Bradbury Court

The home is a single level property in a residential area of Market Drayton. All bedrooms have en-suite wet rooms/ toilets and the property is wheelchair accessible throughout. There is a large garden and separate community allotment space. There is a car parking area to the front.

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. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

The Secretary of State has asked the Care Quality Commission (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 thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

The provider had safeguarding systems to protect people from the risk of abuse or unsafe care. Staff were aware of the procedures, had received training on it and knew what action to take. Staff had the required skills and expertise to meet people's needs effectively and provide good outcomes that promoted well- being and a good quality of life.

Staff assessed and reviewed people's physical, mental health and social needs and the progress they were

making towards their goals. Records confirmed people's choices were always considered and they and/or their representatives had been involved in any decisions about their care.

The safe and effective management and monitoring of medication meant that people received their medicines as prescribed and there was strict monitoring of 'as required medicine'. Staff worked with other agencies and health professionals to support people to receive the care, treatment and support they needed promptly.

The registered provider had procedures in place for assessing a person's mental capacity in line with the Mental Capacity Act 2005. 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 received support to maintain good nutrition and hydration in line with their personal choice and preferences and their healthcare needs. The service worked collaboratively with other agencies and professionals to support people's health and well-being.

People's social and emotional needs were emphasised as part of people's overall individual support. The staff helped people living in the home to maintain their friendships and independence. Advocacy services were available to provide independent support if people needed this.

People's communication needs were thoroughly assessed and understood by staff. This helped to support people's communication needs and the Accessible Information Standard (AIS).

A complaints procedure was in place and people, their relatives and friends were given the opportunity to give regular feedback on the service.

The registered manager and staff showed a clear desire to develop and improve their service in a planned and managed way. They showed knowledge, enthusiasm and an understanding of the importance of openness and working closely with families, other agencies and healthcare professionals to make sure people had the best care.