Silver Birch

Staff felt supported and valued, but raised concerns regarding the lack of specialist training available to them to enable them to support people effectively.

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.

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 statutory guidance which supports CQC to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

Based on our review of safe, effective and well-led key questions the service was able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture. 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 the 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 the choice and opportunities to gain new skills, where appropriate, and to become more independent.

Quality assurance systems had failed to identify areas for improvement found on inspection. The current systems in place did not provide the registered manager with complete oversight of the service. The service worked alongside other professionals to obtain support for people. Relatives were complimentary of the service, the care staff and the registered manager.