Leighton House

At the last inspection of October 2015 the service were in breach of Regulation 12 for unsafe administration of medicines. The service sent us an action plan on how they would improve. We saw that at this inspection the improvements had been made.

Staff were consistently kind, caring and supportive and although most often they only supported people for a short period of time had developed positive relationships with people who used the service and their families.

The views of people who used the service were sought regularly using people's own individual communication methods.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. Staff also supported family members, for instance the service could take people if there was an emergency to ensure their care was maintained. Staff tried as much as possible to ensure that when people came into the service they followed their routines and activities they normally did at home.

The registered manager and staff understood the principles of the Mental Capacity Act (MCA) 2005 and worked to ensure people's rights were respected.

Staff were supported to undertake their roles and had incentives to perform better. Staff also received induction, training and supervision relevant to their roles. This ensured they had sufficient knowledge to meet people's needs.

Managers at the home and head office audited systems to help maintain and improve performance.

There were safe systems in place for the storage and disposal of medicines. Staff received training in how to administer medicines and had their competency in this area assessed.

People received individual care packages which took account of their needs which were mainly a learning disability or Autism. Staff were trained in the care of people with these conditions and how to safely de-

escalate any behaviours that challenge. There was also the provision of equipment such as track hoists for people with mobility issues.

People were able to raise their concerns which were acted upon by the service.

People were able to attend activities of their choice which were suitable to their age, gender, culture, ability and religion.

The five questions we ask about services and what we found