This inspection took place on 11 April 2018 and was unannounced.

The Radley Care centre is a ‘care home’. People in care homes receive accommodation and nursing or personal care as single package under one contractual agreement. CQC regulates both the premises and the care provided, and both were looked at during this inspection.

The Radley Care centre can accommodate up to a maximum of 37 people. On the day of our inspection, there were thirty people living at the service.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion.

This was the first inspection since the service was registered with The Care Quality Commission on 30 June 2017. We found there was no evidence or information from our monitoring that demonstrated serious risks or concerns.

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 protected from the risk of potential harm. Staff had received safeguarding training and there were effective safeguarding processes in place.

Individual risks associated with people’s care and support had been assessed and personalised risk assessments were in place. The assessments provided staff with clear guidance on how individual risks to people could be mitigated and or reduced.

People received their medicines safely, from staff who had been trained and had their competencies checked. There were effective systems in place for the safe storage and management of medicine and regular audits were completed.

Safe recruitment practices were followed to help ensure that staff were of good character and suitable to work in this type of service. There were sufficient numbers of staff deployed to meet people's needs.

Staff received regular support from their line managers. This included attending team meetings, individual supervisions and an annual appraisal.

Staff received training relevant to their roles. Staff completed an induction when they commenced work at the service followed by an on-going programme of training. Staff were positive about the training they received.

Consent was obtained from people before any care or support was provided. Decisions made on behalf of people were in line with the principles of the Mental Capacity Act 2005 (MCA) and the associated Deprivation of Liberty Safeguards (DoLS).

People interacted well with staff and appeared comfortable engaging with staff and managers. Staff were positive about their work and the support provided. People were treated with dignity and respect.

People received care and support which was personalised. People and or their relatives had been involved in the development and review of their care plans. Care plans and risk assessments gave clear guidance to staff and had been regularly reviewed and updated.

Staff were responsive to people's changing needs. There was an effective complaints procedure in place. Relatives were aware of the complaints procedure and knew who they needed to speak with should they wish to raise any concerns.

The registered manager operated an open, transparent and inclusive culture at the service. The staff worked well as a team and were positive about the support they received from the management team.

Quality monitoring systems and processes were in place and used effectively to make continual improvements in the service. People’s views were sought and a quality assurance survey had recently been completed and analysed to help determine areas that could be developed.

Further information is in the detailed findings below