Sunnyborough

Sunnyborough is a large property divided into three separate living areas. Nine people lived in the area called the 'residential service', five people lived in the 'annex' and four people lived in their own self- contained flats.

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 received planned and co-ordinated person-centred support that was appropriate and inclusive for them.

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 intervention practices (restraint, seclusion and segregation) when supporting people.

The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles. Where interventions were used the manager agreed to record where lessons could be learnt to evidence the work carried out to reduce the likelihood it would occur again.

We have made a recommendation the provider reviews its approach to governance of the service to ensure they record all checks they make to assure themselves legal requirements are met, and performance is good. We have also made a recommendation the provider implements the Accessible Information Standards fully. This will ensure a full assessment of people's communication needs is completed and recorded.

Staff felt supported and a plan was agreed with the provider to ensure they received better training around people's mental health needs and regular supervisions and appraisals.

People had good access to healthcare professionals. Work to promote healthy lifestyles including healthy eating needed to be more specific to individuals to reduce the likelihood of ill health.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; policies and systems supported this practice. People were provided with information they needed and were encouraged to be involved in all aspects of their care. Where they needed support with decision making they were made in their best interests. Records to evidence this good work needed to improve. Staff always asked for people's consent before they carried out support.

The principles of Registering the Right Support were embedded in the culture of the provider and service. This meant people were supported to have meaningful lives, that they were in control, had choice and their independence was promoted. People lived as full a life as possible and achieved the best possible outcomes for them. This included access to the community, friends and family.

People, their relatives and staff all agreed the service was well-led. People received person centred care based on their preferences and aspirations. People had developed their skills with staff support to work to achieving more independence in the future.