Brookfield

Right support: The model of care and setting maximised people's choice, control and independence. People were encouraged and empowered to make their own decisions. Care staff ensured that people were supported and gave people daily choices which were appropriate to their needs and level of understanding and ability. People lived in an ordinary, semi-detached family home which integrated well within the community.

Right care: Care was person-centred and promoted people's dignity, privacy and human rights. Staff knew people well and established positive relationships with them. People's dignity, privacy and human rights were maintained. People were treated and supported as an individual, and we saw that the service had made improvements around providing individual stimulating activities.

Right culture: The ethos, values, attitudes and behaviour of leaders and care staff ensure people using the service lead confident, inclusive and empowered lives. People were involved in the community and taking part in a wide range of community-based activities. People were put first, and the service had made good progress with building activities and facilities around people, following lockdown. The new leadership team were open, honest and easy to talk to. They listened to people, staff and visitors to discuss concerns and improve the service for 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 and support was provided in a safe, clean, well equipped, well-furnished and well- maintained environment which met people's sensory and physical needs. People told us they loved their home. A lot of resources had been put into making sure the decoration reflected people's tastes and was comfortable and safe.

• People were protected from abuse and poor care. The service had enough appropriately skilled staff to meet people's needs and keep them safe. • People were supported to be independent and had control over their own lives. Their human rights were upheld. • People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each person's individual needs. People had their communication needs met and information was shared in a way that enabled them to understand and engage. • People's risks were assessed regularly in a person-centred way; people had opportunities for positive risk taking. People were involved in managing their own risks whenever possible. • People who expressed distress in ways that could challenge others had proactive plans in place to reduce the need for restrictive practices. Systems were in place to report and learn from any incidents where restrictive practices were used. • People made choices and took part in meaningful activities which were part of their planned care and support. Staff supported them to achieve their aspirations and goals. The service had started to design and build a sensory garden together with people and sought activities which were of specific interest for them. • People's care, treatment and support plans, reflected their sensory, cognitive and functioning needs. • People received support that met their needs and aspirations. Support focused on people's quality of life and followed best practice. Staff regularly evaluated the quality of support given involving the person, their families, and other professionals as appropriate. • People received care, support and treatment from trained staff and specialists able to meet their needs and wishes. Managers ensured that staff had relevant training, regular supervision and appraisal. • People and those important to them, including advocates, were actively involved in planning their care. Where needed a multidisciplinary team worked well together to provide the planned care. • Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005. • People were supported by staff who understood best practice in relation to learning disability and/or autism. Governance systems ensured people were kept safe and received a high quality of care and support in line with their personal needs. People and those important to them worked with leaders to develop and improve the service.