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Inspection carried out on 29 November 2019

During a routine inspection

About the service

Riverside Point is a residential home owned and managed by Bright Futures Care. It is registered to provide accommodation and personal care for up to eight people with physical and learning disabilities. The accommodation comprises of four linked three-story terraced properties each house providing living accommodation for two people. It is located close to local amenities in the community. At the time of the inspection eight people were living at the service.

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’s experience of using this 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 promoted 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.

People who used the service and their relatives spoke of the outstanding care delivery. They told us the provider and staff of the service went above and beyond to ensure they received a person-centred service.

The service was exceptional in placing people at the heart of the service and its values. It had a strong person-centred ethos. Staff and managers told us how important the services' shared values were to them. They were passionate about providing outstanding individualised care to people.

Professional feedback was extremely positive about the service and the results they had achieved regarding the outcomes to people's quality of life. The service provided individualised care and support in accordance with best-practice. People’s quality of life had improved significantly. People developed in their self-confidence, independence and their self-esteem.

The provider and staff had an excellent understanding of managing risks and supported people to achieve their aspirations and full potential. The provider constantly adapted their support to promote each person's skills. This included supporting people to transition into moving to their own property, attending college and gaining employment.

The service had developed creative ways of ensuring people led fulfilling lives and were supported with choices with their lifestyle. 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.

The manager, provider and staff promoted an open, positive culture with a focus on exceptionally high-quality, person-centred care. The manager and provider made effective use of audits and other sources of information to continually reflect, review and improve practice. The provider funded additional support to their specialist staff teams. This included external services and specific training for staff to help them provide positive influences and outcomes to the people living at Riverside Point.

For more details, please see the full report which is on the Care Quality Commission website at www.cqc.org.uk

Rating at last inspection

The last rating for this service was outstanding. (published in June 2017.)

Why we inspected

This was a planned inspection based on the previous rating.

Follow up

We will continue to

Inspection carried out on 12 April 2017

During a routine inspection

The inspection took place on 12 April 2017 and was unannounced.

This was the first inspection of the service since it was registered with The Care Quality Commission (CQC) in 2015.

Riverside Point is a residential home owned and managed by Bright Futures Care, which provides support for young people and adults with autism and learning difficulties. The accommodation comprises of four linked three story terraced properties each providing spacious living accommodation for two people. It is located in an area which offers privacy, but people also have easy access to local amenities in the community, such as shops, parks and libraries.

Bright Futures as an organisation provides various services to people with a learning disability including educational and residential services. The aim of the service is to provide people with a positive opportunity to learn and develop the skills necessary to become more independent whilst receiving care and support in a safe environment

Each person has their own bedroom with en-suite facilities and they are encouraged to decorate and develop their room as they wish. Riverside Point has secure gardens to provide sensory stimulation for individual residents.

At the time of the inspection eight people were living in the home.

The service has a registered manager. A registered manager is a person who has registered with the Care Quality Commission to manage the service. Like registered providers, they are ‘registered persons’. Registered persons have legal responsibility for meeting the requirements in the Health and Social Care Act 2008 and associated Regulations about how the service is run.

People lived in a safe and comfortable environment. They were able to take risks and were supported to make decisions which reflected their preferences and individual needs. The staff worked in an extremely person centred way, by responding to the person's individual communication needs to make sure the care and support they were provided with was right for each person. This included the way in which they responded to risks, making sure people felt safe and had the support they needed in any given situation. This meant that each person had a bespoke service which was developed with them and changed to reflect the changes taking place in their lives, confidence and abilities. This was confirmed by the relatives and professionals we spoke with, who felt the person centred approach was a particularly positive feature of the service.

People who used the service and their relatives spoke of the outstanding care delivery. They told us the provider and staff of the service went above and beyond to ensure they received a person centred service. Staff maintained people’s privacy and dignity ensuring any care or discussions about people’s care were carried out in private. We saw interactions both verbal and non-verbal between staff and people who used the service were caring and respectful with staff showing patience, kindness and compassion. We observed staff knew and understood the people they cared for and ensured people were provided with choices in all aspects of daily life by way of discussion.

Each person had a plan of social, leisure and educational activities which were tailor made for them and considered how they wanted to live their lives as well as their emotional and health needs. The staff worked very closely with a team of healthcare consultants to make sure support was planned in an appropriate and individualised way. This meant that all the decisions about people's care and support were well thought out and included the perspectives of different professionals. They had regular and comprehensive discussions to review each person's support plans to make sure they always considered their holistic needs. They monitored how people reacted and felt about each situation they were exposed to so that care could be adjusted to ensure it met the person's need. People were involved in planning their own ca