Jemini Response Limited - 41 Jerome Close

41 Jerome Close is a house in a residential area and has two floors. Bedrooms were on both floors and on the ground floor were a kitchen, communal dining/living room and an office. The home had a garden area with a patio.

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.

People were mostly unable to tell us they felt safe but we observed people and staff together and could see that people were looked after well. Staff knew about risk and understood safeguarding. Relatives and professionals told us that the service was safe. Risk assessments had been completed, bespoke to people's care and support needs. Staff were recruited safely and enough staff were on duty each shift to look after people. New staff went through a comprehensive induction process. Medicines were ordered, stored, provided and disposed of safely.

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. Staff supported people with this having regard to their best interests. We were shown a training matrix which was up to date and was regularly shared with the registered manager. Training was relevant to the needs of people and included mental capacity, safeguarding, autism and challenging behaviour. People's nutritional and hydration needs were met and choice was offered. Support was in place from health and social care professionals.

Staff were seen to be caring and to respect people's dignity. People's privacy and were encouraged to be independent both inside the home and when accessing the community. People's differences under the Equalities Act 2000 were explored and promoted.

Care and support were person centred and this was reflected in people's support plans. Support plans were reviewed regularly and evidence of people, relatives and professional's involvement was seen. Routine was important to people and this was managed by staff. Staff supported people with a range of weekly activities both inside the home and on trips out. A complaints policy was in place which was accessible to people and relatives.

People interacted in a positive way with the registered manager who took time with people to talk with them and support them. Relatives, professionals and staff all spoke well of the registered manager. A review of some audit processes was being carried out but key areas such as accident, incidents, medication and training were all reviewed regularly by the registered manager. Feedback was actively sought and action taken where appropriate.