This inspection took place on 28 and 29 January 2019 and was unannounced. This is the first inspection of this service since it re-registered from Cream Residential Care to Longrun House in 2018.

Longrun House is a residential home that consists of two units. The main house accommodates ten people and The Lodge accommodates seven people. The home specialises in providing care to younger adults who have a learning disability, physical disability and/or sensory impairments. The home is staffed 24 hours a day. The home has a range of aids and adaptations in place to assist people who have mobility difficulties and all bedrooms are for single occupancy. Longrun House has links into the local community, and access to a range of facilities such as a full-sized Hydrotherapy pool and interactive sensory room that are situated within the grounds of the home.

At the time of the inspection there were 16 people living at Longrun House. The people we met had very complex physical and learning disabilities and not all were able to communicate with us verbally. We therefore used our observations of care and our discussions with staff, relatives and professionals to help form our judgements.

The home 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.

There was 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.

People living at Longrun House told us they felt safe. Staff understood how to recognise and report signs of abuse or mistreatment. Safeguarding and whistleblowing policies and procedures were available for staff to access.

Detailed risk assessments were carried out to ensure people could make choices and keep their independence. This also included environmental risk assessments such as fire maintenance and safe use of water outlets.

Recruitment processes minimised the risk of employing unsuitable staff. There were sufficient numbers of staff available to keep people safe and support people when they displayed behaviours that challenged.

People’s medicines support needs were clearly identified and staff delivered medicines in a personalised way. Staff were trained and competent to administer medicines.

Staff had received training on infection control, although we did find some concerns regarding the cleanliness of the home which the provider responded to immediately. Staff knew the reporting process for any accidents or incidents. Lessons learned were shared with staff through their electronic system and regular discussions.

People received effective care and support from competent and well-trained staff. Formal supervision and appraisals were not carried out regularly but staff felt supported by the management team in their roles and said they could ask questions when they needed to.

We observed meal times and the food looked nutritious and was cooked using fresh ingredients. Although the menus only gave one choice, people did confirm they could have an alternative if they didn’t like what was on the menu. Where needed, other professionals were contacted for specialist guidance and support to meet people's needs. Care records showed staff shared information effectively with professionals and involved them appropriately.

The provider was working within the principles of the Mental Capacity Act 2005 (MCA). Although we did observe one staff member restricting one person’s movement when we arrived at the home and had to discuss this w