Hilltop

People's experience of using this service: 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 coordinated 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. For example, people were supported to have access to local groups and activities in the community and staff promoted choice and inclusion.

• People were protected from avoidable harm by staff who had been trained to keep them safe. • Staff knew people well and the risks associated with people's care and health. They understood how to minimise risks to people and when and how to raise any concerns. • Staff supported people to take their medicines safely and understood how to prevent the spread of infection. • People received care from a consistent team of staff who had been safely recruited and trained to carry out their role. There were enough staff to meet people's assessed needs and ensure they lived a meaningful life and have access to the community. • People's relatives told us they felt people were cared for by staff who were kind and compassionate. One relative said, "I would give them 10 out of 10 in everything they do." • People's needs were assessed and care was delivered in line with current practices. Their care plans contained the information and guidance staff needed to support people. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the

policies and systems in the service supported this practice. • People were supported to make their own decisions about their care and were supported by staff in their best interests. • People were supported with their nutritional needs and to maintain their health and well-being. • Staff respected people's rights to privacy and dignity and their independence and access to the community was promoted and encouraged. • The provider had systems for assessing and monitoring the quality of the service and implementing improvement where required and managing complaints.

At this inspection we found the evidence continued to support the rating of good. For more details, please see the full report which is on the CQC website at www.cqc.org.uk