Orchard View

Support was provided to people in one adapted building. The service was a large home, bigger than most domestic style properties and larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area. There were no identifying signs or anything else outside to indicate it was a care home. Staff wore ordinary clothes and there was nothing to suggest they were care staff when coming and going with people.

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.

People continued to be supported to remain safe. Risk to health and safety were well managed. Staff knew how to protect people from abuse and when and how to raise concerns. Medicines were managed safely, and people received these on time and as prescribed. Incidents and accidents continued to be reported appropriately and were used as learning opportunities to improve people's support.

People's needs continued to be assessed prior to them moving in to the service. The assessment was used to plan people's support, staff training and staffing levels. Staff were well supported and supervised and had the skills and training they needed to support people. Staff were motivated and said they were happy in their roles. Staff continued to be recruited safely to make sure they were suitable to work with vulnerable people.

People were supported to access healthcare services including dental care when they needed to do so. People had access to food and drink and were encouraged to access the kitchen with support where needed.

People were involved in decisions about their care and were supported to make choices. 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.

Staff were kind and caring and offered people emotional support where this was needed. People were encouraged to express their views about their care and support. People said they were listened to by staff. Staff respected people's privacy and people were treated in a dignified manner.

People had the opportunity to feedback about their support and any concerns through surveys, house meetings. People knew the registered manager and deputy manager well and interacted with them throughout the day. People and their relatives knew how to complain if they chose to do so. Care plans and support was person centred and staff knew people well.

There were systems in place to check and maintain the quality of the service to ensure people received a good standard of care. The service continued to work in partnership with other service to improve outcomes for people.

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