Topaz House

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People's experience of using this service: The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways; people's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Maintenance issues were not always reported to ensure these were addressed promptly. This was rectified during inspection.

Systems of governance and oversight were not sufficiently robust to have identified the issues we found in relation to maintenance. We made a recommendation about governance and oversight in the report.

Appropriate checks to ensure the service and equipment was safe for people were completed.

The environment was warm, welcoming, clean and free from malodours. People had personalised rooms.

Staff had appropriate skills and knowledge to deliver care and support people in a person-centred way. Staff recruitment was safe and staff understood how to keep people safe. Staff could recognise and report any safeguarding concerns if they suspected abuse.

Risks to people were well managed. Medicines were managed safely. Accidents and incidents were monitored to identify and address any patterns or trends to mitigate risks.

There was a wide range of opportunities for people to engage in activities and follow hobbies and interests.

People were positive about the staff and told us that their privacy and dignity was promoted.

Care records contained information about people's needs and risks. Preferences and choices were considered and reflected within records.

People were involved in meal preparation and had access to a varied balanced diet. Staff monitored people's weights and worked with healthcare professionals to make sure people received medical attention

when needed.

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 and staff spoke positively about the registered manager and felt able to raise concerns and were confident that these would be addressed. Staff told us they were well supported by the registered manager and management team.

People using the service and staff had the opportunity to feedback about the service. There was a system in place to respond to any concerns.

Rating at the last inspection: Good (published June 2017).