The Vicarage

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.

Staff told us they felt suitably trained and supported to carry out their role. They knew how to escalate any concerns and were aware of people's personal risks when providing support to them.

Most people's needs were assessed before they used the service to ensure their needs could be met. Staff tried to gain as much information as possible for people who were admitted to the home in an emergency. People's care plans reflected their support needs, risks and emotional and social support requirements. 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 and relatives told us staff were compassionate and caring. We observed staff encouraging people to be independent. They protected people's privacy and treated them with dignity and respect.

People, relatives and staff continued to think that the home was managed well. The registered and deputy managers were described as approachable and caring. Systems were in place to monitor the delivery of the service, manage concerns and complaints. Sufficient numbers of staff were made available to meet the needs of people.

The managers and staff worked collaboratively with health care professionals, other services and relatives to ensure there was a consistent approach in the care of people. People received their medicines as prescribed and were referred to health care services as needed.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them

having as many opportunities as possible for them to gain new skills and become more independent.