Saresta and Serenade

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.

On the day of our comprehensive unannounced inspection on 7 February 2019, there were eight people living in the service.

At our previous inspection of 27 July 2016, this service was rated Good overall. We found the evidence continued to support the rating of Good overall. There was no evidence or information from our inspection and ongoing monitoring that demonstrated serious risks or concerns. This inspection report is written in a shorter format because our overall rating of the service has not changed since our last inspection.

People continued to receive a safe service. There were systems in place designed to reduce the risks of avoidable harm and abuse. People were supported with their medicines safely. Staff were available to support people when needed and robust systems were in place to recruit staff safely. People were safeguarded by the service's infection control processes. Where incidents had happened, the service learned from these and used the learning to drive improvement.

People continued to receive an effective service. People were supported by staff who had received training to meet their needs. Staff worked with other professionals involved in people's care. People had access to health professionals when needed. People's nutritional needs were assessed and met. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The environment was suitable for the people using the service.

People continued to receive a caring service. People shared positive relationships with staff. People's privacy, independence and dignity was respected. People's choices about how they wanted to spend their time and be cared for were valued and listened to.

People continued to receive a responsive service. There were systems to assess, plan and meet people's individual needs and preferences. People's had access to social activities to reduce the risks of isolation and

boredom. There was a complaints procedure in place and people's complaints were addressed.

People continued to receive a service which was well-led. The registered manager had a system to assess and monitor the service people received. Where shortfalls were identified actions were taken to improve. People were asked for their views about the service and these were valued and listened to. As a result, the service continued to improve.

The five questions we ask about services and what we found