Rouse

At our last inspection we rated the service good. At this inspection 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 care service has 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 can live as ordinary a life as any citizen.

The service had a registered manager in place. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are 'registered persons'. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

The service had a safe, friendly and homely atmosphere. The service benefited from a well-established stable staff team who know the people living there extremely well. This had allowed them to develop professional effective and caring relationships with people..

People were supported to be as independent as possible and the service continued to work with people to develop their independence further. This was done in the service and on regular activities in the community.

People were supported in a person centred way. It is clear the staff valued the people living at Rouse and treated them as individuals. They allowed them to make decisions about their care and support. It was also clear that the staff thought of Rouse as the people's home and not just their work place.

The service supported people to access health services effectively. Not only when they were ill but also in a preventative manner. For example, people attended their GP on an annual basis for 'well woman' and 'well man' checks which screen for particular diseases and check their general health. This is important as the people living in Rouse have communication difficulties and would not be able to say if anything was wrong.

The people living in Rouse were encouraged to develop and maintain relationships with other people living in the community and their relatives.

The five questions we ask about services and what we found