This inspection took place on 11 July 2017. This was an unannounced inspection.

At the time of our last inspection in May 2016 the provider was rated as requires improvement in three out of the four areas we looked at. We found that the service was not always safe, effective or well-led because the systems and processes in place used to assess and monitor the quality and safety of the service were not always effective in identifying shortfalls within the service. For example, people were not always supported by enough members of staff and the provider had not always ensured that safe recruitment processes had been followed. Furthermore, key processes had not been followed to ensure that people were not unlawfully restricted and therefore the service was found to be in breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014.

At this inspection, we found that improvements had been made to the staffing levels and the provider was now following the appropriate processes to ensure that people were not unlawfully restricted in accordance with the Mental Capacity Act 2005. However, further improvements were required to the management oversight of the service.

The home provides accommodation and personal care for up to nine people who require specialist support relating to their learning and physical disabilities. At the time of our inspection, there were eight people living at the home.

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.

Whilst the provider had some management systems in place to assess and monitor the quality of the service provided to people, these were not always effective in identifying some of the shortfalls identified during the inspection. The registered manager was receptive to our feedback and was open and honest in their communication with us throughout the inspection process. Everyone we spoke with confirmed that the registered manager was approachable, responsive and staff felt supported within their work.

People were supported by enough members of staff in order to keep them safe. However, additional staff resources were being sourced in order to support people to live more fulfilling lives and to engage in activities of interest outside of the home. The provider had improved their recruitment practices to ensure people were supported by staff that were deemed suitable to provide care to people. There was a calm and relaxed feel to the home and everyone we spoke with told us that staff were kind, caring, helpful and respectful.

People were protected from the risk of abuse and avoidable harm because staff received training and understood different types of abuse and knew what actions were needed to keep people safe. The provider had also ensured effective systems were in place to report and investigate any concerns raised, which included working collaboratively with external agencies and reporting these to us, as required by law.

Staff had the knowledge and skills they required to care for people safely and effectively. This included the safe management of medicines so that people received their medicines as prescribed. Staff were also knowledgeable about the Mental Capacity Act 2005 and ensured that care was provided to people with their consent, as far as reasonably possible. Where people lacked the capacity to consent to their care, the provider had ensured that the appropriate processes had been followed in order to provide care to people within their best interests and in the least restrictive ways possible.

People were encouraged to be as independent as possible and were treated with dignity and respect. People had acce

This inspection took place on 11 May 2016. This was an unannounced inspection.

Mr Adrian Lyttle Sutton Coldfield was previously registered by a different provider and therefore this was their first inspection under the new provider.

The home provides accommodation and personal care for up to nine people who require specialist support relating to their learning and physical disabilities. At the time of our inspection, there were nine people living at the location.

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 service was not always safe, effective or well-led because the systems and processes in place used to assess and monitor the quality and safety of the service were not always effective in identifying shortfalls within the service. For example, people were not always supported by enough members of staff and the provider had not always ensured that safe recruitment processes had been followed. Furthermore, key processes had not been followed to ensure that people were not unlawfully restricted and therefore the service was found to be in breach of Regulation 13 of the Health and Social Care Act 2008 (Regulated Activities) Regulations 2014

People did however, receive care and support with their consent where possible and were offered choices on a daily basis which included meal preferences. This meant that people had food that they enjoyed and any risks associated with nutrition and hydration were identified and managed safely within the home. People were supported to maintain good health because staff worked closely with other health and social care professionals when necessary.

We also found that people received care from staff who had the knowledge and skills they required to protect people from the risk of abuse and avoidable harm and they knew what the reporting procedures were. People were supported to have their medication when they required it from staff that had the relevant knowledge and skills they required to promote safe medication management.

The service was caring because people were supported by staff that were friendly, caring and who took the time to get to know them, including their personal histories, likes and dislikes. People were also cared for by staff that protected their privacy and dignity and respected them as individuals.

People were encouraged to be as independent as possible and were supported to express their views in all aspects of their lives including the care and support that was provided to them, as far as reasonably possible. People felt involved in the planning and review of their care because staff communicated with them in ways they could understand.

People were actively encouraged and supported to engage in activities that were meaningful to them and to maintain positive relationships with their friends and relatives.

Staff felt supported and appreciated in their work and reported the home to have an open and honest leadership culture. People were encouraged to offer feedback on the quality of the service and knew how to complain if they needed to. They felt that the registered manager was responsive to feedback and staff reported the registered manager to be a positive role model who was dedicated to providing a high quality service.