Goldcrest House

People are accommodated in two adapted buildings which are joined to make one service. The service is within a residential area in the town of Goole and is close to local amenities such as shops and a library. Bedrooms are for single occupancy use and have ensuite facilities.

People had care plans and risk assessments in place for their support needs. These were reviewed regularly and covered people's health conditions. Families were able to contribute their views on their relative's care and support. The management team carried out regular checks and analysis of falls and incidents to ensure learning from events was undertaken. This meant risks to people's health and safety were reduced.

People received their medicines on time and when they needed them. Staff had positive links with healthcare professionals which promoted people's wellbeing.

Staffing levels were consistent, and staff were confident they could meet people's needs. We observed staff being patient, kind and respectful towards people. Care was person-centred and staff had time to chat with people during the day.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible. The policies and systems in the service supported this practice.

There was a registered manager in post. They were making positive changes to the service; people, staff and relatives spoke highly of them. There was evidence of good leadership, oversight and management within the service.

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 the Care Quality Commission (CQC) follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support,

right care, right culture. Although the service is larger (in numbers) than the best practice guidance of six beds or under, the size and design of the premises does not compromise the quality of care, people's safety or their human rights. People received person-centred care which allowed their dignity and privacy to be maintained.

People could participate in their own local community. They were registered with local health services and had access to the full range of community health services. People could participate in the in-house activities and, when not in a COVID-19 lockdown, people could still take part in the same activities in their chosen community. The care model focused on people's strengths and promoting what they could do.