Ivy Mead

We have made a recommendation about the management of some medicines.

Risk assessments were in place and had been reviewed regularly. Systems and processes were in place to protect people from abuse, and concerns had been raised with relevant authorities. People were cared for by sufficient numbers of staff. Infection prevention and control measures were in place. Accidents and incidents were reviewed and trends and themes considered to inform learning lessons to prevent recurrence.

People's needs and choices were documented and well-known by staff. Staff received regular training and their skills were refreshed. People's meal choices were documented, and people were supported and encouraged to eat and drink healthy options. People's rooms and the environment were personalised. People were involved in how the home was run. 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 guidance CQC follows 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. For example, people's choices, control and independence was maximised. People received care which was person-centred and promoted people's dignity, privacy and human rights. The service followed an embedded ethos to encourage and empower people and staff upheld this principle.

There was a clear vision for the service. Staff were reminded of the service ethos and values in memos and meetings. There was a clear governance framework. Surveys and meetings involved people, relatives and staff in how the service was managed. Action plans were produced and outcomes shared.