The Grove -6

The service had 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.

The service was part of a larger cluster of three services which were all located on the same site. The size of the service had some negative impact on people living there due to the service being located far away from local amenities and having limited access to public transport. The service was clearly a care home and there were identifying signs such as a large sign and industrial waste bins.

People and their relatives were happy with the support they received at the service. One relative told us, ''The Grove is one of the best services in the world and is the best place that [person] can be.''

People received kind and compassionate care from a staff team who knew them well. Staff supported people to be as independent as they could be and respected their privacy and dignity. People received personalised care which met their needs and they were supported to take part in activities, in and out of the service, depending on their interests. People had been supported to put plans in place for the end of their life.

People were kept safe by a staff team who had a good understanding of safeguarding and the risk assessments that were in place to protect people from harm. There were enough staff to support people safely and checks were in place to ensure that staff were suitable to work at the service. Staff received training and support to be effective in their job roles. People were supported safely with their medicines and the home was kept clean and free from infection.

People's needs were regularly assessed to ensure that people were receiving the correct support. Staff

supported people to have a balanced diet and live healthy lives. Health professionals were involved in people's care to ensure that they received the right support. 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.

The service didn't always apply the full range of principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. 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. However, the location of the service sometimes limited people's access to new activities or the community.

The management team promoted a positive culture at the service. People and their relatives were involved and encouraged to feedback about the service. The service linked and worked well with other organisations to ensure good outcomes for people.