Jubilee House Care Trust - 29 Jonquil Close

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.

There were sufficient staff on duty in the service to meet people's needs when needed. Staff confirmed they were also able to spend time engaged with people in meaningful activities. Staff were recruited were safely and received an in-depth induction and ongoing training to provide them with the skills required for their roles.

Medicines were stored and managed safely. The manager and provider analysed accidents and incidents for trends and patterns and lessons learnt were shared with staff. People lived in a clean well-maintained environment.

People had lived at the service for a number of years. Detailed plans of care and support that guided staff in how people preferred their support to be delivered were in place. Staff were knowledgeable about the people that they were supporting and provided personalised care. People's health and wellbeing was closely monitored and staff supported them to access healthcare services, when required.

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's concerns were listened to and acted upon. There was a robust system in place to gather feedback from people, relatives and professionals. No formal complaints had been raised at the service; however, there was a procedure in place should any concerns be raised.

There was a positive culture of person-centred, quality care throughout the organisation. The robust quality assurance system in place provided the manager and provider with a detailed overview of service quality and where improvements needed to be made. Senior staff were dedicated to maintaining high standards.

There was strong leadership at the service and staff spoke highly of the manager and provider.

The service applied the principles and values of Registering the Right Support and other best practice guidance. 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.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.