Creative Support - Bredon Respite Service

In June 2017, CQC published Registering the Right Support. The environment had not been developed and designed in line with the principles and values that underpin this publication although it had lots of good practice in supporting people. The RRS guidance reflects the need for people with learning disabilities and/or autism to live meaningful lives that include control, choice, and independence. People's support focused on them having as many opportunities as possible while staying at the service. The registered manager advised they would review the principles in practice to see how they could update the environment to better reflect this publication.

We have made a recommendation for the registered provider to review best practice guidance in updating their service to reflect the principles of 'Registering the Right Support.'

Staffing levels offered appropriate numbers of staff. Staffing levels were regularly reviewed to make sure they were safe and could meet the specific needs of people when they booked to stay at the service. Staff were long standing members of staff offering great stability and most people had been using the respite service for many years. Staff were familiar with people's likes and preferences and positive relationships had developed.

Staff received specific training and support and were knowledgeable and experienced in effectively supporting people with their needs. They were well trained in supporting people to stay safe and received regular updated training for safeguarding people and managing medications.

People's needs, and wishes were assessed and recorded as part of an initial assessment where they were supported with a gradual introduction to the service. Support plans were very personalised and detailed people's individual needs and preferences.

People offered exceptional feedback about the management of the service and especially of the staff.

Quality assurance systems showed good oversight and robust management with a focus on high-quality, person-centred care.

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.