Isabella Court

The service has been developed and designed in line with the principles and values that underpin Registering the Right Support and other best practice guidance. This ensures that people who use the service can live as full a life as possible and achieve the best possible outcomes. The principles reflect the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People using the service received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

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 did not use any restrictive intervention practices at the time of our inspection.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice. People were provided with information they needed and were encouraged to be involved in all aspects of their care. Staff asked for people's consent before they delivered care and support.

People communicated positive feedback about the service and staff. Health professionals feedback demonstrated a responsive service. Staff were attentive to people's needs and knew individuals well. Staff spoke passionately about the people they supported and worked to uphold their rights. The service achieved positive outcomes for people through attentive care, understanding and responsiveness to the needs people communicated to them.

These qualities demonstrated a service working to achieve positive outcomes for people, which reflected the principles and values of Registering the Right Support. This included; Taking time to support people to express themselves when making decisions and involving their preferred representatives; championing people's rights and choices to maintain independence and control of their lives; holistically assessing

people's needs to ensure the right support is accessed; and encouraging new activities and sensory opportunities. These impacted positively on people's quality of life in terms of their physical, mental and emotional health.

Care plans included historical information and guidance on all aspects of care provision. Changes in people's needs were communicated promptly meaning staff could deliver consistent, personalised and responsive care to people. People had a choice of activities and events that were meaningful to them. Staff understood people's interests and often had similar interests themselves. This helped them to build trust and support the development of people's other relationships with friends and family.

Staff received regular support to enable them to deliver person centred care. This included; specific training around people's individual needs, supervisions that encouraged learning and development and regular communication methods such as staff meetings and handovers. The service worked in partnership with other agencies and health professionals. Best practice tools were utilised to support positive outcomes for people and responsive care practices.

Safeguarding systems protected people from abuse or avoidable harm. Recruitment procedures were thorough and staffing levels ensured people's immediate needs were responded to. Risk assessments were detailed and clearly informed staff of the steps to take to mitigate future risks to people.

People, relatives and staff provided good feedback about the management of the service. They were confident that concerns were dealt with and resolved to their satisfaction. Staff told us the registered manager supported them at all times and had an 'open-door' policy.