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Inspection carried out on 3 December 2019

During a routine inspection

About the service

Include in Autism provides personal care to people living in the community with a diagnosis of Autism. On this occasion we were unable to rate the service against the characteristics of inadequate, requires improvement, good and outstanding. The service was not fully operational. We did not have enough information about the experiences of a sufficient number of people using the service to accurately award a rating for each of the five key questions and therefore could not provide an overall rating for the service. This included managing medicines, complaints handling and responding to safeguarding concerns. There were two people using the service on daily respite basis, mainly to access activities in the local community. The service sometimes provided personal care to these two people.

Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

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 and what we found

The provider was managing risks appropriately. Relatives told us they felt the service was safe. Staff knew how to report safeguarding and whistle blowing concerns. The number of incidents of distressed behaviour had reduced significantly.

The induction programme was brief. We have recommended the provider reviews this to ensure it is suitable for new staff. Staff said they received good support and the training they needed. 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 needs had been assessed and the information used to develop detailed support plans. People were supported to access the local community and participate in activities.

Relatives and staff said the service was well-managed. The provider was developing quality assurance systems. Staff and relatives had opportunities to give feedback about the 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 using the service reflected the principles and values of Registering the Right Support by promoting 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.

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

Rating at last inspection

This service was registered with us on 18/04/2019 and this is the first inspection.

Why we inspected

The inspection was prompted in part due to concerns received about lack of induction for new staff, not enough information about how to manage behaviours that challenge, insufficient training, poor communication about people’s support needs, care plans not accessible and poor record keeping. A decision was made for us to inspect and examine those issues.

We found no evidence during this inspection people were at serious risk of harm from these concerns. Please see the safe, effe