Creative Support - Doncaster Personalised Services

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 were exceptionally safe using the service. There were established relationships of trust and support between staff which enabled people to stay safe. People were empowered to make decisions about their safety, which helped avoid unnecessary restrictions being placed on people and maximised their independence. Staff were very sensitive to the vulnerabilities of people living in the community. They acted proactively when concerns were identified and supported people to protect themselves. A strong sense of security and safety had been created for people by the use of technology and personal awareness. People were supported by a creative and inclusive approach which helped them understand potential risks and make decisions.

People received highly effective care and support from a consistent staff team who knew them well and were well trained. People's rights to make their own decisions were protected. Staff worked well together for the benefit of people and were completely focused on meeting the personal, health and social care needs of people living at the service. People were supported by staff who understood the importance of safe medicine administration. This included ensuring people had regular reviews of their medicines. 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. When people were unable to make decisions about their care and support, the principles of the Mental Capacity Act (2005) were followed. There was evidence the service went the extra mile to ensure people were supported to make decisions.

The service clearly demonstrated how it consistently met the characteristics of providing outstanding care. People were at the heart of the service and the registered managers and staff were fully committed to providing high-quality person-centred care. Staff were clearly committed and compassionate, striving to provide outstanding care, with excellent outcomes at all times. People were treated with exceptional kindness, dignity and respect and received their care and support from a highly motivated and dedicated staff team.

Comprehensive plans of care had been developed and staff knew the people they were supporting extremely well. Staff worked hard to promote people's right to make their own decisions about their care where possible and respected the choices they made. People's consent was always obtained. People's needs were assessed holistically across a wide range of areas. This included needs in relation to people's protected characteristics such as gender and sexuality. People were supported by staff who had training and support to understand their needs. People were supported to plan and cook their meals, information was given to people on healthy eating. People's wishes at the end of their life were sought and followed and people received excellent end of life care. People had access to a wide range of personalised and group activities and were supported to have a say in all aspects of how the service was delivered.

People benefitted from a service that had dedicated leaders and staff whose experience was used to support people to lead full and meaningful lives. The values of the provider were consistently demonstrated by staff in their interactions with people and with each other. People's views were sought and acted upon. The provider worked with other organisations to enhance its service delivery. The management team analysed survey results with an openness and commitment to continuously improve. Extensive service auditing was clearly directed at reviewing any lessons learnt to maximise people's safety and quality of life.