Westholme

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.

Effective arrangements were in place to keep people safe. No one had experienced an accident since the last inspection. People's personal risks were well-managed and regular checks were carried out on the building. The provider carried out pre-employment checks on staff. Medicines were administered in a safe manner. The manager was open to learning lessons from audits to improve the service.

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 this practice.

The design and decoration of the home required improvement. The provider confirmed improvements would be made.

Staff were kind to people. People used nods and gestures to confirm they liked the staff. Staff reviewed people's care with them at the end of every month to involve them in their care and promote their independence.

Care plans were very detailed and included people's preferences and wishes. They were regularly reviewed. End-of-life plans were in place. The service had a complaints procedure. No complaints had been made since the last inspection. Care plans described people's behaviour if they were expressing any dissatisfaction.

The registered manager and the staff worked in partnership with other professionals to meet people's needs. Staff felt they could approach the manager to discuss any worries or concerns.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

The provider had recently introduced a new electronic system to monitor the quality of the service. The manager had begun to use the system and had identified actions to make improvements. The staff worked well with relatives and other professionals to support people's care.