Lawreth

Right Support: People lived safely and free from unwarranted restrictions because the service assessed, monitored and managed safety well. Infection control measures were in place and the service was regularly cleaned. One relative told us, the service was kept, "Absolutely spotless." Some ceilings were however affected by mould, this was an ongoing issue that the provider was taking steps to address. Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome. Relatives' and professionals' views and suggestions were taken into account to improve the service. There were effective staff recruitment and selection processes in place. There were enough skilled and experienced staff who knew people well to safely meet people's 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.

Right Care: People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice. Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks. People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. The service worked well with other agencies to do so.

Right Culture: People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Relatives and professionals commented on the positive atmosphere, values and caring attitudes of staff. One relative told us, "Staff really, really care." People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and

empowering care that was tailored to their needs. Staff turnover was low, which supported people to receive consistent care from staff who knew them well. There had been some staff changes but staff who had worked with people for a long time shared learning to ensure any newer staff had the correct knowledge. Staff placed people's wishes, needs and rights at the heart of everything they did. The service enabled those important to people using the service to give feedback to develop the service. Staff valued and acted upon these people's views.