Guyatt House

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. This was evident in the promotion of choice and control, independence and community inclusion. People's support focused on them having as many opportunities as possible, gaining new skills and growing in confidence and independence.

People's experience of using this service:

● Guyatt House provided people with an outstanding service. People led full and inclusive lives where they were supported to be in control.

● The provider has demonstrated they successfully focused on continuous improvement since our last inspection. We previously found the service met the characteristics of an outstanding service in safe and caring at our last inspection. At this inspection we found the service had improved to an Outstanding service in safe, caring, responsive and well-led domains. We received exceptional feedback on how staff supported people and went the extra mile to get people's support just right for them.

● People were at the centre of the service delivery. Staff worked exceptionally hard to find different ways of presenting information to people, using objects of reference or symbols for example. This enhanced way of communication ensured people were at the forefront of their care and support.

● People lived in at exceptionally person-centred service. The culture focussed on the promotion of people's rights to make choices and this resulted in people being valued and treated as individuals.

● People were supported by remarkable caring staff that knew them well and understood how to maximise their potential.

● People were supported by staff who recognised their rights to take measured and considered risks in order to lead their lives as they wished. People's aspirations and wishes were paramount.

● The provider continued to promote a culture of person centred support. A high-quality service and been sustained and further developed resulting in especially positive outcomes for people.

● There was a remarkable positive workplace culture and staff we spoke with provided irrefutable feedback

about the provider and management team.