Damascus House

People's experience of the service and what we found Right Support: 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. Knowledgeable staff who were committed to improving the lives of people with a learning disability and/or autism were recruited safely. There were enough staff to ensure people living at the service had their support needs continually met. Staff had received training to ensure they were skilled to effectively meet people's needs. People were supported to maintain their independence. People were supported to personalise their rooms and there were communal areas people could use when they chose. People, relatives, and staff told us the management and staff were approachable and listened when they had concerns.

Right Care: There was a relaxed, warm and jovial atmosphere in the home. Where people required support with personal care this was provided with dignity and privacy. People were given choices about the way in which they were cared for. Staff listened to them and knew their needs well. People received their medicines safely. The service worked in partnership with other healthcare professionals to maintain positive outcomes.

Right Culture: People were promoted to be as independent as possible and choose how they lived their lives. People's privacy and dignity was respected. Staff had formed positive relationships with people they supported. People were provided with opportunity to make suggestions and feedback on their experience, which was considered to improve the service. People were protected from the risk of abuse. Risks were assessed and managed effectively. The service was managed effectively. Audits and reviews of care were undertaken to ensure the care and support people were provided with was current.

Overall the service is meeting 'right support, right care, right culture'. We are aware this is a large service

supporting up to 12 people and therefore is larger than good practice guidance suggests.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk