This inspection took place on 30 October 2018 and was unannounced. At the last inspection completed on 12 May 2016 we rated the service Good. At this inspection we found the service continued to be Good.

South Street is a Residential 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.

South Street accommodates up to nine people in one adapted building. At the time of the inspection there were seven people using the service. Registering the Right Support has values which include choice, promotion of independence and inclusion. This is to ensure people with learning disabilities and autism using the service can live as ordinary a life as any citizen. The home was meeting the principles of this policy.

There was a registered manager in post at the time of our inspection. 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 were safeguarded from abuse and risks to people were assessed and planned for to keep people safe. People were supported by sufficient safely recruited staff. Peoples medicines were administered as prescribed. People were protected from the risk of cross infection. The provider learned when things went wrong.

People had their needs assessed and plans were in place to meet them. Staff were supported in their role and had access to an induction and training. People were supported to live in an environment which was suitable to meet their needs.

People received consistent support. People could choose their meals and were supported to eat and drink. People were supported to maintain their health and well-being.

People had choice and control of their lives and staff were aware of how to support them in the least restrictive way possible; the policies and systems in the service were supportive of this practice.

People were supported by staff that were caring. People were supported to make choices and staff promoted people’s independence. People were supported with their communication needs. People had their privacy and dignity protected.

Peoples preferences were understood by staff. People were supported to engage in activities of their choice. People and their relatives understood how to make a complaint. Nobody was receiving end of life care so this was not considered.

Notifications were submitted as required and the registered manager understood their responsibilities. People and their relatives were engaged in the service. Staff felt supported in their role and were involved in the service. Quality audits were in place and were used to drive improvement.

This inspection took place on 12 May 2016 and was unannounced.

South Street is registered to provide accommodation for personal care for a maximum of nine people with learning disabilities. There were nine people living at the home on the day of our visit. At the time of our inspection 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.

People told us they felt safe in their home and were supported by staff in maintaining their own safety. The staff told us how they kept people safe and the action they would take if they felt a person was a risk of harm of abuse. Staff reported any concerns to the assistant or registered manager to ensure people were supported in any allegation of abuse or harm. Staff were available to assist people when they were at home or out in the community. Staff ensured they were available to help people when needed. Staff checked people’s medicines before they received them to reduce the risk of errors and recorded when the person had taken them.

People were confident in the staffs' knowledge and told us the staff knew how to look after them. Staff told us their training reflected the needs of the people and helped them in understanding people’s needs. The registered manager provided regular support and staff told us they were supported in their role by management. People got to decide about their care and treatment and this had been recorded. Staff showed they listened and responded to people’s choices about their care and support needs. The provider had followed the correct procedure when a person was deprived of their liberty and staff understood the reason for the restrictions.

People planned their meals and were supported with meal preparation where needed. Alternative diets had been considered and people knew the reasons for these. People accessed health and social care professionals with regular appointments when needed. Staff knew when people had appointments or meetings and supported people to attend these.

People knew the staff that supported them and they chatted and relaxed when together in the home. Staff knew people well and were aware of each individuals care needs. People were treated respectfully and staff helped support and maintain their dignity. People’s relationships with their partners, family and friends were encouraged and had been supported.

People told us about their hobbies, interests and the things they did whilst in their home or out and about. People comfortably discussed their concerns or comments with staff and these were addressed. There were processes in place for handling and resolving complaints and guidance was available in alternative formats. Staff knew and would raise concerns on behalf of people at the home when required.

People told us they felt involved in their home and enjoyed living there. People knew the registered manager and knew they could talk with them if needed. The registered manager was available, approachable and worked various shifts to ensure they were able to monitor and support people and staff. Staff felt involved and were able to make suggestions in relation to people’s care needs. The provider ensured regular checks were completed to monitor the quality of the care delivered. The management team had kept their knowledge current and they led by example.

We carried out this inspection to check on the care and welfare of people who used this service.

During the inspection, we spoke with the registered manager, three support workers and four people who used the service.

We found that the provider obtained consent from people who used the service in relation to their care and treatment.

We found that people’s care and treatment needs were met.

Everybody we spoke with told us they liked the staff and were happy living at the home. One person told us: “I like it here. I’ve been here a long time. I like the staff”.

We found that there were effective recruitment and selection procedures in place.

We found that people were protected from the risks of unsafe or inappropriate care and treatment because accurate and appropriate records were maintained.

As part of our inspection we completed a tour of the premises. We saw that some people had recently had their rooms redecorated. We found that the décor in the communal areas was tired. Walls and doors were scratched and wallpaper torn in places. We found that communal areas could benefit from a scheme of redecoration.

The registered manager told us that this had been identified as requiring action. We saw an audit document which demonstrated that this had been referred to the provider for consideration. The registered manager told us they hoped that redecoration would take place in the new financial year. We will check this at our next inspection.

Through a process called 'pathway tracking' we looked at care plans, spoke with people about the care received and asked staff about how they provided support. The staff we spoke with were knowledgeable about care requirements. We saw positive interactions between staff and people living at the home.

Procedures and staff training were in place to ensure staff knew how to identify and report concerns and incidents within the home, this included suspected abuse.

There was a training matrix available at the home which told us training was available and had been delivered to staff. The staff we spoke with confirmed this.

We looked at the process the service had in place to monitor the quality of the service provided at the home. We found that there were systems in place to audit the service and seek feedback from the people who used the service.