This inspection took place on 27 September 2017. The inspection was unannounced. Windsor House provides accommodation, care and support for up to six people with a learning disability. On the day of our inspection five people were living at the service.

The service had a registered manager in place at the time of our inspection. 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 felt safe and were supported by staff who knew how to recognise and respond to allegations or incidents of abuse. Risks to people’s health and safety had been identified, assessed and measures put in place to minimise the risk of harm.

People were supported to take their prescribed medicines and medicines were managed safely. People were supported to eat and drink enough and to maintain their health.

People were supported by sufficient amounts of staff who were providing with training and support to carry out their roles effectively. People could be assured that safe recruitment practices had been followed.

People’s right to make decisions for themselves were respected and staff acted in the best interests of those people who lacked the capacity to make their own decisions. People who sometimes communicated through their behaviour were supported by staff who recognised how to support them and respond in a positive way.

People were supported by staff who were kind and friendly, treated them with dignity and respected their privacy. Staff knew people well and respected their choices. People were provided with information which was accessible to them and had access to advocacy services if required.

People received personalised care which met their needs and reflected their preferences. People were supported to maintain their independence as much as possible to pursue their interests. People could be assured that complaints would be taken seriously and acted upon.

Windsor House had a positive and open atmosphere and people and staff felt involved in the running of the service. People could be assured that there were effective systems in place to monitor and improve the quality of the service.