Lawrence Mews

The care home comprises of two adjacent buildings with separate facilities. One building accommodates two people and the other building accommodates three people. 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 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 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.

The provider's quality monitoring and governance processes were not always effective. The impact of this was seen in the way some maintenance and environmental safety issues had not been identified by the provider until we inspected. The registered manager supported people to achieve good care outcomes and understood their responsibility to notify relevant authorities when incidents occurred. The service had a positive relationship with specialist health care agencies who were involved in supporting people at the care home.

Although people lived in a care home that needed internal redecoration in some areas, they liked where they lived and had personalised their bedrooms. Staff understood and met people's care needs; and received the necessary training to work effectively. Staff felt well supported by the registered manager and provider. People enjoyed the food provided and were supported to manage their diet. Staff worked in partnership with other agencies to meet people's needs and ensured people's rights and choices were respected.

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

guidance. These ensure people, who use the service, can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

People were supported by staff who were kind and compassionate. People were involved in deciding how their care was provided; and staff supported people, who were nonverbal, to express their views by observing their body language. People's privacy and dignity was respected.

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.

People's care plans were comprehensive and guided staff on how to support them. People's communication needs were understood. People were supported to establish, and maintain, relationships with family and friends. When concerns were received, the registered manager responded positively and acted to resolve issues.

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.