Browns Short Break Respite Limited

The service supports people living in their own tenancy with up to 24hr support. Staff support up to two people living in their homes at one time. Some people receive support through the night by a member of staff who sleeps on the premises in an allocated bedroom. In addition, people received domiciliary care and support within their homes, community and whilst away from home.

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.

We have made a recommendation about the current system in place for reviewing the quality and safety of the service. Although checks were taking place, the monitoring system did not demonstrate when areas of improvement that had been identified would be addressed.

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 did not support this practice.

People felt safe using the service and were protected from abuse and the risk of abuse. Procedures were in place for the safe management of medicines and people received them on time. Safe recruitment practices were followed. Infection control practices were followed to minimise the risk of the spread of infection and regular safety checks were carried out on the environment and equipment.

Systems were in place to monitor the quality of the service that people received. People's needs and choices were assessed prior to moving into the service. People received care and support from experienced staff who received training and supported for their role. People were supported to have a nutritious and balanced diet and their healthcare needs were met.

People and their family members and felt the service met their needs and positive relationships had been formed with the staff delivering care and support.

People and their family members had access to information about how to make a complaint about the service.

Systems were in place to monitor the quality of the service that people received. The registered manager sought information and guidance from other agencies to continually develop the service.

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.