Shared Approach Limited

The care service has been developed and designed in line with the values that underpin the Registering the Right Support and other best practice guidance. These values include choice, promotion of independence and inclusion. People with learning disabilities and autism using the service can live as ordinary a life as any citizen.

People's experience of using this service: The service people received was flexible and supported people with limited communication to lead unique and valued lives that incorporated their preferences, cultural heritage and met their needs. Staff knew people well and could tell us how they managed risk and behaviours that challenge that respected the person and supported their dignity. 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 supported this practice.

Staff told us they had appropriate training, knowledge and support to keep people safe. Observations showed people were comfortable in the company of staff. People and their relatives we spoke with felt confident in the management. They told us there was a caring culture within the service and staffing levels were appropriate.

It was clear staff morale was good and everyone was committed to ensuring people received care and support based on their preferences and life choices. The registered manager told us the low staff turnover allowed positive relationships to be built with people receiving support and strong teamwork to develop. Staff felt well supported and expressed they were happy in their role.

People and their relatives had been involved in the development of their care plans. These were regularly reviewed to reflect people's current needs. The management of risk was included within the care plan to minimise the likelihood of preventable harm occurring. Staff files we looked at showed the registered manager used the same safe recruitment procedures we found at our last inspection. Staff told us training was ongoing and they were supported to gain vocational qualifications in health and social care.

There was a complaints procedure which was made available to people and their family. People we spoke with told us they were happy with the support they received. Relatives we spoke with told they were happy with the care and support delivered. The service continued to have good oversight of relevant procedures through monitoring and auditing to ensure people received effective support and the service was well led.

We noted activities were provided as part of the care people received. Staff told us they supported people to activities that enhanced their physical and mental wellbeing. The service engaged with outside agencies to ensure people received timely healthcare support. Staff received training to ensure people's clinical health needs were met daily within their home environment. The management team engaged with other agencies to gain updates on legislation, best practice and learn from other providers experiences.