Holly 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.

People were supported to make choices. They had opportunities to be part of the community. A relative told us, "[Name] goes out a lot, they enjoy going out for lunch and to the shops."

There were sufficient staff to support people safely. People were supported to access specialist health and social care support.

Records gave guidance to staff so people received care that was tailored to each individual.

We have made a recommendation about a more regular system of review of risk assessments and associated care plans.

Staff followed infection prevention policies. However, some carpets were marked, and areas of the building were showing signs of wear and tear. We have made a recommendation a programme of refurbishment should take place.

Right Care Care was person-centred and promoted people's dignity and human rights.

Relatives were complimentary about the care provided by staff. They trusted the staff who supported them. Relatives said staff were kind, caring and supportive of people and their families.

Staff had received safeguarding training and were clear on how and when to raise their concerns. Where appropriate, actions were taken to keep people safe.

Staff followed effective processes to assess and provide the support people needed to take their medicines safely.

Right Culture The ethos, values, attitudes and behaviours of leaders and care staff ensured people lead confident and empowered lives.

Staff spoke positively about working at the service and the people they cared for. Staff said they were supported in their role.

A governance system was in place to monitor the quality of the service through audits and feedback received from people, their relatives, staff and external agencies. Processes were in place to manage and respond to complaints and concerns.