During an assessment under our new approach
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’ (RSRCRC) 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. This guidance was reviewed as part of this assessment, and we found the provider had failed to fully meet the principles of it. Risks to people had not consistently been identified, managed and steps put in place to mitigate. People were not always supported to live independent lives. The provider did not have appropriate systems in place to report and ensure people were protected from the risk of abuse. Staff were not sufficiently trained to meet the needs of people. There was a lack of management and provider oversight to review shortfalls of care to make improvements. The provider did not always focus on people’s quality of life. The provider and staff did not always recognise how to promote people’s rights, choices and plan to ensure their independence.