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Inspection Summary


Overall summary & rating

Good

Updated 28 July 2021

We expect Health and social care providers to guarantee autistic people and people with a learning disability the choices, dignity, independence and good access to local communities that most people take for granted. Right Support, right care, right culture is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability or autistic people

People’s experience of using this service and what we found

The service could show how they met the principles of right support, right care, right culture.

People lead confident, inclusive and empowered lives where they were in control and could focus on areas of importance to them. The ethos, values, attitudes and behaviours of the management and staff provided support in the way each person preferred with a view of individual development.

The needs and quality of life of people formed the basis of the culture at the service. Staff undertook their role in making sure that people were always put first with enthusiasm. They provided care that was genuinely person centred and directed by each person.

The leadership of the service had worked hard to create a learning culture. Staff felt valued and empowered through inclusion in the development of people’s care to suggest improvements and question poor practice. There was a transparent and open and honest culture between people, those important to them, staff and leaders. They all felt confident to raise concerns and complaints with a view to improving outcomes for people.

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.¿

¿ People’s care and support was provided in a safe, clean, well equipped, well-furnished and well-maintained environment which met people's sensory and physical needs.

¿ People were protected from abuse and poor care. The service had enough appropriately skilled staff to meet people’s needs and keep them safe.

¿ People were supported to be independent and had control over their own lives. Their human rights were upheld.

¿ People received kind and compassionate care from staff who protected and respected their privacy and dignity and understood each person’s individual needs. People had their communication needs met and information was shared in a way that could be understood.

¿ People’s risks were assessed regularly in a person-centred way, people had opportunities for positive risk taking. People were involved in managing their own risks whenever possible.

¿ People who had behaviours that could challenge themselves or others had proactive plans in place to reduce the need for restrictive practices. Systems were in place to report and learn from any incidents where restrictive practices were used.

¿ People made choices and took part in meaningful activities which were part of their planned care and support. Staff supported people to achieve their aspirations and goals.

¿ People’s care, treatment and support plans, reflected their sensory, cognitive and functioning needs.

¿ People received support that met their needs and aspirations. Support focused on people’s quality of life and followed best practice. Staff regularly evaluated the quality of support given, involving the person, their families and other professionals as appropriate.

¿ People received care and support from trained staff able to meet their needs and wishes. Managers ensured staff had relevant training, regular supervision and appraisal.

¿ People and those important to them, including advocates, were actively involved in planning their care. Where needed a multidisciplinary team worked well together to provide the planned care.

¿ Staff understood their roles and responsibilities under the Human Rights Act 1998, Equality Act 2010, Mental Health Act 1983 and the Mental Capacity Act 2005.

¿ Peopl

Inspection areas

Safe

Good

Updated 28 July 2021

The service was safe.

Details are in our safe findings below.

At our last inspection we rated this key question Inadequate.

Effective

Good

Updated 28 July 2021

The service was effective.

Details are in our effective findings below.

At our last inspection we rated this key question Good.

Caring

Good

Updated 28 July 2021

The service was caring.

Details are in our caring findings below.

At our last inspection we rated this key question Good.

Responsive

Good

Updated 28 July 2021

The service was responsive.

Details are in our responsive findings below.

At our last inspection we rated this key question Good.

Well-led

Good

Updated 28 July 2021

The service was well-led.

Details are in our well-Led findings below.

At our last inspection we rated this key question Inadequate.