Tresleigh

The service is situated in the centre of a village with access to the local community. The premises comprise of four self-contained flats. The outside space is divided into secure garden and courtyard areas, which people can either share or use separately depending on their wishes and needs.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

The Right support: The model of care and setting maximised people's choice, control and independence. Staff supported people to make choices about their daily lives and engage in activities, that were tailored to their individual needs and promoted their independence. Staff were highly motivated and skilled at using their knowledge of people's preferences to encourage and motivate people to try new things. Staff understood the importance of social inclusion and were creative in developing ways people could be engaged in the local community. People were supported to maintain and develop relationships.

Right care: People received good quality person-centred care that promoted their dignity, privacy and human rights. There was a strong person-centred culture within the staff team. Positive behaviour support plans had been developed for people, to understand the reasons for their behaviour, and provide guidance for staff to ensure consistent approaches were used when supporting people. This pro-active approach had reduced the number of incidents, of behaviour that challenged the service, and the need for restrictive interventions. Staff knew people well and demonstrated an excellent understanding of people's individual care, behavioural and communication needs. This helped ensure people people's views were heard and their diverse needs met.

Right culture:

People lived in a service where the ethos, values, and attitudes of management and care staff ensured people led confident, inclusive and empowered lives. Staff created an environment that inspired people to understand and achieve their goals and ambitions.

The service significantly improved people's quality of life and well-being. People were supported to stay fit and healthy and their medicines were managed safely. Staff supported people with weight loss plans and to maintain a healthy diet. Extensive desensitisation programmes had been put in place to support people to access medical treatment, such as scans, blood tests and COVID-19 vaccinations.

Staff's in-depth knowledge of how people communicated ensured people had maximum control over their lives and how they spent their time. Care and behaviour support plans were accurate and kept under regular review, with the involvement of the person and their family. They provided staff with comprehensive guidance to ensure people's needs were met. Risks were identified and staff had clear instructions to help them support people to reduce the risk of avoidable harm.

Staff were recruited safely. Staff were supported by a system of induction, training, supervisions, appraisals and staff meetings. Staff were appropriately trained, and their competency regularly checked, to ensure people's complex needs were met.

Cleaning and infection control procedures had been updated in line with COVID-19 guidance to help protect people, visitors and staff from the risk of infection. Government guidance about COVID-19 testing for people, staff and visitors was being followed.

People's relatives and staff told us management were approachable and they listened to them when they had any concerns or ideas. All feedback was used to make continuous improvements to the service.