Updated 16 October 2024
Dates of assessment 24 October to 7 November 2024.
The inspection was prompted by concerns received from commissioners of services and the lack of oversight at both a local and wider level. There was no registered manager at the time of this assessment however, a manager was in post and became registered soon after this assessment.
We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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 and autistic people and providers must have regard to it.
Right Support:
Staff supported people to take part in activities and to pursue their interests however, these were impacted at times due to insufficient staffing levels, or because staff did not have the right skills. Not all staff recognised the use of restrictive practice, and these were not always reflected within support plans. People were not always supported to have maximum choice and control of their lives.
Right Care:
Staff understood how to protect people from poor care and abuse. The service had appropriately skilled staff to meet people’s physical and emotional needs and keep them safe, however people’s social needs were not always met. People could communicate their needs with staff because staff supporting them understood their individual communication needs.
Right Culture:
It was not always possible to put people at the centre of their care due to the staffing levels within services. The routines of those more dependent on staff at times revolved around the availability of staff. People and those important to them were involved in planning their care. There had been limited involvement from senior managers and the lack of a registered manager in the service.