Excel Living Limited

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 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 continued to receive exceptional, person-centred care from the outset. Their wishes were understood and close relationships between people, staff and families had developed. Family members told us the care their relatives received was exceptional and had far exceeded their expectations. There was a high quality, bespoke and flexible approach towards people's changing needs and preferences. The service was responsive to people's needs and was able to accommodate sudden changes in people's needs. People were empowered to achieve their goals. Activities were promoted by staff to prevent social isolation.

People showed they felt safe with staff who were highly motivated, knowledgeable and skilled to provide each person with the support they needed. Staff were fully aware of policies and procedures to keep people as safe as possible and rigorously followed risk assessment guidelines to ensure nobody was put at risk. Staff supported people 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. The provider followed their recruitment procedure which ensured all staff were safely employed. Induction training was thorough and the training for staff was kept up to date which meant they could provide effective care. People received medicines from staff that had been trained and their competency assessed.

Staff had received training to meet the needs of people using the service. They had also received regular supervision and an appraisal of their work performance. People's health needs were identified, and they

were supported to maintain regular appointments and screening. People were supported to eat and drink. Specialists were involved when required for people who were nutritionally at risk.

The staff team were passionate at promoting people's independence and ensuring people's homes and facilities where appropriate to meet people's needs. The staff team had taken steps to support people to make the appropriate adaptations to their homes. This included air conditioning being installed and a garden area adapted which had improved people's wellbeing.

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 benefitted from a service that was well led by a committed and skilled management team who led by example. The management promoted a positive culture that was open and transparent. They used effective checks and audits of care to provide high quality, person-centred care. There was an ongoing plan of development for the service. The staff team were well trained and supported, and communication was good. Staff were motivated and reflected pride in their work. They talked about people in a way which demonstrated they wanted to support them as much as possible and provide the best standards of care.