The inspection took place on 8, 10 and 16 October 2018 and was unannounced.

The service provider registered with the Care Quality Commission (CQC) on 5 September 2017. This was our first inspection of this location under the new provider.

Park View Road is a ‘care home’. People in care homes receive accommodation and nursing or personal care as a single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

Park View Road accommodates 10 people in one adapted building. The service specialises in caring for adults with learning disabilities. At the time of our inspection 10 people lived at the home however two people were visiting their relatives and staying overnight for a short period.

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.

A registered manager was in post. A registered manager is a person who has registered with the CQC 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 were cared for by staff who were kind, caring and knew how to meet their needs. Staff treated people with dignity and respect.

There were enough staff to ensure people were kept safe and received responsive support. Staffing levels were reviewed and amended depending on peoples’ changing needs.

Staff were trained and supported to ensure they had the appropriate skills and knowledge to meet people’s needs and undertake their role effectively.

Staff knew how to recognise and report concerns about people’s safety and welfare. Systems were in place to ensure risks were appropriately managed.

Accidents and incidents were well documented and analysed to ensure lessons were learned and actions taken to mitigate the risk of repeat incidents.

Medicines were managed in a safe and personalised way.

The home was clean and safe and suitable for vulnerable people to live in. The fire risk assessment and some peoples’ personal emergency evacuation plans needed to be updated, however the registered manager was already addressing this.

People were offered a wide range of freshly prepared food and drink which they told us they enjoyed. Staff had a good understanding of peoples’ dietary needs and how to manage nutritional risk. However, the information within care records about people’s dietary needs and preferences could have been more detailed.

Staff worked in partnership with other healthcare professionals to ensure people maintained good health.

Visitors to the home were warmly welcomed and staff helped to ensure people were able to maintain relationships with people who were important to them.

People were asked for their views about the care they received and how the service should be operated. Staff listened to and acted upon peoples’ views to ensure they provided a personalised and responsive service.

We have made a recommendation to ask the provider to improve the systems in place for reviewing and updating care records.

Staff approached end of life care with compassion and sensitivity. The registered manager had recognised that information recorded around peoples’ end of life wishes could have been improved and they were addressing this.

People who used the service, relatives and staff provided very positive feedback about the registered manager and other members of the management team.

The provider and registered manager had effective systems in place to monitor the quality of care provided and were committed to ensuring the quality of care continuous