Rose Farm House

People had been supported to review and reduce medicines they were taking. Some people had taken medicines for long periods of time, to support them to reduce behaviours of distress. Staff had worked with healthcare professionals to reduce and remove these medicines with no adverse effect on the person, and no increase in distress. People were supported by a core staff team who knew them well and had developed their approach to support people in the most positive way. People were at the centre of everything within Rose Farm House, including the recruitment of new staff.

Staff and the registered manager demonstrated a positive culture within the service which supported people to achieve their goals. For example, one person was supported to be baptised. Staff worked with external agencies to provide the best outcomes for people. Health escalation plans were put in place to anticipate people's needs and make getting support fast and effective. People were listened to, and their aspirations championed by staff. Relatives told us they were kept informed about every part of their relatives' 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.

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 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 had been supported to gain new skills and take more control of their life for example with finances. Right care: • Care is person-centred and promotes people's dignity, privacy and human rights. Staff demonstrated a person-centred approach and supported people to uphold their human rights, for example contesting their DoLS. 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 clear culture of striving for excellence and supporting people to lead the best life.