Highfield

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.

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 systems and processes in the service did not always support this practice. Medicines were managed safely.

Right Care: People were supported by staff who knew them well and who had been safely recruited. However, not all staff had received the relevant training to ensure they had knowledge of people's health needs. The provider allocated new training to all staff immediately after feedback.

People, relatives and staff were given the opportunity to feedback on the service. However, there was no evidence to show how the feedback was used to drive improvements in the service

People received kind and compassionate care from staff who used positive, respectful language which people understood and responded well to.

Right Culture: Governance processes were not effective and failed at times to hold staff to account, keep people safe, protect people's rights and provide good quality care and support.

There was mixed feedback from staff about whether they felt supported in their roles. Staff did not receive regular supervisions and the lack of consistent leadership at the service resulted in a decline in the quality

and safety of the service.

People and relatives were positive about the attitudes and behaviour of staff.