Malvern View

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.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to ten people. Nine people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

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's care records were person centred and provided staff with detailed information on who they are and how they would like their needs met. People were supported to manage their health and well-being. Where needed there was input from relevant health and social care professionals to support people's needs. People were provided with a range of opportunities to engage in activities both inside the home and local community, which were tailored to meet people's individual needs and interests.

The systems to monitor and review the delivery of care were not always effective and required improvement. This included oversight of the completion of peoples' care records and also of people's medicines. The

provider took action immediately to address our findings and reviewed the governance of the service to ensure procedures were more robust. People, staff and relatives were all positive about the management of the home and the manager's relationship with people living at the home.