Baylis Place

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 11 people. Eleven 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. Staff were also discouraged from wearing anything that suggested they were care staff when coming and going with people.

We have made a recommendation about fire doors.

Three fire doors did not fully close, and the registered manager had raised this with the estates manager. Records showed that the identified doors were regularly reported and maintained when found to be damaged.

The provider had systems in place to safeguard people from abuse. Staff could recognise and report any safeguarding concerns and understood how to keep people safe. Relevant risk assessments had been completed. Medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to mitigate risks.

Staff had appropriate skills and knowledge to deliver care and support people in a person-centred way. Staff recruitment was safe.

Care plans had been developed and were regularly reviewed. These contained relevant information about how to meet people's needs. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice. People were supplied with the information they needed at the right time, were involved in all aspects of their care and were always asked for their consent before staff undertook support tasks.

The environment was warm, welcoming, clean and free from malodours. People had personalised rooms.

There was a wide range of opportunities for people to engage in activities, attend college courses and follow hobbies and interests.

People were positive about the staff and told us that their privacy and dignity was promoted. Preferences and choices were considered and reflected within records.

People had access to a varied balanced diet. Staff monitored people's weights and worked with healthcare professionals to make sure people received medical attention when needed.

People were able to see their families as they wanted.

People and staff spoke positively about the registered manager and felt able to raise concerns and were confident these would be addressed. Staff told us they were well supported by the registered manager and management team.

People who used the service, their relatives and staff had the opportunity to feedback about the service. There was a system in place to respond to any concerns.

Checks of safety and quality were made to ensure people were protected. Work to continuously improve was noted and the registered manager was keen to make changes that would impact positively on people's lives.