Butterfly House

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: 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 partially supported this practice. We made a recommendation about review processes where people were being restricted or where decisions were made in their best interest.

Staff supported people to take part in activities and pursue their interests in their local area and to interact online with people who had shared interests.

Staff enabled people to access specialist health and social care support in the community.

The service gave people care and support in a safe, clean, well equipped, well-furnished and well- maintained environment that met their sensory and physical needs.

Staff supported people with their medicines in a way that promoted their independence and achieved the best possible health outcome.

Right Care: People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it.

The service had enough appropriately skilled staff to meet people's needs and keep them safe.

People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs.

Right Culture: Staff placed people's wishes, needs and rights at the heart of everything they did.

Staff evaluated the quality of support provided to people, involving the person, their families and other professionals as appropriate.

People's quality of life was enhanced by the service's culture of improvement and inclusivity.

People and those important to them, were involved in planning their care.