Sitwell Grove

The service has been developed and designed 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 received planned and coordinated person-centred support that was appropriate and inclusive for them.

The Secretary of State has asked the CQC to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of the thematic review, we carried out a survey with the registered manager and deputy manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service did not use any restrictive intervention practices.

People's relatives told us that people were cared for by competent staff who were kind, understood each person's individual needs and provided people with personalised care and support.

Management staff worked in partnership with relatives and other agencies to support people's needs including good health and well-being.

Staff knew what their responsibilities were in relation to keeping people safe. They knew how to recognise and report any concerns they had about people's welfare.

The service assessed and managed risks to ensure that people received personal care and support safely. People were provided with the support they needed to take risks safely without restricting their independence.

Staff undertook training that supported them to have the knowledge and skills to do their job well and effectively meet people's needs.

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 chose what to eat and drink and received the information they needed to help them select healthy dietary options.

The provider had systems in place to manage and resolve complaints. People and their relatives had opportunities to be involved in decisions about the service and provide feedback. Action was taken to address issues they raised.

The registered manager and deputy manager were committed to providing people with personalised care that supported them to achieve the best possible outcomes. Systems were in place to assess and monitor the quality and delivery of care to people. Improvements to the service were made when needed.