Aspire Hub 4

The service had 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.

People's experience of using the service People using the service were kept safe by staff. Safeguarding processes were in place and being followed to investigate and respond to allegations of abuse. Staff were knowledgeable about safeguarding systems and knew how to keep people safe. Risk assessments were completed and regularly reviewed to ensure risks were mitigated. Incidents and accidents were monitored, and actions taken to prevent future occurrences. Medicines were managed safely, however storage of medicines did not always follow best practice. Staffing levels were sufficient to meet people's needs and recruitment procedures were robust.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Staff were provided with the necessary training to carry out their roles. Staff were supported with regular supervisions and appraisals. Staff practice was monitored through competency and observational checks. People were supported to maintain a healthy diet and people were offered choices about what they ate and drank. People were supported by health professionals and staff acted on advice given to improve people's wellbeing.

People received care from staff who were kind and compassionate. People and staff knew each other well as many staff had worked for the service for a long period of time. People and staff told us they had built positive relationships which helped people to feel supported in their day to day lives. People were encouraged by staff to learn new skills to promote their independence. Staff respected people and their diverse needs.

Care plans were completed, and people were supported to express their views about their care. People were involved in a variety of activities of their choice which supported them to maintain their 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.

The provider used internal and external audit systems to monitor the quality and safety of the care provided. People, their relatives and staff were asked for their views so improvements could be made. The provider had good community links and engaged with other organisations to improve their knowledge of good practice and learn from others. Staff felt the management team were supportive and people felt concerns would be managed effectively.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk