Westhill Care Home

People who used the service and their relatives told us they felt safe with staff and that they were kind and caring towards them. Staff were aware of risks associated with people's care and how to reduce these. We observed sufficient staff being deployed and people did not have to wait for support.

People's medicines were stored and administered safely. The provider regularly reviewed the use of 'as required' medicines to ensure these were used as a last option. We saw from records that healthcare professionals had been involved in people's care. People had risk assessments in place to reduce known risks and included instructions for staff to follow.

Staff had received supervisions and told us they felt valued and supported by the provider. Staff understood their role and responsibilities and knew who to approach for support if they needed to.

There was a positive culture in the service and relatives told us this gave them a peace of mind. People, their relatives and staff spoke highly of the management of the service and told us they felt confident approaching the provider if they had suggestions on how to improve the service.

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 the key questions Safe and Well-led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: Model of care and setting maximises people's choice, control and Independence People were supported by staff to make their own choices in relation to their care and people were encouraged to have control in their daily lives. Staff used a variety of methods to communicate with people

to ensure they were able to express their views.

Right care: Care is person-centred and promotes people's dignity, privacy and human rights The service was situated in a residential area and there were no outward signs to differentiate it from other houses in the street. Local shops and amenities were within close proximity of the service. Staff knew people well and ensured they were supported appropriately with their care needs and relatives told us people lived dignified lives that respected their human rights.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives The culture of the service was inclusive and encouraged individuals to express their views. People who used the service, their relatives and staff spoke highly of the leadership and culture in the service. Relatives told us they felt people were supported to lead confident and empowered lives.