Little Ingestre House

The service has not 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 receive planned and co-ordinated person-centred support that is appropriate and inclusive for them.

The service was a large home, bigger than most domestic style properties. It was registered for the support of up to 15 people; this is larger than current best practice guidance. However. the size of the service having a negative impact on people was mitigated by the building design fitting into the residential area and the other large domestic homes of a similar size. For example, there were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a care home. The home was spacious and had multiple communal areas.

Medications were not always safely managed however this was immediately acted on by the registered manager and evidence of actions taken was made available following the inspection.

The service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

The outcomes for people using the service reflected the principles and values of Registering the Right Support by promoting choice and control, independence and inclusion. People's support focused on them having as many opportunities as possible for them to gain new skills and become more independent.

Incident and accidents were analysed for patterns and trends. Risks to people were assessed safely, care plans were person centred and regularly updated. Care records contained important information regarding people's histories, families, likes and dislikes. This information was used to personalise support to meet each person's needs. People were supported by compassionate staff who respected their privacy and

dignity. People were involved in regular reviews of their care and encouraged to give feedback.

The registered manager and provider made effective use of audits and other sources of information to review and improve practice. People were able to give their opinions on the care they received and a range of communication methods were in place to ensure people continued to have this opportunity.

People were supported to maintain a healthy diet and had access to healthcare professionals should they need them.

Staff were recruited following safe processes and received appropriate inductions into the service. Staff also received supervisions and attended regular meetings. Feedback from staff we spoke with was all positive and people told us how supportive the register manager was.

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.