Creative Support - Thistley Green

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 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 provider was committed to ensuring the service provided person-centred care. This ensured people received care and support from staff who were dedicated to providing exceptional outcomes for them. Both the director and the registered manager were highly visible and approachable in the service for people, relatives and staff. The service had a clear vision for what it wanted to achieve and a detailed strategy to turn it into action, developed with all relevant stakeholders.

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

People's views were extremely valued and used to drive improvement.

Staff had completed a high level of training which provided them with the expertise to assess, monitor and support people with their complex needs. Staff had built extremely effective working relationships with

other health and social care professionals involved in people's care to ensure they received a high level of care and support. Staff felt respected, valued and supported by the leadership.

Care assessment and planning records were detailed to enable close monitoring of peoples' care, progress and future planning. Risks in people's daily lives were assessed and mitigated with a focus on positive risk taking. Staff were provided with safeguarding training and understood how to keep people safe.

Safe staff recruitment procedures were in place. Staff recruitment processes were designed to meet people's individual needs. Where able people were involved in the interviewing staff. There were sufficient staff numbers and flexibility to provide the care and support required by people to meet their individual needs.

Medicines were safely managed and effective infection control and complaints procedures were in place.

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.