St. Michaels

St Michaels is a specialist service for people that have anxious or emotional behaviour that has previously limited their quality of life and experiences. Each person lives in their own flat or a bungalow. The staff team and service provided is organised around people's individual needs.

Staff knew people well, and understood the risks aligned to each individual. For example, some people lived with epilepsy. Staff were clear on how best to support them safely, and aware of any recent seizures, and any medication they may need. People's homes were clean and well maintained.

The registered manager and staff demonstrated they cared and respected the people living at St. Michaels. Staff had positive relationships with people and were passionate about ensuring each person lived their life to the fullest. People were clearly engaged in the service, people were involved in decoration, and people's unique skills had been used to create logos for a group they were a part of.

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 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.

This 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 empowered to make day to day decisions and were not restricted. People were encouraged and enabled to be as independent as possible. Right care: • Care is person-centred and promotes people's dignity, privacy and human rights. Staff were passionate about supporting people to achieve the best outcomes for them. People were discussed and promoted as individuals. Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. There was a positive culture within the service, demonstrated by all staff and the registered manager. People were observed to look happy, smiling and making jokes with staff.