Wisteria 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.

Sufficient members of staff were deployed with regard to the needs of the people using the service. Systems to recruit staff safely were robust and the registered manager had commenced involving people using the service in the staff recruitment process. Staff had received training including the safeguarding of people, infection control, administration of medicines and de-escalating techniques. Staff also informed us they had regular supervision and a yearly appraisal.

People had access to health professionals when needed. People were supported to maintain a healthy diet and support was planned to meet the assessed nutritional and health needs. People were supported to have maximum choice and control of their life and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported his practice.

People's privacy, independence and dignity were supported and respected by the staff. We observed staff listening carefully to and supporting people to make choices. People received a responsive service which was adaptable to support their needs depending upon their needs. There were systems in place to assess, plan and meet their individual needs and preferences. There was a complaints procedure in place. Relatives were involved in their care planning and the review of the care provided as appropriate.

The registered manager told us the about the aims of the service and the actions they had taken since being appointed which included recruitment, staff training and increasing the involvement of the people at Wisteria House in the running of the service. The registered manager completed audits to determine the quality of the care being provided and was further developing the staff skills in completing audits. Staff

worked closely as necessary with other professionals to provide care to the people using the service. People's views about the service were sought and acted upon for example, with determining the decorating of the communal areas.

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.