Ebbsfleet House

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

People's experience of using this service: The home applied the principles and values of Registering the Right Support and other best practice guidance. These ensured people who live at the home can live as full a life as possible and achieve the best possible outcomes that include control, choice, inclusion and independence.

Since our last inspection people had been supported to achieve goals that were previously considered out of reach. For example, one person had been supported to go shopping, an activity which previously caused a lot of anxiety, and resulted in the person displaying behaviour that could challenge. People were very active, and part of the local community, involved in the local sports centre, and horse-riding stables.

Incidents of behaviour that could challenge had reduced since our last inspection, leading to a decrease in restrictions in place for people. Alongside this, incidents of physical restraint had reduced, and staff worked with external healthcare professionals to reduce the levels of restraint used, which has a positive impact on people. People had been supported to take positive risks, including re visiting activities which previously caused increased levels of anxiety. Staff worked with people, providing picture references to increase understanding of activities, and food choices, as well as to support understanding of healthcare appointments. People had been supported to safely reduce the medicines they were taking.

There was a positive culture within the service, with mutual respect between people and the staff supporting them. Staff were passionate about providing positive outcomes for people and has formed excellent relationships with people. People were supported to express their views and be involved in their care.

The service continued to meet the characterises of Good in all domains.