Consensus Community Support Limited - Bury Business Centre

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.

The Secretary of State has asked the Care Quality Commission (CQC) to conduct a thematic review and to make recommendations about the use of restrictive interventions in settings that provide care for people with or who might have mental health problems, learning disabilities and/or autism. Thematic reviews look in-depth at specific issues concerning quality of care across the health and social care sectors. They expand our understanding of both good and poor practice and of the potential drivers of improvement.

As part of thematic review, we carried out a survey with the registered manager at this inspection. This considered whether the service used any restrictive intervention practices (restraint, seclusion and segregation) when supporting people. The service used some restrictive intervention practices as a last resort, in a person-centred way, in line with positive behaviour support principles.

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.

Risks were well managed and people were kept safe from abuse. Medicines were managed safely and people's health needs were met.

Staff recruitment procedures were robust, staff were well trained and supported.

The provider was meeting the requirements of the MCA. People who used the service were at the centre of all decisions that affected them, they were actively supported to have choice and control in how their

support was provided.

Care records were detailed and very person centred. Activities were based on people's individual interests, hobbies and wishes.

The registered manager and staff all knew people really well. Interactions were respectful, warm and friendly. They demonstrated a genuine fondness for the people they supported and took pride in people's achievements. Promoting and maintaining people's independence was at the heart of the service.

The registered manager and staff shared a clear vision and very strong values. The registered manager led by example and was passionately committed to providing exceptionally good quality individualised care and support. Staff were highly motivated and shared the enthusiasm, commitment and passion of the registered manager and providers.