This inspection took place on 21 and 22 February 2018. The inspection was announced.

This was the first time Ribbon Court had been inspected under its current registration. The service had previously been registered under a different provider.

Ribbon Court provides care and support to people living in specialist ‘extra care’ housing. Extra care housing is purpose-built or adapted single household accommodation in a shared site or building. The accommodation is brought or rented, and is the occupant’s own home. People’s care and housing are provided under separate contractual agreements. CQC does not regulate premises used for extra care housing; this inspection looked at people’s personal care and support service.

The service provides 44 permanent occupancy one or two bedroom flats and five short term reablement flats. At the time of our visit there were 43 people living at Ribbon Court, 23 people received assistance with personal care. The personal care and support people require is provided at prearranged times by a team of care workers based at the scheme. People have access to call bells for care workers to respond whenever additional help is required. Other people who lived at Ribbon Court could receive care and support should they need it in an emergency.

The service had a registered manager. 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.

People told us they felt safe using the service and care workers understood how to protect people from the risk of abuse. Risks to people’s safety were identified and care workers understood how these should be managed. The provider conducted pre-employment checks prior to staff starting work, to ensure their suitability to support people in their homes.

People mostly received their care calls from care workers they knew and with whom they had built relationships. The registered manager was taking action to improve the consistency of care workers who visited people. People received their care visits at the times agreed to support their needs.

Care workers completed an induction when they joined the service and had their practice regularly checked by a member of the management team to make sure they worked in line with the provider’s policies and procedures. There were enough care workers to meet people’s needs effectively.

The registered manager understood their responsibility to comply with the relevant requirements of the Mental Capacity Act 2005 (MCA) and Deprivation of Liberty Safeguards (DoLS). People made decisions about their care and support. Care workers gained people’s consent before they provided personal care and respected people’s decisions and choices.

Care records reflected people’s current needs and gave care workers the detailed information needed to ensure care and support was provided in a way which respected people’s preferences. Care workers completed training the provider considered essential to meet people’s needs safely and effectively.

People who required support to eat and drink were provided with the support they required. People were also supported to access healthcare support and saw health professionals when needed. Systems were in place to manage people’s medicines safely and staff had received the necessary training to do this.

People were supported with dignity and respect and, where possible, their independence was encouraged. People received their care and support from care workers who were caring and compassionate and had the right skills and experience to provide the care and support required.

The registered manager and provider completed regular checks to monitor the quality and safety of service provided. People and staff were encouraged to