50 Broadfields

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.

People were supported to take their medicines safely by staff who had been trained. There were sufficient numbers of staff available to provide safe care and support. Risks had been identified, assessed and were managed with staff making sure people could maintain independence as much as possible. Accidents and incidents were recorded and reviewed by management, so trends could be identified.

Staff were trained and supported so they could provide effective care and support. People chose their own food and did their own shopping with support from staff. People's needs were assessed and when needed, referrals to healthcare services were made. Staff worked together with healthcare professionals to meet people's needs.

People, relatives and professionals all told us staff were caring. Staff had worked with people to achieve lifelong goals which had resulted in positive wellbeing. People told us how they had been supported to go on holidays to do things they had always wanted to do. People were valued by staff and supported to spend their time how they wished. One person had started a voluntary job and was looking at potential opportunities for paid work. Activities were provided, and people were encouraged to access their local community.

People, relatives, staff and professionals told us the service was well-led. Staff were supported by an on-call system 24 hours a day which they told us helped them feel safe. Quality monitoring systems were in place

and the provider continuously looked to improve. A development director was employed who researched good practice and monitored service developments.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive interventions practices (restraint, seclusion and segregation) when supporting people. This service did not use any restrictive interventions or practices.