Cherry Tree House

People and their families or representatives were involved in discussions about how they received support. Staff supported people to make decisions in their best interests. People were supported to access specialist health and social care support to maintain their independence, health and wellbeing.

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.

Staff avoided restricting people whenever possible. When there was no alternative, restrictions were documented, and staff learned from these incidents to avoid or reduce them in the future.

Right Care: Staff understood how to protect people from poor care and abuse. The service worked with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

Staff, people and families worked together to assess and manage the risks people might face. Where appropriate, staff enabled people to take positive risks. People's support plans reflected their range of needs and this promoted their wellbeing and quality of life.

With the support of regular agency staff, there were enough appropriately skilled staff to meet people's

needs and keep them safe. Staff knew people and had the skills to understand and communicate with them in a way which met their individual needs.

Right Culture: People received safe care and support because trained staff could meet their needs and wishes. Staff understood the strengths, needs or sensitivities people with a learning disability and/or autistic people may have. This meant people received support which was tailored to their needs.

Although there had been staff changes, a core team of staff knew people well and provided consistent support. The culture was positive, and people's wishes, needs and rights were at the heart of staff actions and service developments.

Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. The manager was keen to develop a culture of improvement and transparency.