This inspection took place on 23 and 26 May 2017 and was unannounced. Sue Ryder- Stagenhoe Park provides accommodation and nursing care for up to 50 people with a physical disability including progressive neurological disorders such as Huntingdon's disease. On the day of the inspection, there were 41 people living in the home.

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 were safe and they were protected against the possible risk of harm or abuse by staff who were knowledgeable about safeguarding processes.

Risks to people had been assessed and managed appropriately. There were sufficient numbers of trained, experienced and skilled staff to meet people`s needs safely. Medicines were administered safely; however stock counts and carried forward medicines were not always accurately done. This was addressed by the management during the inspection process.

People received care and support from staff who were motivated, supported, trained and competent in their roles. People’s nutritional and health care needs were met. They had access to and received support from other health care professionals.

People who lived at the home were positive about the care and support they received from staff. They were involved in planning their care and support and if they were not able to do so their rightful representatives or independent advocates ensured the care was in their best interest.

People were treated with respect and their privacy and dignity was promoted.

People’s health care needs were assessed, reviewed and delivered in a way that promoted their wellbeing and improved their quality of life. People were supported to pursue their hobbies and interests by a team of activity workers.

There were regular opportunities provided to people, relatives and staff to give feedback about the service. Regular surveys were conducted.

Relatives were extremely appreciative of the positive impact the personalised care and support delivered by staff had on their loved ones.

The registered manger and the head of care carried out a number of audits, medicines, infection control, falls and environmental audits. We found that were issues were identified an action plan was developed and only when these were completed were signed off.

This inspection took place on 24 March 2015 and was unannounced. Sue Ryder- Stagenhoe Park provides accommodation and nursing care for up to 50 people with a progressive neurological disorder such as Huntingdon's disease or acquired brain injury. On the day of the inspection, there were 44 people living in the home.

The service has 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 were safe and they were protected against the possible risk of harm or abuse. Risks to individuals had been assessed and managed appropriately. There were sufficient numbers of trained, experienced and skilled staff to care for people safely. Medicines were managed safely and people received their medicines, regularly and on time.

People received care and support from staff who were competent in their roles. Staff had received relevant training and support from management for the work they performed. They understood the requirements of the Mental Capacity Act (2005) and the Deprivation of Liberty Safeguards. They were aware of how to support people who lacked mental capacity. People’s nutritional and health care needs were met. They had access to and received support from other health care professionals.

The experiences of people who lived at the care home were positive. They were treated with kindness and compassion and they had been involved in the decisions about their care. People were treated with respect and their privacy and dignity was promoted.

People’s health care needs were assessed, reviewed and delivered in a way that promoted their wellbeing. They were supported to pursue their leisure activities both outside the home and to join in activities provided at the home. An effective complaints procedure was in place.

There was a caring culture and effective systems in operation to seek the views of people and other stakeholders in order to assess and monitor the quality of service provision.

On the day of inspection there were 45 people living at the home. We spoke with several people. Some people were not able to communicate verbally. We spent time observing their care. We observed that all interactions between staff and people living at the home were appropriate and respectful. One person said, "The staff here are lovely." One visitor to the home stated, "When you walk through the door, the care and love is so evident."

The accommodation was appropriately designed and adapted to meet the needs of the people living there and risks within the home had been assessed. The home was clean and was personalised to the people who lived there.

We observed that before people received any care or treatment they had been asked for their consent and the provider acted in accordance with their wishes. Where people did not have the capacity to consent, the provider acted in accordance with legal requirements.

We saw that support plans and risk assessments were informative and up to date. Staff were aware of their contents, which supported them to deliver appropriate and safe care. There were plenty of suitable activities for people to choose from. The provider had systems in place that ensured the safe receipt, storage, administration and recording of medicines. Staff recruitment and induction systems were robust.