Brimley

The service was well led. The provider's ethos was promoted by the staff team. This was a commitment to a society where "everyone has equal access to the same rights and opportunities." The management team demonstrated an open and transparent management style and were fully engaged with people and staff at the service. The registered manager had steered the service through a significant period of upheaval, including a change of provider, policies and processes. Improvements were ongoing and informed by best practice. Quality assurance systems were being reviewed to ensure the continued quality and safety of the service and continued to drive improvement. Environmental improvements were in progress to enhance people's quality of life.

We identified an issue with documentation, related to recommended fluid intake for one person. This had no impact on the support provided to the person and feedback from health professionals was overwhelmingly positive. The registered manager acted immediately to address this issue ensuring the persons health needs were reviewed and met, and the documentation was accurate.

Staff promoted people's privacy and dignity, enabling them to make choices and have as much control and independence as possible. They worked hard to facilitate communication, supporting people to identify goals, express their views and take an active role in their community.

Staff knew people exceptionally well and were skilled at responding to their needs as they changed.

Feedback from a visiting health professional stated, "People are supported to live their own lifestyle within the home and accommodations and adjustments are made according to the residents changing needs." Staff received training and an induction which gave them the skills and knowledge they needed to support people safely and effectively. They worked closely with external health professionals, seeking out more specialist training to allow them to meet people's needs as they became more complex. The management team were proactive in their own continued professional development, using their learning to improve their leadership skills and develop the staff team. People were supported to have maximum choice and control of their lives. Staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure 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.