School Lane

At our last inspection on 11 and 15 April 2016 we rated the service good. At this inspection on 7 November 2018 we found the evidence continued to support the rating of good and there was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

At this inspection we found the service remained Good.

The service had been developed and designed in line with the values that underpin the 'Registering the Right Support' and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service could live as ordinary a life as any citizen. These values were seen in practice at the home. For example, the building was like any other on the road with no signs to show it was a care home. Staff did not wear uniforms and people lived their lives in the ways they wanted.

People were kept safe from abuse and avoidable harm and could speak to staff if they had any concerns. All risks to people were assessed individually and there was detailed guidance available for staff. There were enough suitably trained and safely recruited staff to meet people's needs. Medicines, including 'as required' medicines, were received, stored, administered and disposed of correctly. The home was maintained and clean. Staff understood how to prevent and control infection and all the necessary health and safety checks were completed to ensure a safe environment. Accidents and incidents were recorded, analysed and reviewed to identify any trends and to prevent future reoccurrence.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service supported this practice. People's needs had been assessed before they moved into the home. People were supported with their goals and achieved good outcomes. There was a significant reduction in people's behaviour that challenges and therefore the use of any physical intervention or use of medication for this. People's care records had clear guidance for staff on how to be supported with their needs in the way they wanted and staff took the time to get to know people by chatting with them. People were offered choice around their food and were involved with planning, shopping and cooking their meals. People had access to the healthcare they needed.

People were supported in a relaxed way by caring staff who respected them and promoted their independence. People were involved with all aspects of their day to day support and the running of the home. Staff protected people's privacy and dignity and supported them to keep in contact with their

families.

People received personalised care which was responsive to their needs. Support plans focused on outcomes for people and the support they needed to meet these outcomes and to be in control of their own lives. In line with 'registering the right support' people were part of their communities, they used local facilities and accessed community health and leisure facilities. People could raise any complaints they had. The complaints procedure was accessible and the provider actively sought feedback from people and their relatives.

The management team consisted of two deputy managers, a registered manager and the directors. People and relatives said the home was well managed. Staff understood the vision and values of the and felt supported by the management team. The managers promoted a positive, person centred and professional learning culture, had good oversight of the quality and safety of the, and clearly understood and managed any risks. Audits were completed which identified any improvements needed. There was good record keeping and monitoring to ensure people received the support they needed. People were engaged in the home and there was good communication within the staff team.

Further information is in the detailed findings below.

The five questions we ask about services and what we found