This inspection took place on 9 July 2018 and was unannounced. Matrixcare, 369 Worcester Road 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. is registered to provide accommodation for personal care for a maximum of four people with learning disabilities or autistic spectrum disorder. At the time of our inspection two people were living at the home.

Accommodation was provided in a single house. There was also a large room for activities and a quiet room. At the time of our inspection 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.

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

People received care and from facilitators who knew how to keep them safe. Facilitators knew what to do to protect a person from the risk of harm and how to report any concerns. People got the assistance they asked for and facilitators ensured they were available to help them when needed.

Facilitators had time to support people when required and ensured that people’s needs were met in a timely way.

Facilitators knew the importance of infection control to keep people safe and well.

Facilitators gave people their medicines as prescribed and recorded when people had received them.

People’s care was provided by facilitators that had been trained to understand their needs and were supported in their role. People’s decisions about their care and treatment had been recorded and facilitators showed they listened and respected to people’s to agree or refuse care.

The registered manager had worked in accordance with the Mental Capacity Act 2005 (MCA). The assessments of people’s capacity to consent and records of decisions had been reviewed. Facilitators knew who and why a person was being legally deprived of their liberty and understand the reasons for the restrictions in place.

People enjoyed the food and had choices regarding their meals. Support was provided where needed and alternative diets had been prepared to meet people’s nutritional needs. People were supported to access health and social care professionals with regular appointments when needed and were supported by facilitators to attend these appointments.

People were comfortable around the facilitators and registered manager that supported them. People were happy to chat and relate with them.

Facilitators knew people’s individual care needs and respected people’s dignity and had been supported to maintain relationships with their families [where appropriate].

People got to enjoy the things they liked to do and chose how they spent their days in their home, the garden or out on planned trips. People had the opportunity to raise comments or concerns and these were addressed. The registered manager was looking at ways to develop record people’s feedback in the form of questionnaires.

There were processes in place for handling and resolving complaints and guidance was available in alternative formats. Facilitators were also encouraged to raise concerns on behalf of people at the home and they had done so where necessary.

The registered manager was available, approachable and known by people and relatives. Facilitators also felt confident to raise any co