East Fields

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 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.

The service was passionate and committed in placing people at the heart of the service. There was an extremely strong person centred, caring and responsive ethos. People consistently told us how they were treated with exceptional kindness, compassion and respect. We saw there was an extremely positive atmosphere and engaging interaction during our visit.

We received many accounts of people's views of their support. Comments from people and relatives were, without exception, positive. They included, "They really go the extra mile, I'd would be lost without them." And, "I have every confidence in them."

The service was exceptionally well-led which was evidenced by the inspection findings. The registered manager demonstrated how their dedication and approach to supporting people provided a positive role model for all the staff.

People's needs, and wishes were fully met by staff that knew them well and were passionate about people's independence. People were respected and valued as individuals; and empowered as partners in their care in an exceptional service.

People received fantastic personalised care and support specific to their needs and preferences. People's needs were considered and reviewed, and changes made where improvements were needed.

People received their medicines as prescribed and were assisted to learn how to self-medicate, this took time and encouragement and staff were patiently committed to enabling people to do as much for themselves as possible. Staff were well trained, and medicines were safely managed.

People were safeguarded from the risks of abuse. Risks associated with people's care were assessed and monitored. Staff were very knowledgeable about how they kept people safe. People and relatives told us the service was safe.

Environment risks were identified and well managed.

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.

There were enough staff to meet the needs of each person. Recruitment continued to be undertaken in a safe way. Accidents and incidents were monitored and analysed.

Staff were skilled, motivated and knowledgeable. They had received appropriate training and support and were encouraged to develop their individual skills and interests. People received a balanced diet which met their individual needs and took into consideration their preferences.

People were supported by staff who were incredibly kind and caring and who maintained their dignity and privacy and treated them with utmost respect.

Feedback about the registered manager was exceptionally positive and staff felt very well supported. Staff were motivated and proud of the service and morale was very high.

People were fully involved in the service and had opportunities to give feedback.

The service applied the principles and values apply the 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 last rating for this service was good (published December 2016).