Byron Court

The service could show how they met the principles of Right support, right care, right culture. People lead confident, inclusive lives which they have control. The ethos, values and behaviours of the management and staff support people to focus on areas of importance to them.

The needs and quality of life of people formed the basis of the culture at the service. Staff understood their role in making sure that people were always put first. We observed people receiving care that was genuinely person centred.

The leadership of the service had worked hard to create a learning culture. Staff felt valued and empowered to suggest improvements and question poor practice. There was a transparent and open and honest culture between people, those important to them, staff and leaders. Staff felt confident to raise concerns and complaints and were passionate to improve outcomes for people.

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 protected from abuse and poor care. The service had enough appropriately skilled staff to meet people's needs and keep them safe.

People were supported to be independent and had control over their own lives. Their human rights were upheld.

We observed people receiving kind and compassionate care from staff who protected and respected their

privacy and dignity and understood each person's individual needs. People had their communication needs met and information was shared in a way that could be understood.

People's risks were assessed regularly in a person-centred way, people had opportunities for positive risk taking. People were involved in managing their own risks whenever possible.

We observed people making choices and taking part in activities which were part of their planned care and support. Staff supported them to achieve their aspirations and goals.

People's care, treatment and support plans, reflected their sensory, cognitive and functioning needs.

People received support that met their needs and aspirations. Support focused on people's quality of life and followed best practice.

People received care, support and treatment from trained staff and specialists able to meet their needs and wishes. Managers ensured that staff had relevant training, regular supervision and appraisal. Competency checks had been completed with staff to ensure they had the understanding and skills to deliver safe care.

Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005.

People were supported by staff who understood best practice in relation to learning disability and/or autism.

People and those important to them, worked with leaders to develop and improve the service.

Our last inspection found a breach of regulation 9 (Person centred Care). This inspection found people being supported in a way which promoted their interests and considered individuals future aspirations.

Our last inspection found a breach of regulation 10 (Dignity and respect). This inspection found staff were respectful of people they supported and provided care in a dignified manner.

Our last inspection found a breach of regulation 11 (Need for consent). This inspection found that people were encouraged to make choices and decisions whenever possible.

Our last inspection found a breach of regulation 12 (Safe care and treatment). This inspection found staff were knowledgeable and confident in raising safeguarding concerns. Systems had been reviewed to ensure the safe management and administration of medicines.

Our last inspection found a breach of regulation 17 (Good governance). This inspection found improvements had been made and an audit system had been implemented to identify and address failings of the service.

Our last inspection found a breach of regulation 18 (staffing). This inspection found staff had received additional training and competency checks had been completed by senior staff. This provided assurance that staff had the skills required to provide safe and effective care. Staff were supported by the management team and worked together as a team.

The positive conditions imposed following our last inspection facilitated the development and

improvement found during this inspection. The management team had reviewed processes and had led the development of the service and delivery to people.