Bromham House

Based on our review of is the service safe, effective, caring, responsive and well-led questions, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support The service gave people care and support in a safe environment that was clean and suitably equipped to meet people's physical and emotional needs. Most staff complied with measures designed to reduce the risk of COVID-19 spreading within the service.

Staff supported people to actively pursue their interests, work, hobbies and pastimes inside and outside the home, and to achieve their aspirations and goals. The service worked with people to plan for when they experienced periods of distress; to minimise any restrictions and to ensure people had as much freedom, choice and control over their lives as possible.

Staff received training in the use of restraint and were confident in their ability to deploy this training if it should be needed. At the time of our inspection no person required restraint. Any restraint would be in an emergency, as a last resort, done in a safe way and for the shortest time possible.

Staff supported people to make decisions following best practice in decision-making. Staff communicated with people in ways that met their needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service and its staff team made reasonable adjustments for people so they could be fully involved in discussions about how they received support, including support to travel wherever they needed to go. People were administered their medicines in a way that respected their independence and achieved positive health outcomes.

Right Care Staff promoted people's equality and diversity, supporting and responding to their individual needs. People's care plans were detailed and an accurate reflection of the support they needed and what people could do independently.

Staff had training on how to recognise and report abuse, and had the skills to protect people from poor care and abuse, or the risk of this happening. The service worked with other agencies to do so. The service had enough appropriately skilled and safely recruited staff to meet people's needs and keep them safe.

Staff had a thorough understanding of people's individual ways of communicating and this enabled people to be listened to. People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.

Right Culture People were supported by staff who understood best practice in relation to people's strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. Staff knew people well and responded to their needs and wishes. Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing.

People and those important to them, including advocates, were involved in planning their care. This enabled people to be able work with staff to develop the service. Staff valued and acted upon people's views.

Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity. Staff put people's wishes, needs and rights at the heart of everything they did.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support and treatment because trained staff and specialists could meet their needs and wishes.