Moorfields Lodge is registered to provide accommodation and care for people up to five people with learning disabilities. The home is a large two storey Victorian detached house in Haworth, close to the village amenities and within easy reach of Keighley town centre. We inspected the service on 20 July 2017. At the time of the inspection there were four people living in the home.

At the last comprehensive inspection in October 2014, the service was rated ‘Good’ overall, and each of the individual domains. At this inspection we found the improvements had been sustained and rated the service as ‘Good’ overall and in each of the five domains.

Why the service is rated good.

People were safe living in the home. Safeguarding procedures were in place which were well understood by staff. Following safeguarding incidents, appropriate action had been taken to investigate and learn lessons. Risks to people’s health and safety were assessed and clear and detailed plans of care put in place. Staff were knowledgeable about these plans giving us assurance they were followed. Medicines were safely managed and people received their medicines as prescribed.

There were sufficient numbers of staff deployed to ensure people received prompt care and support and access to a range of activities. Robust recruitment procedures were in place to ensure staff were suitable to work with vulnerable adults. Overall, we concluded staff had the right skills and knowledge to care for people. Staff received a range of training relevant to their role. Some relatives felt some staff required further training in autism, we saw further training was planned in the coming months.

The service was acting within the legal framework of the Mental Capacity Act (MCA) and Deprivation of Liberty Safeguards (DoLS). 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 supported this practice. Staff sought consent before supporting people.

People’s healthcare needs were assessed and detailed plans of care put in place. People had access to a range of health professionals and the service sought to reduce people’s distress to a minimum when planning health interventions.

Staff were kind and compassionate and treated people well. We saw staff interacted positively with people, using an appropriate mixture of verbal and non-verbal communication techniques.

We saw good positive relationships had developed between people and staff. Staff knew people well and their individual likes and preferences. However some relatives said staff turnover was a barrier to relationships being maintained over a longer period of time.

People received good quality care that met their individual needs and preferences. Detailed care planning took place and staff were familiar with people’s care needs. People were supported to achieve goals to build their independence and confidence. This included participating in a range of activities.

Staff and relatives said the registered manager was approachable and they felt able to raise any concerns or complaints with them. We found a positive and inclusive culture within the home which revolved around giving people choice and control over their daily lives.

Systems to check, monitor and improve the service were in place. People’s feedback was sought through informal and formal means and used to make improvements to the service.

Further information is in the detailed findings below

We carried out this inspection at Moorfields Lodge on 23 October 2014. Moorfields Lodge is registered to provide accommodation and care for people with learning disabilities. The home is a large Victorian detached house in Haworth, close to the village amenities and within easy reach of Keighley Town centre. On the date of the inspection 4 people were living in the home.

A registered manager was in place. 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.

Feedback regarding the quality of the service was positive from people, their relatives, and care professionals. They all told us the service met people’s needs and encouraged them do as much as they could for themselves. They also said the service was good at dealing with any risks which emerged.

We found a choice of meals was on offer based on people’s preferences. People told us the food is nice with good portions. We found people’s healthcare needs were met and care professionals told us they have good communication with the service.

Systems were in place to ensure medicines were safely managed. The premises were maintained to an appropriate standard to keep people safe.

People and their relatives reported staff were caring and respectful and treated them well. This was confirmed by our observations on the day of the inspection.

Staff we spoke with had a good understanding of the Mental Capacity Act (MCA) and how to ensure the rights of people with limited mental capacity when making decisions was respected. We found the location to be meeting the requirements of the Deprivation of Liberty Safeguards (DoLS).

We found care records were person centred for each individual. People’s plans included specific information staff needed to be aware of before working with that person. Plans had people’s likes and dislikes as well as any of their history. This helped staff get to know people using the service and build up a professional relationship with them.

Relatives and staff told us the registered manager was very helpful and said they believed they would take concerns seriously. Systems were in place to continuously improve the quality of the service. This included a programme of audits and satisfaction questionnaires. We saw complaints were appropriately recorded, managed and responded to.