Callisto

People were being supported by staff who had been recruited safely and had been trained effectively. Staff were aware of the different types of abuse and what action to take if they were concerned. There were sufficient numbers of staff on duty. Medicines were managed safely with safe systems in place to order, store, administer and dispose of medicines. Risks had been identified and risk management plans were detailed and reviewed.

People had their needs assessed which included their healthcare needs. Support was provided to access health services where needed. 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.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence. People chose how they wanted to live their life and were supported to buy their own food and carry out light domestic activities.

People had their own care plans which were easy read and had pictures to support people to understand them. Communication needs were assessed and recorded in care plans, people had communication protocols in place where appropriate. People had opportunity to engage in social activity and access local services such as the leisure centre. One person had a voluntary job which they did once a week.

Systems were in place to monitor the quality of the service and make improvements where needed. The provider had a good oversight of the service and monitored outcomes. There was a registered manager in post who encouraged staff to share their views. Staff were supported to provide effective care and support. Feedback was gained from people to help develop the service. Partnerships had been maintained with many local healthcare professionals to make sure people got the care and support they needed.

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.