Avalon Care Home

Infection control prevention was improved, and the home looked and smelled cleaner. There were enough suitably qualified staff to support people, however some people told us they could not always go out and about due to lack of staff. Safeguarding systems and policies were in place and staff could describe the action they would take if they felt people were at risk of abuse.

People were supported to follow modified diets and had choice and control over what food was served. Staff were undertaking training courses, most staff had been trained, however there were some gaps in staff training records. This was due to new staff starting. Staff had been supervised and appraised.

Staff and people living at the home liked the registered manager and felt they had made good progress since the last inspection. The registered manager understood their duty to share information in an open and honest manner.

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 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 did support them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this practice.

Right Care: Although we found gaps in the support and culture, staff were very caring in nature and upheld people's dignity and privacy. Care plans were written respectfully and put the person at the centre of their care.

Right Culture: Although staff and managers had values to support people to lead confident and inclusive lives, the environment of the home made this difficult. Younger people who had a learning disability lived within a care home environment, meaning opportunities for choice and control were limited. It was difficult for staff to meet the needs of everyone, due to a wide range of service user groups, with different sets of guidance for staff to follow.