Pettsgrove Care Home is registered as both an accommodation based care home and a community based domiciliary care agency (DCA) which delivers personal care to people in their own homes. The domiciliary care agency is run from an office within the grounds of the care home with a separate staffing group to the care home.

The care home provided accommodation, care and support for up six adults with complex needs, including learning disabilities and autism. At the time of this inspection five people were living at the care home. The care agency provided home care services to people within the local area. People using the service had varying needs, some were living with dementia and needed a range of support including personal care, prompting and monitoring. Times and days of visits varied to suit individual need. At the time of the inspection approximately five people were receiving personal care in their own homes from the care agency.

This inspection took place on 30 October 2017 and was unannounced. This was the first comprehensive inspection of the service since it was re-registered under the provider, Striving For Independence Care Limited in November 2016. Prior to this, Pettsgrove Care Home had been inspected in April 2016 under the previous provider, Striving for Independence Homes LLP, at which time it was rated “Good”.

We have combined the reporting on the services provided by the care home and the care agency. Where the evidence we found related to one service we have reported this separately.

A registered manager was employed at the service and had been in the role since the service was set up. The registered manager was registered for both the care home and the care agency. 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.

Appropriate policies and procedures ensured people who used the service were safe from abuse and harm. People’s relatives told us people were safe living at the care home or in receipt of care from the care agency.

People who used the service had various risk assessments and risk management plans, which ensured they were protected from harm in relation to their care. Individual risks faced by people supported in their own homes were identified with plans in place to control the risks. Environmental risks were identified at the initial assessment to ensure people and staff were kept safe from hazards inside and outside people’s homes.

The service monitored accidents and incidents and learning from these was used to improve the service. We saw that accidents and incidents were appropriately documented and investigated.

There were enough staff available at the care home and to provide personal care for people in their own homes. Staff employed were appropriately checked to ensure they were suitable to work with people who used the service.

Medicines were managed safely and people who used the service received their medicines on time.

Staff had access to a variety of training, which helped them to update and maintain the skills and knowledge in relation to providing care to people. Regular supervisions and appraisals were provided to review staff performance and set learning objectives for the future.

People who used the service had choice of a nutritious, health and well balanced diet. The service ensured that people’s health was monitored and if required external health care support was sought to ensure people’s health and wellbeing was maintained.

CQC monitors the application of the Mental Capacity Act (2005) and deprivation of liberty safeguards. The Mental Capacity Act (MCA) was appropriately applied and applications to deprive people of their liberty lawfully had been made to prevent them from coming