159 Wensley Road

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.

The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture.

Right Care ● The service had enough staff to meet people's needs and keep them safe. However, further evidence was not provided to show that staff were appropriately skilled to meet some people's specific needs. ● 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. ● People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. Staff spoke to people politely giving them time to respond and express their wishes. ● People's care, treatment and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. ● Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and enabled people to take positive risks.

Right culture ● We found the registered person did not ensure we were notified of reportable events within a reasonable time frame. ● The registered person did not follow their quality assurance policy effectively so they could assess, monitor and mitigate any risks relating the health, safety and welfare of people using services, the service and others. ● The registered person did not follow and accurately record and keep a copy of all the actions taken as required in the duty of candour regulation when a notifiable safety incident occurred. ● Staff knew and understood people well and were responsive, supporting their aspirations to live a quality life of their choosing. ● Staff turnover was very low, which supported people to receive consistent care from staff who knew them well. ● Staff placed people's wishes, needs and rights at the heart of everything they did. ● People and those important to them were involved in planning their care. Staff valued and acted upon people's views.