The Field Lane Domiciliary Agency - Southend-on-Sea

The service has 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.

Right Support: Care and treatment was planned and delivered in a way that was intended to ensure people's safety and welfare. People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible; the policies and systems in the service support this practice. Staff always worked hard to promote people's independence through encouraging and supporting people to make informed choices.

Right Care: People were cared for and supported by staff who had received the appropriate training. There were systems in place to minimise the risk of infection and to learn lessons from accidents and incidents. Medication was dispensed by staff who had received training to do so. 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.

People were supported to eat and drink enough to ensure they maintained a balanced diet and referrals to other health professionals were made when required. The environment was well maintained and suitable for people.

Staff cared for people in an empathetic and kind manner. Staff had a good understanding of people's preferences of care.

Right Culture: The provider had processes in place to check staff were safely recruited; however, not all relevant information was documented for new applicants.

We have made a recommendation about the provider's recruitment processes.

The registered manager responded to complaints received in a timely manner. People were supported to make plans for the end of their life. However, these were not fully documented.

We have made a recommendation for people to have detailed end of life care plans in place.

People and their relatives and advocates were involved in the planning and review of their care. Care plans were reviewed on a regular basis. People were supported to follow their interests and participate in social activities.

The registered manager had systems in place to monitor and provide good care and these were reviewed on a regular basis.