Holt Road

Right care: The service had enough appropriately skilled staff to meet people's needs. Staff received support in the form of continual supervision, appraisal and recognition of good practice. They also benefitted from a system of monitoring, which ensured they received timely feedback from managers. People could take part in activities and pursue interests that were tailored to them. People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. There were visual structures, including picture aids and use of gestures.

Right culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services led confident, inclusive and empowered lives. Leaders had the skills, knowledge and experience to perform their roles and had a clear understanding of people's needs and oversight of the services they managed. This was demonstrated by the behaviour technician, service manager and the regional manager throughout the inspection. We found them to have the competencies associated with actions necessary for the delivery of

positive behaviour support.

There were effective systems and processes in place to minimise risks to people. The assessments provided information about how to support people to ensure risks were reduced.

Positive behaviour support plans included risk assessments that detailed known triggers, early warning signs and de-escalation methods to be used. This insured people received timely intervention if their mental health deteriorated. There were enough staff deployed to keep people safe. Pre-employment checks had been carried out.

There were systems in place to ensure proper and safe use of medicines. We observed from records people received their medicines on time.

People were protected from the risks associated with poor infection control because the service had processes in place to reduce the risk of infection and cross contamination.

There was a process in place to report, monitor and learn from accidents and incidents. Accidents were documented timely in line with the service's policy and guidance.

There was an effective training system in place. Care staff demonstrated good knowledge and skills necessary for their role.

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.