Montrose Barn

The service was able to demonstrate how they were meeting underpinning principles of Right Support, Right Care, Right Culture.

Right Support: The provider was exceptional in how they ensured that people were always kept safe from potential risks.

Care and support plans were holistic and reflected people's individualised preferences and support needs. People were involved, with staff support in the development of individualised care and support plans.

Staff were exceptional in the way they supported people to learn new skills and maintain their independence. People had fulfilling days and meaningful goals they chose. Staff supported people exceptionally by focusing on their strengths and encouraging people with what they could do.

People were supported to have maximum choice and control of their life 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. We observed people making real choices in the structure of their day and the activities they took part in. They were consistently in control of how they spent their time; what they wanted to do and when.

People had control of their dignity and how personal care was provided. The service consistently met their needs based on their wishes, enhancing their quality of life and well-being.

Staff were exceptionally responsive and had excellent knowledge of the people they supported. The service had a strong emphasis on ensuring people felt empowered and valued.

Right Care: Staff were extremely passionate about providing care that was compassionate and provided the best outcomes for people. Staff looked at ways to enrich people's lives.

People were treated with kindness and were observed to be exceptionally well cared for. Staff were aware of the importance of the presentation for people and excelled in supporting people with this.

Staff understood people's communication needs as they worked with them consistently and got to know them over time, developing trusting relationships and exploring how to best capture their wishes and views. Staff deeply respected the people they supported, each other and the home environment, providing care that was thoughtful and compassionate.

People were encouraged to take positive risks to enhance their wellbeing and the service communicated well around what risks people faced and how to support them to manage these risks positively. People's care, treatment and support plans reflected their individual needs, and this promoted their wellbeing and enjoyment of life.

The service promoted equality for the people they supported. The registered manager was passionate about supporting people to access services and activities. They supported people to overcome barriers and thought outside the box to achieve this.

Right Culture: The registered manager and staff team were highly motivated and proud of the service they delivered to the people they supported. There was a visible person-centred culture at the service.

There were consistently high levels of engagement with people using the service and with health and social care professionals to ensure people received safe, effective and responsive care that met their individualised needs.

The service placed people's wishes and aspirations at the center of everything they did, driving a culture that was inclusive and empowering. The registered manager was passionate about supporting people to be able to access, experience and participate in activities inclusively. They promoted positive risk taking and innovative approaches to support them to achieve this and to provide people with meaningful outcomes.

The registered manager was passionate about ensuring staff were suitably skilled and trained to meet people's complex and diverse needs. The ethos of the provider was that staff were guests in the people's home and this was reflected in how staff supported them.

There was clear leadership and visions and values for the service, that ensured people were at the heart of everything they did.

Last inspection The service was rated Outstanding at our last inspection. (Published 21 November 2019) This was due to how responsive the provider was in meeting people's individual needs and the excellent leadership of the service.

At this inspection the service remained Outstanding in Well Led and Responsive as the provider continued to improve and develop its service. We also rated Caring domains as outstanding due to the person centered care that the service was providing. It was evident that people's quality of life and achievements had excelled since the last inspection.

For more information, please read the detailed findings section of this report. If you are reading this as a separate summary, the full report can be found on the Care Quality Commission (CQC) website at

www.cqc.org.uk