Four Winds

At our last inspection we rated the service good. At this inspection we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen. . There was a registered manager in post. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

Risk assessments were in place and they accurately identified current risks to the person as well as ways for staff to minimise or appropriately manage those risks. Staff understood what action they should take if they were concerned people may be at risk. The registered manager informed us a current safeguarding investigation was being undertaken and the service was liaising with the local authority. Appropriate action had been taken to ensure people remained safe.

The provider ensured sufficient numbers of staff had been subject to pre-employment checks were deployed in the service. Trained staff safely managed people's medicines. There were processes in place to protect people from the risk of acquiring an infection. Accidents and incidents were analysed for trends by the registered manager and provider and lessons learnt to reduce instances of accidents or incidents occurring again.

Staff were well supported due to regular supervision, annual appraisals and a robust induction programme, which developed their understanding of people and their routines. Staff also received a wide range of specialised training to ensure they could support people safely and carry out their roles effectively. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. Menus were planned with input from people, based on their personal preferences and choices.

People were provided with opportunities to follow their interests and hobbies and they were introduced to

new activities. They were all supported to contribute and to be part of the local community. We found care plans were in place which included information about how to meet a person's individual and assessed needs. People's cultural and religious needs were respected when planning and delivering care. The service had a complaints procedure in place.

Staff told us the registered manager was approachable and supportive. The service had various quality assurance and monitoring mechanisms in place.

Further information is in the detailed findings below.

The five questions we ask about services and what we found