The inspection took place on the 6 June 2017 and was announced.

The Moorings is a service registered to accommodate a maximum of three people who require support with their personal care. The service specialises in supporting adults with learning disabilities and complex needs including epilepsy and challenging behaviour. On the day of the inspection there was one person using the service. The accommodation was provided on the ground floor of a fully adapted detached bungalow. There was level access to the side of the property garden and decking which is located to the rear of the property.

At the last inspection on 14 July 2014 the service was rated Good. At this inspection we found the service remained Good.

A relative a social care professional involved in the person’s care and staff spoke highly of the service and felt that it was well-led. Without exception everyone told us the care provided had a positive impact on people. One staff member told us “You can’t get care like this anywhere else it is totally unique”. Another staff member told us “I love it here. It’s nice to be able to say to people I love my job. (Providers name) is very efficient, they are always one step ahead and has everything covered. The care is absolutely 100% good; I’m not just saying that I really mean it”. Written feedback from a social care professional included ‘I have been impressed by the manager’s in-depth knowledge of the person and holistic support – managing complex health care and community links, activities etc. There’s good communication with family members and they are responsive’. A relative commented “I wouldn’t want to move them or for them to be moved. They are really happy there and I am really pleased. I don’t have to worry anymore.

The person remained to be supported by kind and caring staff who knew them well. The person was observed to be relaxed with staff. They were seen to be happy and comfortable with the support provided and staff were kind and caring in their approach. A relative told us “All the staff are great. They know what they (the person) wants and what they need”.

The person’s individual needs continued to be assessed and planned for. They were still supported to participate in wide range of activities in line with their personal preferences and to maintain their independence. A relative told us “They are happy there. They go out every day”.

The person continued to be supported to maintain good health, access health care services and supported to maintain a varied and nutritious diet.

The person continued to receive safe support in a secure environment. A relative told us “My relative is very safe. The staff are good they make sure they don't fall out of bed or walk out on their own”. The person remained protected from the risk of abuse because staff understood how to identify and report it. The person was still supported to get their medicines safely and when they needed them.

Staff received the training and support they needed to undertake their roles and meet people’s specialist needs. A relative told us “The staff know what support they need and how to help them. (Provider’s name) and the staff are very good with them“.

Staffing levels had been maintained. There were sufficient number of skilled staff on duty to meet the person’s needs and provide effective care. The person received one to one or two to one staff support at all times.

The provider was aware of their legal responsibilities and kept up to date with good practice. Accident and incidents continued to be recorded and monitored to identify trends and themes. Records had been audited and were gaps had been identified action had been taken to rectify this.

Further information is in the detailed findings below.

The inspection took place on the 6 June 2017 and was announced.

The Moorings is a service registered to accommodate a maximum of three people who require support with their personal care. The service specialises in supporting adults with learning disabilities and complex needs including epilepsy and challenging behaviour. On the day of the inspection there was one person using the service. The accommodation was provided on the ground floor of a fully adapted detached bungalow. There was level access to the side of the property garden and decking which is located to the rear of the property.

At the last inspection on 14 July 2014 the service was rated Good. At this inspection we found the service remained Good.

A relative a social care professional involved in the person’s care and staff spoke highly of the service and felt that it was well-led. Without exception everyone told us the care provided had a positive impact on people. One staff member told us “You can’t get care like this anywhere else it is totally unique”. Another staff member told us “I love it here. It’s nice to be able to say to people I love my job. (Providers name) is very efficient, they are always one step ahead and has everything covered. The care is absolutely 100% good; I’m not just saying that I really mean it”. Written feedback from a social care professional included ‘I have been impressed by the manager’s in-depth knowledge of the person and holistic support – managing complex health care and community links, activities etc. There’s good communication with family members and they are responsive’. A relative commented “I wouldn’t want to move them or for them to be moved. They are really happy there and I am really pleased. I don’t have to worry anymore.

The person remained to be supported by kind and caring staff who knew them well. The person was observed to be relaxed with staff. They were seen to be happy and comfortable with the support provided and staff were kind and caring in their approach. A relative told us “All the staff are great. They know what they (the person) wants and what they need”.

The person’s individual needs continued to be assessed and planned for. They were still supported to participate in wide range of activities in line with their personal preferences and to maintain their independence. A relative told us “They are happy there. They go out every day”.

The person continued to be supported to maintain good health, access health care services and supported to maintain a varied and nutritious diet.

The person continued to receive safe support in a secure environment. A relative told us “My relative is very safe. The staff are good they make sure they don't fall out of bed or walk out on their own”. The person remained protected from the risk of abuse because staff understood how to identify and report it. The person was still supported to get their medicines safely and when they needed them.

Staff received the training and support they needed to undertake their roles and meet people’s specialist needs. A relative told us “The staff know what support they need and how to help them. (Provider’s name) and the staff are very good with them“.

Staffing levels had been maintained. There were sufficient number of skilled staff on duty to meet the person’s needs and provide effective care. The person received one to one or two to one staff support at all times.

The provider was aware of their legal responsibilities and kept up to date with good practice. Accident and incidents continued to be recorded and monitored to identify trends and themes. Records had been audited and were gaps had been identified action had been taken to rectify this.

Further information is in the detailed findings below.

We used a number of different methods to help us understand the experiences of people who used the service. People had complex needs, which meant they were not able to tell us their experiences.

Staff said they asked people for their consent before they provided support. We found evidence that people were encouraged to make choices and observed staff treat people with respect and dignity.

We examined two care plans and found that they were based on people’s individual support needs. The care workers we spoke with demonstrated a good understanding of people's needs and how these were met.

The systems for the management of medicines were appropriate.

We found the premises were secure, and appropriate health and safety procedures were in place.

We reviewed the staff rotas and staffing levels. We found that the shift patterns and number of care workers and nurses on each shift were appropriate.

Complaints policies and procedures were in place, and staff said people were encouraged to discuss the support they received.

At the time of our visit there was one person living at The Moorings and two people attending for regular respite care. All were adults with learning disabilities and complex needs. Families told us they were very happy with the care provided. One said, said, "The team work with you to find the best arrangements. We are looking at going abroad for the first time in ten years".

Staff told us that The Moorings was a good place to work. One commented, "It's a lovely place to work". Another said, "It's a very nice job, I am learning here". We saw that staff interacted positively with the person living there.

We found The Moorings to be clean, comfortable and maintained to a high standard. As a bungalow, it had level access throughout and the open plan lounge, kitchen and dining area was well arranged. The outdoor space included a large deck. It was evident that the environment met the needs of people who use the service.

There was only one person living at the home at the time we visited. We spent time talking with this individual and observed the way they were interacting with staff. This person presented as being relaxed with staff and there was a clear relationship of trust between them.