This inspection took place on 16 May 2018 and was unannounced.

Staverton is a care home without nursing that provides a service to up to 14 people with learning disabilities and/or autistic spectrum disorder. The accommodation is arranged over three floors. At the time of our inspection there were 13 people living at the service.

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

Why the service is rated Good.

People were protected from the risks of abuse. Risks were identified and managed effectively to protect people from avoidable harm. Recruitment processes were in place to make sure, as far as possible, that people were protected from staff being employed who were not suitable. Medicines were handled correctly and safely.

People received effective care and support from staff who knew them well and were trained and supervised. People received care and support which was personalised to meet their individual needs. They knew how to complain and staff knew the process to follow if they had concerns.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's right to make their own decisions were protected.

People benefitted from a service which had an open and inclusive culture. Staff were happy working at the service and people benefitted from having staff who felt well managed and supported.

People were treated with care and kindness and their right to confidentiality was protected. People were treated with respect and their dignity was upheld. People's diversity needs were identified and incorporated into their care plans where applicable.

People benefitted from a service which had an open and inclusive culture. Staff were happy working for the service and people benefitted from staff who felt well managed and supported.

Further information is in the detailed findings of the full report.

This inspection took place on 7 and 8 March 2016 and was unannounced. We last inspected the service in February 2014. At that inspection we found the service was compliant with all essential standards we inspected.

Staverton is a care home without nursing that provides a service to up to 14 people with learning disabilities and/or autistic spectrum disorder. The accommodation is arranged over three floors. At the time of our inspection there were 13 people living in the home.

The service had a registered manager as required. 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. The registered manager was present and assisted us during this inspection.

People told us they felt safe living at the home. Staff understood their responsibilities to raise concerns and report incidents or allegations of abuse, and were supported to do so.

People told us staff were available when they needed them and staff knew how they liked things done. Staffing levels and skill mixes were planned, implemented and reviewed to ensure there were enough staff to meet people's needs.

People told us they were encouraged to do things for themselves and staff helped them to be as independent as they could be. Risk assessments were person-centred, proportionate and reviewed. Staff recognised and responded to changes in risks to people who use the service. There were contingency plans in place to respond to emergencies.

People received effective personal care and support from staff who knew them well and were well trained and supervised. People received support that was individualised to their personal preferences and needs. Their needs were monitored and care plans formally reviewed annually or as changes occurred.

People received effective healthcare. People saw their GP and other health professionals, such as dentists and chiropodists, when needed. Medicines were stored and handled correctly and safely. Meals were nutritious and varied and people told us they enjoyed the food at the service.

People's rights to make their own decisions, where possible, were protected and staff were aware of their responsibilities to ensure those rights were promoted.

People were treated with care and kindness. During our inspection the atmosphere at the service was calm and happy. People were busy going about their daily lives with staff support, where needed, to assist them getting to their place of work or day time activities. People's wellbeing was protected and all interactions observed between staff and people living at the service were respectful and friendly. People confirmed staff respected their privacy and dignity.

People benefitted from living at a service that had an open and friendly culture. People felt staff were happy working at the service and had a good relationship with them, each other and the management. Staff told us the management was open with them and communicated what was happening at the service and with the people living there. People told us they felt the service was managed well and that they could approach management and staff with any concerns.

On the day of our inspection there were 13 people living at the home. We spoke with six people who use the service and five members of staff.

People we spoke with felt the staff always respected their privacy and dignity and helped them to remain as independent as possible. People’s health, safety and welfare was protected when more than one provider was involved in their care and treatment.

People were protected against the risks associated with medicines because the provider had appropriate arrangements in place to manage medicines. People told us they received their medicines when they should do. One person commented: "They know when I have my medicines and always check to see if I have any pain or need anything extra."

There were effective recruitment and selection processes in place and appropriate checks were undertaken before staff began work. This meant people living at the home were protected, as far as possible, from the risk of being cared for by people who were not of good character.

People living at the home were aware of how to raise concerns and told us they would speak to the person in charge or their key worker. All felt any comments or complaints would be listened to and acted on. One person commented: "I only have to say something and it gets sorted."

People told us staff always double checked with them that they wanted help with their care needs before providing any assistance. They confirmed staff took time to explain what was happening and made sure they agreed with any changes. One person commented "they do what I tell them, they know how I like things done."

People felt their needs were being met and said staff did things the way they wanted them done. One person told us "I plan what I want to do every day and the staff help me do it. I just ask when I want help and they do it."

People who use the service told us that staff knew what they were doing when helping and supporting them. One person commented: "They are all nice and they help me do things for myself."

We found the provider met the outcomes we inspected and had systems in place to monitor their own compliance.

The people who use this service prefer to be referred to as residents. This preference is respected within this report.

On the day of our visit there were 12 residents living at the home.

The residents we spoke with told us that they had helped to plan the care they received and felt they were involved in making decisions about their care and the day to day running of the home. They felt that their needs were being met; that their care was delivered in the way they preferred and that the staff always respected their privacy and dignity

The residents told us they felt safe living at the home, that staff had the skills they needed when providing their care and treatment and were available when they needed them. They felt their views were actively sought by the home and that their opinions were listened to and taken into account by the management and staff.