About the service LD Care - Moreton Avenue is a care home for two adults with learning disabilities. Two people were living at the service at the time of the inspection. The service is part of LD Care Limited, a private organisation managing three other residential care homes in the London Boroughs of Hounslow and Richmond upon Thames. Care staff are employed to work at the service for 24 hours a day.
The service was registered and managed in line with the principles of Registering the Right Support. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going out with people. The size of service meets current best practice guidance. This promotes people living in a small domestic style property to enable them to have the opportunity of living a full life.
People’s experience of using this service and what we found
People living at the service were happy and well cared for. They were able to make choices about their lives and these were respected and promoted. The service had been responsive to their individual needs, for example working to reduce the medicines they were taking and adjusting how people spent their time because of changes in their needs.
The staff were kind, friendly and caring towards people. The provider had procedures to make sure only suitable staff were recruited. The staff were given an induction and training so that they understood how to provide good care. They took part in regular meetings, reflection sessions and appraisals with managers to make sure they were providing effective care.
People were safely cared for. The staff were familiar with safeguarding procedures and how to keep people safe. The environment was safe, clean and well maintained. The staff had assessed risks to people's safety and had plans to make sure these risks were minimised. Medicines were managed in a safe way and people were supported so they were not over medicated.
People had access to health services and were supported to stay healthy and active. They were involved in household tasks and planning and preparing food. They were offered a balanced diet which reflected their needs and preferences. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People took part in a range of different leisure activities and were part of the local community.
The service was appropriately managed. People were able to raise concerns, and these were responded to. There were effective systems to audit the service and to make improvements.
The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.
The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.
Rating at last inspection – At the last inspection of 10 January 2017 the service was rated Good (published 26 January 2017).
Why we inspected
This was a planned inspection based on the previous rating.
Follow up
We will continue to monitor intelligence we receive about the service until we return to visit as per our re-inspection programme. If we receive any concerning information we may inspect sooner.
For more details, please see the full report which is on the CQC website at www.cqc.org.uk