Agnes House 81

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The environment was homely in design and met people's needs, but renewal work and repairs were not completed in a timely manner. Quality assurance systems were not robust enough to identify shortfalls and drive improvement. Records to support the oversight of the service were not readily available during the inspection visit for us to review.

People were supported by sufficient numbers of staff who knew them well and had an awareness of how to escalate any concerns about people's safety. Staff had received the training they required for their role but were awaiting refresher training to update their skills and knowledge.

Staff wore gloves and aprons to ensure they protected people from cross infection. Some systems were in place to enable the staff and the registered manager to learn lessons from any incident and accidents that had occurred in the service.

Staff sought peoples consent before providing support. 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. People accessed healthcare services to ensure they received ongoing healthcare support. People were given choices and were involved to make daily decisions around their care.

People had meaningful activities to occupy them on a daily basis. People had care plans in place which provided staff with information about their needs and preferences and how they would like these to be met. However, support plans were not updated in a timely manner when people's needs changed. A complaints procedure was in place and people and their relatives knew how to raise concerns.

Rating at last inspection and update. The last rating for this service was requires improvement (published 5 December 2018).

The provider completed an action plan after the last inspection to show what they would do and by when to improve. At this inspection enough improvement had not been sustained and the provider was still in breach of regulations. The service remains rated requires improvement. This service has been rated requires improvement for the last two consecutive inspections.