Ravenscroft House

Ravenscroft House is a large house fitting into the residential area and the other large domestic homes of a similar size. There were deliberately no identifying signs, intercom, cameras, industrial bins or anything else outside to indicate it was a supported living service. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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.

Staff knew people exceptionally well including their likes, dislikes, preferences and wishes. They were responsive to people's care and support needs which enabled people to reach their potential. People enjoyed a variety of activities in the community, which enabled them to develop relationships outside of their home. People and relatives knew how to make a complaint if they needed to and felt confident it would be addressed.

Robust recruitment processes were in place to ensure suitable staff were employed. There were enough staff on duty to meet people's needs and keep them safe. And ad hoc staff hours enabled people to be supported to attend specific events. Accidents and incidents were investigated by the registered manager to reduce the risk of reoccurrence and identify any learning. Staff understood the provider's safeguarding policy and referrals were made to the local authority when concerns were identified. Medicines were well managed and

staff received regular medicines training.

People were supported to access routine and preventative healthcare services to maintain their health and wellbeing. Staff promptly identified when people were unwell and sought appropriate clinical advice. People were encouraged to choose their own menus and helped with the shopping and cooking. People all had mental capacity to make decisions for themselves and we observed staff obtained consent from people for day to day decisions.

There was a positive, person centred culture within the service which was embedded in staff practice. The registered manager used a range of quality monitoring systems, such as surveys and audits, to help drive improvement. People, relatives and staff spoke highly of the registered manager. Staff felt very well supported by the registered manager who was approachable and available for support and guidance.