Lynbrook

We assessed the service against ‘Right support, right care, right culture.’ This guidance supported judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choice, independence, and access to local communities that most people take for granted. This is the first assessment for this service.

The provider and management were committed to ensuring people were safe and staff had the training and skills to support people using the least restrictive options. Staff were aware of their responsibilities to raise concerns with the safeguarding authorities if they felt people were at risk of harm or abuse.

Staff told us they had received suitable training that had increased their competence and skills. The provider had systems to audit the service delivered, review incidents, and safeguarding processes were robust.

Systems in place ensured medicines were managed safely. However, in relation to one ‘as and when required’ medicine these processes were not consistently followed. The manager took immediate action to ensure the management of this medicine was safe.

Safe recruitment practices were in place and staffing levels reflected the level of support people had been commissioned for by the local authority. They worked with the local authority to help ensure people’s individual staffing levels were reflective of their needs.

People had enough to eat and drink to stay healthy. Staff worked to support smooth transitions when moving between services. They monitored people’s health to support healthy living.

Staff involved appropriate specialists to help make important decisions that were in people’s best interests. However, 1 person deemed to lack capacity had no support to represent their wishes ensuring they had a voice regarding their care. The manager has since applied for an advocate to represent the person. They have also introduced safeguards to review any decisions made on behalf of the person to ensure they are in their best interests.