Ganwick House

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 service was a large home, bigger than most domestic style properties. It was registered for the support of up to eight people. Seven people were using the service. This is larger than current best practice guidance. However, the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs outside to indicate it was a care home.

Staff told us there were enough staff on duty and our observations confirmed they were able to meet people's needs and spend meaningful time with people. Staff were recruited safely and received a comprehensive induction and training to provide them with the skills required for their roles.

Medicines were stored and managed safely. The registered manager monitored any accidents and incidents and lessons learnt were shared with staff.

Personalised care plans were in place. Staff were knowledgeable about the people they were supporting and knew what was important to each individual. People's health and wellbeing was monitored, and staff supported them to access healthcare services, when required.

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 was a robust system in place to gather feedback from people, relatives and professionals. No formal complaints had been raised at the service; however, there was a procedure in place should any concerns be raised.

There was a positive, open culture at the service. The quality assurance system in place provided the registered manager with a detailed overview of service quality and where improvements needed to be made.

Staff spoke highly of the registered manager and their dedication to people and staff. It was clear that all staff were committed to delivering a quality service.

The service applied the principles and values of Registering the Right Support and other best practice guidance. 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.