SignHealth Constance Way

Overall, medicines were safely managed and people were supported to be as independent as possible with this area of their care. Risks to people's care were identified and well managed; and staff were knowledgeable about people's needs. However, we identified some examples where support being provided was not always recorded. People were supported by a consistent team who had the appropriate skills and training. We received mixed feedback in relation to staffing levels. Systems were in place to protect people from the risk of abuse and to manage any risks related to their care needs. Staff recruitment practices were safe. There were systems in place to minimise the risk of infection.

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; however the policies and systems in the service were not always being followed. We found the registered manager was following the principles of the MCA and had involved relevant professionals when making best interest decisions, however this was not always being recorded. We have made a recommendation in this area.

The providing was caring for people with learning disabilities but this was not included in their registration. We asked the provider to take appropriate action. Governance systems were in place to ensure the service were reviewed and checked regularly however we found some examples were these had not been fully effective. Care was designed and delivered in a person centred way and people were encouraged to be independent and be engaged in activities to enhance skills.

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.