Expect 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 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 this service: There was not always clear guidance for staff to follow with regards to consuming food and drink whilst supporting people in their homes. We have made a recommendation about this. Some information in care files was not always easy to find and differed in their presentation. The registered manager explained there was a new system in place which would re format people's care plans, so they were clearer. Recent audits had been used to evidence the need for this change. Audits took place across all areas of service provision, and detailed action plans were drawn up as a result of the findings.

People told us they felt safe receiving care from Expect. Our observations showed that people's homes were secure, clean, and kept to a nice standard. Staff were deployed in suitable numbers, and staff had time to spend with people and were not rushed. Medication needs were assessed, and medication was only given by staff who were trained to do so. Staff were recruited safely, and incident and accidents were analysed for patterns and trends. Risks to people were assessed safely.

Staff had the correct skills to support people and their training was up to date and recorded in a training matrix. Staff were required to engage in supervision and had an annual appraisal. People were supported to eat and drink in accordance with their needs. Decisions and consent to care and treatment were sought in line with the Mental Capacity Act 2005.

We received positive comments about the staff in relation to the support they provided. Everyone said staff were kind and caring. Staff were able to describe how they ensured people's dignity was respected. People were involved in their care plans.

We observed, heard and read examples of how people's routines and choices were listened to and respected. There was a complaints procedure in place.