Five Penny 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.

Medicines were stored safely and staff were trained to administer them correctly. We found records relating to 'as and when required' medicines needed to be improved and the registered manager actioned this immediately.

Staff knew people well and supported people in line with the person's preferences and wishes.

There were enough staff to support people and staff were always visible. Staff received support and a variety of appropriate training to meet people's needs.

Individualised risk assessments were in place. Staff were confident they would raise concerns to safeguard people. Robust recruitment and selection procedures ensured suitable staff were employed.

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 were supported to access healthcare services if needed. People were supported to have enough to eat and drink and staff were trained to support people who had different dietary needs.

Interactions we saw between people and the staff team were positive. We saw people given immediate

reassurance when they became anxious or distressed.

Care plans were person centred and people were involved in their reviews where they were able. The service actively supported people to engage with advocacy services if this was needed.

People were supported to engage in activities they enjoyed, and we saw the service promoted people accessing local community facilities and supporting them to go on trips and holidays.

There were systems in place for communicating with staff, people and their relatives to ensure they were fully informed. This was via team meetings, phone calls and emails. People had good links to the local community through regular access to local services.

Audits and monitoring systems were used effectively to manage the service and to make improvements as and when required.