This inspection took place on 27 February 2018. At their last inspection on 22 October 2015 they were found to be meeting the standards we inspected. At this inspection we found that they had continued to meet all the standards.

Villcare –Eastbury Road 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. Villcare –Eastbury Road accommodates four people who have a learning disability. The service is not registered to provide nursing care. At the time of this inspection there were three people living at the home.

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. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

The service had a manager who was registered with the Care Quality Commission (CQC). A registered manager is a person who has registered with the CQC 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 and associated Regulations about how the service is run.

Relatives told us they were happy with how people were looked after at the service and they felt the service was safe and met people`s needs. They told us they liked the way staff supported people to live their lives with choices and opportunities.

People were involved in developing their care and support plans and relatives where appropriate were invited to participate in developing and reviewing people`s care and support plans.

Relatives and staff told us there were enough staff to meet people`s needs and support them with the activities they chose to do.

People were provided with opportunities to pursue their hobbies and interests both within the service and in the wider community.

People were supported by staff who were trained and received regular supervision. People were encouraged to eat a healthy, balanced diet and they had access to healthcare professionals when needed. Staff understood the importance of giving people choice and listening to their views and opinions.

Staff members understood their roles and responsibilities and were supported by the management team to maintain and develop their skills and knowledge.

People’s personal care records were kept securely to ensure unauthorised people did not have access to them. Staff spoke with people in a kind, patient and friendly way and people were treated in a dignified manner. Staff consistently ensured people’s social needs were met, and people felt staff listened to them and valued their views.

There was a complaints process available and people were asked for their views at meetings. In addition relatives told us they were regularly asked to give feedback about the service and they felt positive about how the home was managed.

The registered manager were passionate about providing the best possible support for people and they actively supported people and staff to achieve this. There were quality assurance systems in place which were used effectively to identify any areas in need of improvement. Actions were taken to improve the quality of the care people received when it was necessary.

This inspection was carried out on 22 October 2015 and was unannounced.

Villcare Limited- Eastbury Road is registered to provide accommodation and personal care for up to four people who are living with a learning disability or who have an autistic spectrum disorder. There were 3 people living at the service on the day of our inspection. There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission (CQC) 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 and associated Regulations about how the service is run.

When we last inspected the service on 30 October 2013 we found them to be meeting the required standards. At this inspection we found that they had continued to meet the standards.

The Mental Capacity Act (2005) provides a legal framework for making particular decisions on behalf of people who may lack mental capacity to do so for themselves. The Act requires that as far as possible people make their own decisions and are helped to do so when needed. Where they lack mental capacity to take particular decisions, any made on their behalf must be in their best interests and as least restrictive as possible.

People can only be deprived of their liberty to receive care and treatment when this is in their best interests and legally authorised under the MCA. The application procedures for this in care homes and hospitals are called the Deprivation of Liberty Safeguards (DoLS). We checked whether the service was working in line with the principles of the MCA and whether any conditions on authorisations to deprive a person of their liberty were being met. We found that the service was working in accordance with MCA and had submitted a DoLS application which was pending an outcome.

The majority of people who lived at the home were unable to communicate verbally but we observed staff supporting people with a range of communication aids, which included signing and interpreting people’s body language with regards to meeting their needs and wishes.

We found that people received care that met their individual needs. We saw that people responded to staff in a positive manner, this was through observing people’s body language, the use of sign language and from a regular and long serving staff team who were familiar with people’s needs and wishes. There was varied menu available and people were given assistance to eat and drink where needed.

There was an activities plan which took into account people’s hobbies, interests and life histories and plenty of opportunity to go out for the day and into the community. People’s feedback was sought informally through daily contact and there was a pictorial complaints procedure for formal complaints.

People, staff and professionals were positive about the leadership in the home. There were systems in place to monitor the service and address any shortfalls. There was an open and inclusive atmosphere in the home and people came first.

The people we spoke with said that they were happy with everything in the care home. One person said "I am being well looked after. I am going out for the day to the shops." Another person said "It was my birthday the other day. It was nice and the staff are good to me."

We found that people's care needs were met appropriately. There was a system for the safe administration and management of medicines. The service operated an effective recruitment procedure and there was a system in place to assess and monitor the quality of service. The records were kept safely and securely.

Some of the people living in the home were not able to communicate verbally, so our direct observation of the care provided was significant in gaining an understanding of how well people were supported and cared for. We noted that the interaction between the staff and the people using the service was positive, and people were generally involved in tasks in the home.

People who were able to communicate told us that they liked living in the home. They said that their health needs were well met, and staff listened to them, and provided them with the care and support they needed. One person commented, “I am happy about the staff. I'm happy about living here too.” Another said, “My bed gets changed every Friday; the staff help me.”

During our visit to Eastbury Road, on 23 August 2011, we were able to meet all the people who live there. As people have varying abilities to tell us about the service they are provided with, we also observed how people interacted with the staff supporting them and spent their time.

We observed positive interaction between the people who live at Eastbury Road and the five members of staff who were present at varying times during the afternoon. People who needed one to one support relaxed as staff sat beside them and used tactile objects and gentle touch to engage with them.

Two people were able to indicate they were happy with their bedrooms. One person was able to tell us they felt safe and did not have any problems. They told us about the meals they enjoy and the social activities they go to, during the day, with support from staff. One person particularly likes spending time in the garden. Another person likes to go out for a drive in the car and said they were looking forward to their holiday.