23 Trittiford Road

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. The building deliberately had no identifying signs, intercom, cameras, industrial bins or anything elseoutside to indicate it was a care home. Staff were also encouraged to wear their own clothes that didn't suggest they were care staff when coming and going with people.

Because people who lived at the home were unable to tell us about their experiences, we spoke with their relatives, health professionals who support the service and observed staff working practices.

We found people were safe at the home. Accidents and incidents are monitored and actioned appropriately. Staff knew service users well and had received training on how to protect them from the risk of abuse. There were robust medication systems in place to reduce the risk of errors.

We saw staff interacting well with service users, showing care, compassion and kindness. People were offered choices and given the opportunity to respond. Appropriate forms of communication to meet people's individual needs were available.

People's needs were reviewed when their needs changed and care plans updated accordingly. The service seeks feedback from people using the service and families about the service.

Staff told us they felt supported and valued by the management team. There are robust audits in place and improvement plans to continue to develop and improve the service. The registered manager and deputy manager know people's needs.

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 had received training and were able to tell us about the mental capacity act and how this impacts on how they provide care and support.

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, including having control, choice and independence. The outcomes for people using the service reflected the principles and values of Registering the right Support by promoting choice and control, independence and inclusion.