We inspected this service on 2 March 2017. This was an unannounced inspection. This was the first inspection of this service.

The service provides support to seven people with an acquired brain injury; three people were living in the home at the time of our inspection.

There was a registered manager in the service. 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 made decisions about their care and staff sought people’s consent. Where people lacked capacity they were helped to make decisions, although capacity assessments had not always been completed. Where people’s liberty was restricted, this had been identified and action taken to ensure this was lawful.

People were protected from the risks of abuse because staff understood where harm may be caused and knew how to take action when people were at risk. People were supported to take responsible risks at home and when out and encouraged to be independent and develop life skills. Where people were concerned about their safety they knew who to speak with.

People’s health and wellbeing needs were monitored and they were supported to organise and attend health appointments when these were needed. Medicines were managed safely to ensure that people received their medicines as prescribed and to keep well.

There were sufficient numbers of staff to meet peoples need. People received personalised care and were confident that staff provided care in the way they wanted to be supported. Staff knew people’s likes and dislikes and records reflected how care was provided.

Staff listened to people’s views about their care and they were able to influence the development of the service. People knew how to complain about their care and concerns were responded to.

The provider and manager assessed and monitored the quality of care to ensure standards were met and maintained. They understood the requirements of their registration with us informed us of information that we needed to know.