Downshire House

Staff understood and effectively delivered care and support in accordance with the principles and values of Registering the Right Support and other best practice guidance. This ensured that people who used the service lived as full a life as possible and achieved successful outcomes.

Right Support People were kept safe from avoidable harm because staff knew them well and understood how to protect them from abuse. Staff had completed additional training on how to recognise and report abuse and they knew how to apply it.

Staff were focused on people's strengths and promoted what they could do, so people experienced a fulfilling everyday life. Staff had completed training in relation to reducing restrictive practice and positive behaviour support.

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.

Staff enabled people to make decisions following best practice decision-making and communicated with people in ways that met their needs.

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcomes. Staff supported people to play an active role in maintaining their own health and wellbeing.

Right Care

People received kind and compassionate care from staff who protected and respected their privacy and dignity. Staff understood and responded to people's individual needs.

People's support plans reflected their range of needs and promoted their wellbeing and enjoyment of life. Staff provided care to meet people's needs and aspirations, focused on their quality of life, and followed best practice.

Staff had the necessary skills to understand people who had individual ways of communicating, using body language, sounds, pictures and symbols. We observed people were happy and relaxed when interacting and communicating with staff.

Right Culture The ethos, values, attitudes and behaviours of the manager and staff ensured people led confident, inclusive and empowered lives.

People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities of autistic people and people living with a learning disability.

We observed people receiving care that was tailored to their individual needs.

Since the last inspection, staff turnover was low, which supported people to receive consistent care from staff who knew them well and placed their wishes, needs and rights at the heart of everything they did.