Stanley Grange

Whilst the campus style model of service delivery offered to people at this setting does not meet current best practice and not consistent with the principles of Registering the Right Support, there was a person-centred approach to care delivery and people achieved good outcomes. A significant effort had been put to reduce the impact of the historical care model. This was reflected by the ongoing alterations to the structure of the service, accommodation and the clear positive outcomes resulting from individualised person-centred care.

The principles and values that underpin Registering the Right Support, research and other best practice guidance outline that people who use services must be supported to live as ordinary life as possible which includes being an active participant in their local community and living as full a life as possible to achieve the best possible outcomes. How the provider can modernise the model of care will be discussed following this inspection.

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. There was a proactive effort to promote community involvement and people's liberties. The policies and systems in the service supported this practice. Staff training was developed and delivered around people's needs. The provider recognised continuing development of skills, competence and knowledge was integral to ensuring high-quality care and support. People received a balanced diet which met their individual needs and took into consideration their preferences. Staff sought to improve people's care, treatment and support by identifying good practice.

People were assisted to learn to be involved in managing their medicines and received their medicines in a safe way. Staff were committed to enabling people to do as much for themselves as possible. Staff knew how to keep people safe and the service learned from accidents and incidents and used this learning to improve the service. Staff were recruited in a safe way and there were enough staff to meet the needs of each person.

People received personalised care and support specific to their needs and preferences. This had been effective in supporting people to achieve their goals and aspirations and encouraged more freedom for people. People's communication needs were assessed and staff used various tools to assist people with communication needs. Improvements had been made to complaints procedures in the service. However, there were mixed views regarding how complaints were dealt with. The registered manager and the provider needed to review and further improve how they received and shared outcomes of complaints with people and their relatives.

The service was well-led. The registered manager and the management team provided a positive model for all the staff. Feedback about the registered manager was positive and staff felt well supported. Staff were motivated and proud of the service, and morale was high. There had been several improvements made since the last inspection. There was a positive and warm atmosphere throughout the service during our inspection.