Wigston

Right Support We made a recommendation about clarifying reporting arrangements for Deprivation of Liberty Safeguards (DoLS) conditions. However, staff supported people to have the maximum possible choice and control over their own lives and to be independent. Staff supported people in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice. Staff supported people to make decisions following best practice in decision-making.

Improvements were needed to record keeping in relation to lessons learned following accidents and incidents. The service worked with people to plan for when they experienced periods of distress so that their freedoms were restricted only if there was no alternative. Staff did everything they could to avoid using restrictions on people's freedom. The service recorded when restrictive practices were used, and staff learned from those incidents and how they might be avoided or reduced. People had health action plans in place, these did not always contain up to date information about their health appointments. Annual health checks were overdue but were booked during the inspection.

People had a choice about their living environment and were able to personalise their rooms. Staff supported people to take part in activities and pursue their interests in their local area.

Staff communicated with people in ways that met their needs. They supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

Right Care

There was no system in place for staff to request support if they were unable to 'breakaway' in an unsafe situation. During the inspection the provider ordered radio-controlled devices for staff to use. Improvements were needed to record keeping systems relating to accidents and incidents, restrictive practice interventions and debriefs to record in detail lessons learned.

The service had enough appropriately skilled staff to meet people's needs and keep them safe. There had been a high use of agency staffing during the beginning of the year. However, staffing had improved, and no further agency staff usage was planned, following the inspection. There were enough staff that had been safely recruited to meet people's needs.

Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care. People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

People who had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols could interact comfortably with staff and others involved in their care and support because staff understood their individual communication needs.

People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities. Where appropriate, staff encouraged and enabled people to take positive risks.

Right culture People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs.

Staff turnover had been high resulting in a number of staff vacancies at the beginning of the year. This had improved, which meant the consistency of care people received had improved and they were supported by staff that knew them well.

The service enabled people and those important to them to work with staff to develop the service. Staff valued and acted upon people's views. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.