The Radley Care Home

The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative.

Staff focused on people's strengths and promoted what they could do, so people had a fulfilling and meaningful everyday life. Staff supported people to pursue their interests. The service made reasonable adjustments for people so they could be fully in discussions about how they received support, including support to travel wherever they needed to go.

People had a choice about their living environment and were able to personalise their rooms. The service gave people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment that met their sensory and physical needs.

The building design was not typical for accommodating people with a learning disability as it was larger and focused primarily on supporting older people and people living with dementia. However, this was appropriate for the people with a learning disability who were living at the service as learning disability services had not been able to support their 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 supported people to play an active role in maintaining their own health and wellbeing. Staff enabled people to access specialist health and social care support in the community.

We made a recommendation about reviewing auditing systems to ensure they were effective in identifying any ongoing monitoring requirements for people's health conditions and medicines.

Right Care: Senior staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse. However, not all staff had a full understanding of what different forms of abuse looked like or who they could report concerns to external to the organisation.

Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care.

People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. One person told us, "This is a lovely place to be if you need help, because you will get it. I feel very happy here and well looked after. The food is also very good. The place is clean. I would recommend it if somebody asked because the care is very good. I love all [staff]. I don't know where they find them, but they are all very kind and work very hard."

People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

People's care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives. Staff and people worked together to assess risks people might face and agree ways of reducing the likelihood or harm.

Right Culture: People were supported by staff who understood best practice in relation to the wide range of strengths, impairments, or sensitivities people with a learning disability may have. This meant people received compassionate and empowering care that was tailored to their needs.

Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. Staff placed people's wishes, needs and rights at the heart of everything they did.

The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people's views.

Staff turnover was low, which supported people to receive consistent care from staff who knew them well.

People and those important to them, including advocates, were involved in planning their care. Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.

People's quality of life was enhanced by the service's culture of improvement and inclusivity. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk