Field View

It provides services for adults with a learning disability and autism, Field View is registered to provide support for five adults and at the time of the inspection three people lived in the home.

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 receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

Thorough recruitment and staff induction was in place to ensure that staff were suitable to work and provide support within the service.

We discussed with the manager ways to improve people's understanding of how individuals are supported with choice. This aspect of people's care across all U&I Care services needs to be reviewed, to be able to manage family's expectations in line with legislation as people transitioned from children's service and receive support in adult services.

Care and support were delivered on an individual basis and the occupants of the home decided the daily routines. Care, support and activities were planned around individual likes and dislikes. People were encouraged to participate in activities which were meaningful to them for example education and sports. People were given opportunities to experience new activities with varying degrees of success.

We found people were supported to connect with other people using the U&I Care Limited services to avoid social isolation. People also attended events at community activities, social clubs and discos. The time spent engaging with these activities was dependant on their preferences and well-being at the time.

People told us they felt safe and we observed people's responses which showed us that they felt comfortable with the staff members supporting them. The service worked hard to promote inclusivity and people's diversity was embraced, staff demonstrated this with their knowledge of how people communicated. Staff were aware of verbal triggers and responses that would demonstrate if people were feeling anxious. Staff supported people to make their needs and wishes known, and what worked best to ensure they had a good day.

Recent changes to the management structure were seen as positive in supporting clear lines of accountability. We considered that this would help with issues we previously identified regarding robust planning and review, overview, record-keeping and governance to support consistent safety and quality of care.

Staff told us they were proud to work for U&I Care Limited. There were processes in place for staff to access support at any time and we were told by staff they felt supported by the management team. Records clearly showed staff received formal supervision, appraisal and regular training.