Sefton New Directions Limited - Hudson Road

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practise guidance. This ensures that people who use the service can live a full a life as possible and achieve the best possible outcomes that include control, choice and independence. People's support focused on them having as many opportunities as possible.

We observed peoples' support during our visits to Hudson Road, staff were gentle and showed people kindness and affection, within their professional boundaries.

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.

Care and support were delivered on a very individual basis. People were encouraged to plan and decide their daily routines. Activities were generally planned in advance to ensure staffing levels were appropriate, however all activities were flexible relative to people's well-being.

Staff knew people extremely well care, support and activities were planned around individual likes and dislikes. People were encouraged to participate in activities which were meaningful to them for example bus journeys, lunches out and trips to the cinema.

Professionals also spoke very highly of the home and how the home was able to support people to have good outcomes, helping to maintain good physical health. They commented on the lovely atmosphere in the home, and the professionalism of the staff. Ideally, wherever possible people would be supported until the end of their life in the home by people who know them.

Healthcare records were kept to high standards and staff knowledge of individuals was extremely good. This enabled staff to recognise any changes in people and seek early access to primary healthcare services, this ensured excellent continuity of care.

Staff responded to overcome any constraints presented when supporting people to live fulfilled lives.

People enjoyed attending live music events, cycling in summer, swimming and being part of the community despite physical and sensory challenges.

Risks were assessed and managed well. People received their medicines as they should.

Thorough recruitment, staff induction and ongoing training were in place to ensure that staff were suitable to work and provide support within the home. There was a very low change of staffing which meant people were supported by a staff team who knew them and their preferences extremely well.

People had access to food, snacks and drinks throughout the day, food was freshly prepared.

Staff knowledge and understanding of people and the way in which they communicated meant they effectively supported people to live their best life.

Complaints were managed effectively in line with company guidance. Family members told us that they had no complaints. Families felt they were respected, consulted and fully involved with their loved ones care.

People would be encouraged to continue their involvement with their chosen religion after moving to the home.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.