Solden Hill House

Staff were trained and skilled to support people effectively. People were supported to maintain a well- balanced diet. Staff worked with each other collaboratively and external organisations. People had access to on-going health care services. People were encouraged to have active input into the development of their environment, which was adapted to meet people's needs and promote person centred care.

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.

Staff showed kindness and respect towards people living in the service. People's views were valued, and their feedback was sought. People's dignity and privacy was respected, and people were encouraged to have as much independence as possible.

People received personalised care which was responsive to their needs. People had care and support records in place. Relatives and staff were listened to and felt they could raise any concerns they had with the registered or general manager. People with diverse cultural needs were supported to ensure equality within the service.

There was a positive, open culture in the service, where staff were empowered to deliver a high quality of care and support to people. The registered and general manager understood their responsibilities and closely monitored quality. People, staff and relatives were encouraged to engage in the service and their care. The registered and general manager continually looked for ways they could improve the service and ensure sustainability. The service worked in partnership with other agencies.

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.

The service was developed prior to the values that underpin Right support, right care, right culture was published and therefore, were not meeting the best practice guidance relating to the number of people being supported in both Solden Hill House and Apps House. The services were larger than a domestic style property, however, there was no negative impact on people living there.

The service was also in a rural setting with limited access to an immediate community. However, people were supported to access the community on a regular basis by multiple methods of transport, this included people having their own bus pass. Staff supported people to seek and obtain work opportunities and maintain personal relationships.

The service was able to demonstrate how they were underpinning other values of Right support, right care and right culture, and other best practice guidance. These values include choice, promotion of independence and inclusion.