Haydock House

● People were protected by strong and inclusive safety systems, with a focus on openness, transparency and learning. There were systems in place to make sure the service was safe, with very good staffing levels and highly skilled staff to deliver good quality care. Risks to people were fully assessed and exceptionally well managed. People were supported to take positive risks, to make sure they had greater choice and control of their lives. The positive risk-taking approach showed that staff respected people's right for independence and their right to take risks.

● People were fully involved and supported to safely recruit staff to work at the service. This ensured that successful applicants had the right values and skills to match the values that were at the heart of the service.

● The staff and the management team were passionate about providing people with support that was based on their individual needs, goals and aspirations. We saw that people were at the centre of their care and each person was treated as an individual. As a result, their care was tailored to meet their exact needs. The staff at Haydock House were committed to making sure people lived fulfilling lives and were protected from social isolation. People were well supported to make their own choices and staff were highly motivated with a 'can do' approach which meant they were able to achieve positive outcomes for people. People received care and treatment that was delivered in line with up to date best- practice guidelines in relation to Prada Willi Syndrome.

● Without exception, people spoke positively about their experience of the service and the successes they had been supported to achieve. It was clear the culture within the service valued the uniqueness of all individuals who lived there.

● There were excellent systems in place to monitor the quality of the care provided and to ensure the values; aims and objectives of the service were met. There was a high level of satisfaction with the service and people were well supported to express their views so improvements could be made. There was strong leadership that put people first and set high expectations for staff. We found an open ethos with a clear vision and values, which were put into practice by staff, who were proud to work for the service and felt valued for their work. A positive culture was demonstrated by the attitudes of staff and management when we talked with them about how they supported people.

● Staff were trained in infection control, and had the appropriate personal protective equipment to perform their roles safely. There were robust arrangements in place for the service to make sure that action was taken and lessons learned when things went wrong, to improve safety across the service

● People's needs and choices were assessed and their care provided in line with their preferences. Staff

received an induction process when they first commenced work at the service and received on-going training to ensure they could provide care based on current practice when supporting people. Each person's food intake was closely monitored to ensure they maintained a healthy weight in line with best practice guidance in relation to Prader-Willi syndrome. Staff supported people to access health appointments when required, including opticians and doctors, to make sure they received continuing healthcare to meet their needs.

● 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. The principles of the Mental Capacity Act (MCA) were followed.

● Staff were caring and had built open and honest relationships with people. They were knowledgeable about how best to communicate with people and to advocate for them and ensure their views were heard. People spoke of the family atmosphere at the service and the genuine interest staff took in their wellbeing. There was a strong culture within the service of treating people with dignity and respect and staff spent time getting to know people and their specific needs before they provided them with care and support.

More information is in Detailed Findings below.