Langston Care Limited - 35 Hill Top View

The service is delivered across two properties located on a cul-de-sac and close to local amenities. It is neighboured by another home registered with the commission and managed by the same provider.

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.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

Risks to people's safety were assessed. However, the provider had failed to identify the risks associated with having a stair gate in place. As soon as this was identified the provider took appropriate action however the governance systems in place failed to draw this to their attention.

People were supported by sufficient numbers of staff who had been recruited safely and had an understanding of safeguarding procedures. People received their medicine as prescribed and effective infection control measures were in place. Lessons were learnt when things went wrong.

People's care plans contained detailed information that ensured care was delivered to the standard required. Staff received training to enable them to meet people's care and support needs. People were supported to maintain a balanced diet and had access to drinks throughout the day. The service worked

well with other agencies and ensured people had access to healthcare services. The building was adapted to meet the needs of the people living there.

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 were well treated, and the team supported people to express their views as far as reasonably possible. People's independence was promoted, and people's privacy and dignity was maintained.

People had access to personalised activities and were supported to maintain important relationships. The provider understood the Accessible Information Standard and a complaints procedure was in place. While no one was in receipt of end of life care the home had considered people's advanced wishes.

The service promoted a positive culture and the management team was described as supportive and approachable. People were clear of their roles and understood their responsibilities under the duty of candour. The service engaged people and worked in partnership with others. The service could demonstrate continuous learning and how this improved the care people received.