The Field Lane Domiciliary Agency

People received care in their own homes, in their own self-contained flats and people received care who were living in supported living houses where six people or less lived.

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 service applied the principles and values of Registering the Right Support and other best practice guidance. These ensure that people who use the service can live as full a life as possible and achieve the best possible outcomes that include control, choice and independence.

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.

We observed positive, friendly interactions between people and staff. Staff spent time with people as and when they wanted. Staff respected people and focussed on increasing their independence and achieving good outcomes. People were treated with dignity and kindness. People were supported to learn new skills and succeed in their goals.

People received personalised care that was tailored to meet their individual needs, preferences and choices.

Person centered care plans were detailed and guided staff about people's needs and how to meet them. Staff supported people to make choices and decisions relating to their care and to live their lives as they wished.

Relatives we spoke to were satisfied with the quality of care. A relative told us, "Overall my relative has expressed he's happy, {the support given] has been instrumental in building my relatives confidence. Another relative said, "I'm satisfied it's a high level of care that my relative receives, my relative seems happy and "I'm confident."

People were safe and were supported by staff who were trained to recognise the signs of any potential abuse. Staff had been trained in safeguarding and knew what action to take if they had any concerns about people's safety or welfare.

People's risks were identified and assessed appropriately such as accessing the community, mobility, travelling in the car and road safety.

There were sufficient staff to meet people's needs and to enable them to engage with activities, access the community and to live their lives independently. People were supported by staff whose suitability was checked at recruitment. Staff completed training and were experienced in their roles to provide effective care to people. Staff received regular supervisions and an annual appraisal.

People were comfortable in the company of the support workers. Staff felt supported by the managers and felt confident that any suggestions or concerns would be listened to and acted upon. People were asked for their feedback about the service through house meetings and giving feedback to staff. A range of quality assurance systems measured and monitored the quality of care and the service overall.