St James Mews

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 did support this practice. The service was not always able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

Right Support The model of the service did not follow the RSRCRC guidance. However, the provider had a plan in place as to how they are going to mitigate the effects to people in the service and how they were going to remodel the service. The provider had made improvements since the last inspection. Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. People were supported by staff to pursue their interests, for example, one person loved horses and staff supported them to go horse riding regularly. Staff supported people to achieve their aspirations and goals, for example, monthly key worker reviews detailed what aspirations people had and then this was reflected in the following review as a completed action. The provider had made improvements regarding the environment to ensure people were supported in a clean and safe environment. The provider told us they were also continuing to improve other areas of the environment.

Right Care People's daily notes were not always being completed and reflective of the care and support people were receiving. The home manager had already identified this as an area that needed improving. However, people received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. Relatives gave positive feedback about the staff and the support they give. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. The provider had worked hard to ensure people were able to communicate in their preferred way, staff and the

provider told us people were less frustrated now they were able to express their choices in a way that suited them.

Right Culture 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. People and those important to them, including advocates, were involved in planning their care. Relatives told us they were always informed if there were any incidents, accidents or if their relative was unwell. The provider had worked to ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.