Creative Support - Ulverston Autism Service

On this page

• Overview
• Shared direction and culture
• Capable, compassionate and inclusive leaders
• Freedom to speak up
• Workforce equality, diversity and inclusion
• Governance, management and sustainability
• Partnerships and communities
• Learning, improvement and innovation

Well-led – this means we looked for evidence that service leadership, management and governance assured high-quality, person-centred care; supported learning and innovation; and promoted an open, fair culture.

At our last assessment we rated this key question Good. At this assessment, the rating has remained Good. This meant the service was consistently managed and well-led. Leaders and the culture they created promoted high-quality, person-centred care.

This service scored 75 (out of 100) for this area. Find out what we look at when we assess this area and How we calculate these scores.

The provider had a shared vision, strategy, and culture. This was based on transparency, equity, equality and human rights, diversity and inclusion, engagement, and understanding challenges and the needs of people and their communities.

People were supported by staff who shared the providers’ clear and positive culture. The registered manager ensured the person-centred ethos of the organisations policies and procedures were embedded throughout the service.

The provider had inclusive leaders at all levels who understood the context in which they delivered care, treatment and support and embodied the culture and values of their workforce and organisation. Leaders had the skills, knowledge, experience, and credibility to lead effectively. They did so with integrity, openness, and honesty.

The registered manager embodied the values of the organisation and created a compassionate and caring culture which valued staff. The management team had skilfully supported staff through a period of significant change which had led to improved outcomes for people. Staff praised the registered manager and leaders and found them to be approachable, responsive, and supportive. Comments from staff included, “The management team are clear about what they are doing - they are approachable, I feel comfortable talking with any of them. They know all the people who live here very well.” and “Managers make sure I am looked after; they care for me and are there if I need to talk. I feel very valued and respected.”

The provider fostered a positive culture where people felt they could speak up and their voice would be heard.

The provider’s policies and procedures encouraged people to share their views and raise concerns in a transparent manner. Information about speaking up was included in staff inductions and displayed in the home. Staff said they could raise any concerns they may have.

The providers complaints policy and procedure had been made available to all. There had not been any formal complaints for a long time.

The provider valued diversity in their workforce. They worked towards an inclusive and fair culture by improving equality and equity for people who worked for them.

The providers recruitment procedures ensured staff were treated equitably and inclusively. Staff told us they felt respected and valued by leaders.

The provider had clear responsibilities, roles, systems of accountability and good governance. They used these to manage and deliver good quality, sustainable care, treatment, and support. They acted on the best information about risk, performance, and outcomes, and shared this securely with others, when appropriate.

The registered manager maintained good oversight of the quality of care, records, and the premises. The providers governance systems were effective and clear. The providers’ quality team maintained oversight of the quality of the service and completed monitoring visits, which helped support consistent quality.

The provider understood their duty to collaborate and work in partnership, so services worked seamlessly for people. They shared information and learning with partners and collaborated for improvement.

The provider worked in partnership with other agencies involved in people’s care which helped ensure they received a consistent and effective service. Care records included information and guidance from local authority commissioners, learning disability services and health staff.

The provider focused on continuous learning, innovation and improvement across the organisation and local system. They encouraged creative ways of delivering equality of experience, outcome, and quality of life for people. They actively contributed to safe, effective practice and research.

The provider was committed to continuous learning and development. There had been innovations in relation to the transition to positive risk taking. There is evidence of innovative practice in response to people's individual needs. There is evidence the provider considers the broader picture and analysis information and experiences to share with individual services to improve outcomes for people.