No 39

Positive relationships had developed with local health care providers, who provided timely support. The staff considered people's emotional and sensory needs for planned appointments and used social stories to help them attend appointments.

People had choice about how to decorate their bedrooms and were able to personalise their bedrooms and individual lounge areas. The environment was well equipped, well-furnished and clean throughout. However, urgent repairs needed to be reported and repaired more swiftly. We found two fire doors had been wedged open because the fire guards were broken. Following our inspection, the provider notified us that these had been repaired. People had access to a sensory area and each person had their own lounge bedroom and lounge area.

Periods of anxiety or emotional distress were recorded, which included the action taken by staff to support people. The registered manager considered these as part of the review process of people's needs.

The service supported people to have the maximum possible choice, control and independence. The service encouraged people to be involved about their support and plans and were consulted daily using individuals' communications tools so they could decide on activities and meals. People were supported by staff to pursue their interests and to achieve their aspirations and goals.

Right Care The provider had followed their recruitment practices to ensure people employed were suitable to work at the service and support people safely. However, we were unable to find evidence of ID checks for two staff during our site visit. The registered manager sent confirmation following the inspection that these had been checked. The service had enough appropriately skilled staff to meet people's needs and keep them safe.

People's dignity and human rights were promoted, and people were encouraged to make day to day decisions about the activities and events they wished to participate in. Staff understood how to protect people from poor care and abuse. The service worked with other agencies to do so. Staff had training on how to recognise and report abuse and 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 with staff and others involved in their care and support because staff had the necessary skills to understand them. People received care that supported their needs and aspirations and was focused on their quality of life

Where appropriate, staff encouraged and enabled people to take positive risks. For example, one person had been supported to go rock climbing and another swimming.

Right culture People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care, support and treatment because trained staff could meet their needs and wishes.

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.

Relatives spoke of regular visits when their family members were supported to visit them or meet up outside of their home. A family member told us. "The staff are great. They provide person led care which is just right. There's a proactive approach of getting people out and about."

People appeared relaxed within their home and in the presence of staff. People were seen to be supported to choose activities of interest to them, which included swimming, walks, going out to eat and day trips. Staff supported people to identify and work towards short term and long-term goals and dreams and there were clear plans in place to help people achieve these. For example, one person had an education plan that included support with literacy, maths, fine motor skills and independent living tasks.

People and those important to them, were involved in planning their care. The service evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate. The service valued and acted upon people's views.