Mid Meadows

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 living at Mid Meadows reflected the principles and values of Registering the Right Support in the following ways; promotion of 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. People were at the heart of the service and staff's approach, where constant motivation enabled people to gain in confidence, self-worth and self-determination. People were positive about their future, they had gained new skills, independence and were supported to achieve personal goals and aspirations.

People's experience of using this service: People were supported to lead active and fulfilling lives. People told us the approach of staff made them feel safe, valued and life was happy and had a meaningful purpose.

People were protected from avoidable harm and abuse, there was a positive approach to risk taking and people were fully involved in decisions about how known risks were managed. This had resulted in people achieving significant outcomes, people had developed in confidence that enabled them to take control of their own safety. People were enabled to be active citizens of their community without restrictions.

Staff had a positive enabling approach to support people in their journey of recovery with any mental health needs. The person-centred and motivational approach at Mid Meadows, provided structure and purpose to people and had contributed in people achieving personal goals they had set.

People received support from staff who were well trained and supported, to provide safe and effective care. Staff skill mix, personality and interests were considered when matching staff to support people with activities of their choice. People were involved in the recruitment of staff and checks were completed on staff's suitability to provide care.

People received their prescribed medicines safely and were supported to access health care services to maintain their healthcare needs. Healthy eating was encouraged, and people were fully involved in menu planning, shopping and sometimes the preparation of meals. Independence was promoted in all aspects of care and daily living. 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.

Staff were caring and compassionate and had developed a good understanding of people's diverse needs, routines and what was important to them. From speaking with staff, it was clear they were passionate about their work and wanted the very best for people they supported. Information had been made available for people that met their communication needs.

Positive partnerships had been developed with external health and social care professionals. People benefited from good multi-disciplinary working.

A range of regular checks had been completed to review the quality and safety of the care and support provided. Where improvements were identified, action plans were developed to continuously develop and improve the service and enhance people's life. People, relatives, external professionals and staff, received opportunities to share their experience of the service and this helped drive improvements forward.

The service continued to meet the characteristics of outstanding in Safe; more information is in the full report.