Allerton C&S N Limited

People's experience of using this service: We found the management team had completed extensive processes since our last inspection to enahnce safety. People and their relatives confirmed they experienced a responsive service and felt safe when staff delivered their care packages. A relative told us, "Now, I really do feel I can take a step back because I know [my relative] is safe and I can finally relax after all these years."

The registered manager had introduced multiple documents focused on maintaining people's safety and protecting them from inappropriate care and abuse. One staff member said, "Any concerns at all, and there have been, we are strongly advised to report."

The management team had developed detailed, person-centred risk assessments to better support people with behaviours that challenged the service. A relative commented, "[My relative] is improving and that's down to the staff and the care plans in place."

The registered manager had implemented new systems to ensure they recruited staff safely and followed robust employment practices. People were supported by small staff teams to ensure they received care from regular staff who understood their needs.

Staff told us they followed procedures to ensure the safe management of medicines administration. The registered manager had worked with other healthcare professionals to develop robust protocols for people who received 'when required' medication.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice. A staff member said, "It is absolutley [the person's] decision about what he wants to do. We don't use restraint, we use distraction and avoidance of triggers."

The management team completed an initial assessment of each person's nutritional requirements to protect them from associated risks.

Wave had a wide-ranging training programme to develop staff skills and understanding of their roles. A relative told us, "They do seem to be well-trained and they try different things to see what works and what doesn't."

Staff demonstrated genuine affection and kindness for people they supported. One person stated, "I love the staff and they love me." People and relatives told us the management team was highly inclusive of them in the development of their care plans.

Wave had strong leadership evidenced in the actions taken since our last inspection. The provider worked openly with people, staff and other organisations to deliver good standards of care. Staff stated they were fully involved in the ongoing development of the service and felt valued by the providers. One staff member commented, "All the managers and [the providers] are fantastic."

The principles and values of Registering the Right Support and other best practice guidance ensure people with a learning disability and or autism who use a service can live as full a life as possible and achieve the best outcomes that include control, choice and independence. At this inspection the provider had ensured they were applied.

The outcomes for people using the service reflected the principles and values of Registering the Right Support. We observed care practices were centred on maximising each person's safety, independence and support. Care records included each person's preferences and details guided staff to better understand them and how to meet their needs.