Alexandra House - Bristol

Alexandra House is located in a large, converted property in a well-connected part of Bristol. Accommodation in the main house includes communal spaces and en-suite bedrooms, and there are 2 self- contained bungalows in the garden.

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 received care and support in a safe, clean, and well-maintained environment that met their needs. People had choices about their living environment.

Staff worked in close partnership with a number of other agencies and professionals to provide people with high quality, responsive support that met their needs and improved their quality of life. Staff managed medicines safely to ensure the best outcome for people.

Right Care People received kind and compassionate care. Staff protected and respected people's privacy and dignity. Staff promoted individual preference, equality and diversity in their support for people. They were sensitive to people's unique needs and worked alongside specialist services to meet these.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and were confident in this.

The service had enough appropriately skilled staff to meet people's needs and keep them safe. Staff worked with people to assess risks people could face. Where appropriate, staff encouraged and enabled people to take positive risks. People received care that supported their needs and aspirations, was focused on their quality of life, and followed best practice.

Right Culture People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of staff and managers. There was a core staff team who knew people well and supported people to receive consistent and responsive care.

Staff placed people's wishes, needs and rights at the heart of everything they did. Staff understood best practice to ensure they provided compassionate and empowering care to each individual.

Staff very regularly evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. People were encouraged to be involved in developing aspects of the service and share their views.

There was a culture of continuing improvement. There were effective systems and checks, and staff received training to ensure they remained up to date and improved people's quality of life with the support they provided.