Sandsground

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.

There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

Feedback from relatives and a social care professional was positive. Staff understood people's needs and the registered manager was keen to develop and support a stable staff team so that people received consistent support on a long- term basis. Staff vacancies were being filled and there were recruitment checks in place so that new staff were suitable to support the people in the service.

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.

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.

People were encouraged to make daily choices, which included how they spent their time and the meals they ate.

People took part in a range of activities both inside the home and in the community. People, where possible, or their relatives, knew how to make a complaint and we saw these were dealt with effectively.

Medicines were managed safely. People were supported in line with their care plans which meant risks to people were effectively managed.

Regular auditing took place to inform where improvements may be required. Staff confirmed they received support and training to carry out their roles effectively.