Maylands

There were systems in place to protect people from abuse. The registered manager ensured there were sufficient numbers of staff to keep people safe. There had been amendments made to the environment to keep people safe. For example one person had a lower bed to allow them to get into and out of bed independently. The service was clean, and the risk of infection had been mitigated.

Staff had the training and skills to meet people's needs. Staff told us they were well supported by the management team. People were supported to eat and drink enough to keep them healthy. When people's needs changed they were reviewed by healthcare professionals such as speech and language therapists.

We observed staff to be kind and caring towards the people they supported. There was a clear mutual respect and fondness between people and staff. Staff advocated on behalf of people, but ensured people made the decisions they could for themselves. People were supported to as independent as possible.

People, relatives, staff and healthcare professionals had been asked to give feedback on the service. This feedback was used to improve the quality of the service. Feedback from all stakeholders was positive and we observed a positive culture within the service.

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

did 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.

Whilst the size of the service is not in line with best practice guidance would recommend for people with learning disabilities, 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 encouraged and supported to maintain their independence. Right care: • Care is person-centred and promotes people's dignity, privacy and human rights. We observed staff to be kind and caring towards people. 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, which supported good outcomes for people.