Avalon

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's experience of using this service and what we found - Relatives made positive comments about the care provided at Avalon.

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.

Mental capacity assessments were not always completed in line with law. We have made a recommendation that mental capacity assessments are reviewed.

All known and expected risks in the service had been identified and mitigated. Positive risk taking was also supported within the service.

Staff were recruited safely, were visible in the service and responded to people quickly.

Staff knew people well and had developed meaningful relationships with them.

People could take part in a range of activities internal and external to the service which promoted their wellbeing.

People's health was well managed and there were positive links with other services to ensure that individual health and nutritional needs were met.

People received their medicines when they needed them.

End of life care plans were not always in place for people. We have made a recommendation about this. Relatives and professionals made positive comments about the management team at the service.

People were treated with dignity and respect.

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 that include 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. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent. For more details, please see the full report which is on the CQC website at www.cqc.org.uk