St Anne's Community Services - Leeds DCA 2

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.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered managers at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people.

The service used positive behaviour support principles to support people in the least restrictive way. No restrictive intervention practices were used.

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. People were supported to do the things they wanted to. Staff and the registered managers were enthusiastic and highly motivated to provide person-centred care based on people's choices and preferences.

Staff were trained and supported to deliver care according to people's needs; and worked with other

agencies to deliver consistent and effective care. People were supported to maintain their health and had a varied and balanced diet.

Support plans were person-centred and detailed. People told us staff were caring and treated them well. People had developed caring and kind relationships with staff and the registered managers. Staff and the management team worked to respect and promote people's privacy, dignity and independence.

The service was well led. The provider and registered managers assessed and monitored the quality of care. There was a positive, person centred and caring culture in the service led by the registered managers. 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.