Kilkhampton Lodge

Staff were well supported by a system of induction, training and supervision. Most of the staff had worked at the service for over a year and knew people well. New staff worked alongside more experienced staff until they were confident to work alone.

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. Any changes in restrictive practices were highlighted to the relevant authority to help ensure they remained necessary and proportionate.

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 to gain new skills and become more independent.

Two people were living in segregated accommodation. This meant they lived entirely separately from others and were unable to access shared lounges and kitchens or leave their accommodation independently. This

was done to keep them and others safe. These people were given choice and control in their basic daily routines, for example, deciding when to get up and go to bed. Staff had developed ways to help people to make choices using communication tools and simple sign language. They continued to work with other agencies to develop these techniques.

Care plans detailed people's needs across a range of areas. Risk assessments guided staff on the actions they should take when people became distressed. There was also information about people's preferences and background personal histories. This information helped staff to develop an understanding of people's needs.

People living at Kilkhampton Lodge had very different and wide ranging needs. Care delivery was planned according to each individuals needs and preferences which were understood and respected by staff. Relatives told us they believed their family members received the support they needed. They were highly complimentary about staff and management.

The service was well managed. There were clear roles and responsibilities in place which were well understood by the whole staff team. Regular checks and audits were completed to help identify any areas for improvement. The management team kept up to date with changes in the sector through membership with online organisations and forums.