the provider’s health and safety procedures which helped to ensure people lived in a safe and well-maintained environment. There were procedures to deal with foreseeable emergencies and these were understood and followed by staff. People were protected from the risks associated with the spread of infection because staff had received training and followed appropriate procedures.

People received effective care and support from staff who had the skills, training and knowledge to meet their individual needs. Staff understood the importance of ensuring people’s rights were respected. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. People were supported to eat well in accordance with their needs and preferences. People’s health and well-being were regularly monitored.

People were supported by staff who were kind, compassionate and who took time to get to know what was important to people. Information about advocacy services had been produced in an accessible format for the people who used the service. Staff treated people with respect and ensured people could spend time alone whenever they wanted. People were supported to plan their day in accordance with their needs and preferences. Staff communicated with people in accordance with t