The inspection took place on 02 November 2016 and was unannounced.

Tudor House is a small service providing respite accommodation and personal care for up to four people who have a learning disability and require 24 hour support and care. On the day of our inspection three people were receiving a respite service.

The service had a registered manager in post. 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 because staff supported them to understand how to keep safe and staff knew how to manage risk effectively. There were appropriate arrangements in place for medication to be stored and administered safely, and there were sufficient numbers of care staff with the correct skills and knowledge to safely meet people’s needs.

The Care Quality Commission monitors the operation of the Mental Capacity Act (MCA) 2005 and Deprivation of Liberty Safeguards (DoLS) and are required to report on what we find. The MCA sets out what must be done to make sure the human rights of people who may lack mental capacity to make decisions are protected. The DoLS are a code of practice to supplement the main MCA code of practice. Appropriate mental capacity assessments and best interest decisions had been undertaken by relevant professionals. This ensured that any decisions was in accordance with the Mental Capacity Act.

Care records were regularly reviewed and updated and showed that the person or their representatives had been involved in the planning of their care. They included people’s preferences and individual needs so that staff had clear information on how to give people the support they needed.

The service was well led. People knew the manager and found them to be approachable and available in the home. Everyone living and working in the service had the opportunity to say how they felt about the home and the service it provided.

The provider and registered manager had clear systems in place to check on the quality and safety of the service provided and to put action plans in place where needed.

We met two people who were using the service at the time of the inspection. They had been out using their arranged day centre services. One person told us that they "Liked coming here" and that "The staff are good". We saw that people were involved in the planning of their care where it was possible and that the service ensured a continuation of care when people attended as a respite care service.

We saw that staff gave people a choice of food and encouraged them to take part in the preparation of group meals..

We saw that staff employed at the service had regular support and supervision and they were encouraged to make suggestions to make the service better. One staff suggestion had been to put photographs on doors to help people who use the respite service know which was their room.

People are happy with the services provided by Tudor House. People told us that they had choice in their day to day lives and that their needs were met whilst using the service.

We spoke with two people who used the service, three relatives and four members of staff as part of this inspection. People who used the service told us that were very happy with the care they received and that they felt safe.

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A relative commented that "There is always a welcoming and friendly atmosphere at Tudor House and I am always happy for my relative to go for their short stays there.” They also told us that staff, “Always communicate well with me and I am asked to complete a questionnaire after each stay.”

There was an appropriate and effective system in place that managed complaints.

We found that the service was meeting the personal, emotional and healthcare needs of people who used the service. We found that the environment was maintained safely and odour free and that all health and safety checks were up to date

We found that staff were appropriately recruited and inducted into the service and all mandatory training was up to date.