The Lodge

The service was registered before Registering the Right Support was published. This meant the number of people living at the service was higher than the number recommended by this guidance. However, the service ensures that people who use the service can live as full a lifesas possible and achieve the best possible outcomes. The service provided care in line with the principles which 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.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 12 people. Nine people were using the service. This is 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 and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home.

People were safe at the service. The culture of the service was focussed on developing a safe environment both physically and psychologically. We observed people were calm and relaxed with staff and each other. Staff were highly skilled at maintaining a safe environment by using their knowledge of people to ensure any friction or difficulty was minimised. The staff team was open and transparent and learnt from any incidents; they quickly put effective measures in place to prevent recurrence. Any concerns were shared with the appropriate professionals. Medicines were well-managed with good systems in place to minimise errors. People were supported by enough staff who had been recruited in a safe way.

People received an effective service. Their care was assessed and planned in accordance with their needs. They received support from staff who were trained and supervised. 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 had a choice of

meals and were able to shop and cook for themselves if they wished. Staff supported people to work with health professionals to improve their health and well-being.

People received a responsive service which placed their individual needs and preferences at the core of their care. Care plans were developed to maximise people's independence and support them to live meaningful lives. Staff were passionate about doing their best for people and improving their quality of life. People were encouraged to try new things, develop new skills and consider what they would like to aim for.

The service was led by a registered manager who was passionate, had a clear vision of the direction of the service and able to implement this effectively. There was a very strong focus on the culture of the service which prioritised people who lived there. The staff team was cohesive and functioned well. Staff felt able to challenge practice or make suggestions and told us they were not afraid to admit making a mistake.