SeeAbility - Fiennes House Residential Home

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 service is larger than current best practice recommendations. However, the size of the service having any negative impact on people was lessened by the layout of house into separate areas, with two kitchen/dining/lounge areas, en-suite facilities and the choice of communal areas people could use. Also, by personalised nature of the service.

People's experience of using this service and what we found

Right Support: The service supported people to have the maximum possible choice and control over their own lives. Staff were observed communicating with people in ways that met their needs and supporting people to make choices.

People benefitted from the interactive and stimulating environment. Bedrooms were personalised and the service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs.

Staff supported people to take part in activities and pursue their interests in their local area. One person told us about their hobby and how staff supported them into the community to pursue this.

Staff enabled people to access specialist health and social care support in the community.

Staff supported people with their medicines safely and infection control procedures and measures were in place to protect people from infection control risks.

Right Care: People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to people's individual needs. Throughout the inspection we observed kind, relaxed, compassionate and caring interactions between people and staff.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service had enough appropriately skilled staff to meet people's needs and keep them safe.

People could communicate with staff because staff supported them consistently and understood their individual communication needs. This included using assistive technology, body language, sounds and objects of reference.

Right Culture: People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Throughout the inspection we observed that staff were respectful of people and took time to offer support and reassurance when needed.

People received good quality care and support because trained staff could meet their needs and wishes.

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.

Staff knew and understood people well and placed people's wishes, needs and rights at the heart of everything they did. One staff member told us, "It is about them, they are in the centre of their care, if they decide they don't want to do something it is their choice, they have a right to make their own choices."

People and those important to them were involved in planning their care.

Staff ensured risks of a closed culture were minimised so people received support based on transparency, respect and inclusivity. The staff, registered manager and deputy manager were open and transparent throughout our inspection. The registered manager and deputy manager acted efficiently on queries and feedback throughout the inspection.