The Orchard Trust Domiciliary Care Agency

People's experience of using this service: 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 coordinated person-centred support that was appropriate and inclusive for them.

The outcomes for people using the service reflected the principles and values of Registering the Right Support in the following ways. People's support focused on them having as many opportunities as possible to gain new skills and become more independent. Where people lacked capacity to make decisions for themselves, the service used the least restrictive methods to support them. People were able to access the community and take part in activities which were tailored to their individual needs.

• People's risks had been identified and appropriate safety measures were in place. People were supported by a consistent team of staff who were kind and caring. • People received their medicines as prescribed and medicines were managed safely. • Staff knowledge in relation to people's conditions, their needs, and how to support them was thorough. • Care plans were person centred and included people's personal preferences. This meant people received a service which was tailored to their individual needs. • Staff had good relationships with people and knew them well. People told us they were happy with the staff who supported them. • People could see healthcare professionals when needed and supported to live healthy lives. • People were supported to take part in various activities such as social farming, gardening, bingo and pottery. • There was an open culture where staff and people could raise concerns or issues. People told us they felt safe at the service and felt happy to speak up. • People, relatives and staff told us the service was well-led. The registered manager was a visible presence and knew people and their relatives well. • People's feedback was encouraged and used to shape the service.

The service met the characteristics of Good overall. For more details, please see the full report which is on the CQC website at www.cqc.org.uk.