Foxhole House

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

Right support The model of care and setting maximised people's choice, control and independence. People were supported to develop their independence and take control over their own lives. People made choices and took part in meaningful activities which were part of their planned care and support. People were supported to make decisions by staff who used best practice in decision-making and communicated with people in ways that met their needs. People's care and support was provided in a safe, clean, well equipped, well- furnished and well-maintained environment which met their sensory and physical needs.

Right care People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood and responded to their individual needs. People were protected from abuse and poor care and any concerns were robustly addressed. The service had enough appropriately skilled staff to meet their needs and keep them safe. People who had individual ways of communicating, using Makaton (a form of sign language), pictures and symbols were able to interact comfortably with staff and others involved in their care and support.

People enjoyed undertaking activities and pursued interests that were tailored to them. They were given the opportunity by staff to actively engage and try new activities. Staff ensured individualised risk assessments were undertaken. Where appropriate positive risk taking was encouraged and enabled.

Right culture People lead confident, inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. People received good quality care and support from trained staff

and specialists who were able to meet their needs and wishes. People were supported by staff who understood best practice in relation to focusing on and developing people's strengths. This meant they received compassionate and empowering care that was tailored to their needs.

Staff placed people's wishes, needs and rights at the heart of everything they did. Staff knew and understood people well and were exceptionally responsive, working to understand people's aspirations so they could live a quality life of their choosing. People and those important to them, were actively involved in planning their care.

People's quality of life was enhanced by the culture of improvement and inclusivity within the service

New staff were recruited safely and received a comprehensive induction.

Staff understood how to manage and administer medicines safely.

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.

All aspects of the service, including incidents, were reviewed on a regular basis to identify any areas that could be improved.