Chesterfield House

Chesterfield house accommodates up to six people in one adapted building. The accommodation is arranged over two floors, linked via staircases. The communal areas, including a lounge, dining room and separate sitting room, are on the ground floor along with a kitchen and laundry room. Outside there is an activities/craft room and gardens.

The service has been developed and adapted 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.

The services were very flexible and tailored to each individual and their choices. Staff were proactive in identifying new opportunities for people to be involved with and built links with the community. People were encouraged to be socially active and they were involved in local community initiatives and charities. They were supported to maintain their relationships with family and friends. People and their families were fully involved and consulted in such a way that they felt empowered, listened to and valued. People's care plans were fully reflective of their individual needs and their communication care plans were detailed and comprehensive.

People continued to receive a safe service where they were protected from avoidable harm and abuse. People felt safe and staff understood their responsibilities in relation to the people they cared for. Risks to people's health and safety were assessed and interventions were put into place to mitigate those risks. Staffing levels were planned to ensure there were sufficient staff with the right skills and experience to provide safe care that was responsive to people's individual needs. People's medicines were managed safely and people told us they received their medicines regularly.

Staff were supported to deliver effective care and received training to gain and further develop their knowledge and skills. They received regular supervision and appraisal. People were provided with a healthy

and nutritious diet; they told us they were fully involved in deciding the menu and they enjoyed their meals. People were supported to access health services when required and staff sought specialist advice when necessary.

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 continued to be supported by staff who showed empathy and kindness toward them. They supported people physically and emotionally and gave them confidence to access new experiences and lead fulfilled lives. People's privacy and dignity were respected.

The service was well-led. The registered manager provided good leadership and was respected by staff. The quality and consistency of care was monitored through the use of audits and the views of staff, people using the service and visitors was sought. Improvements were identified from the results of these activities, to facilitate the continuous improvement of the quality of the service provided.