15 Manor Crescent

There is a care home for people with learning disabilities next door which is owned by the same provider. The registered manager of 15 Manor Crescent was responsible for both locations and all members of staff work between both houses.

The provider and staff were following government guidance in relation to infection prevention and control. Staff had received training on COVID-19 and the use of personal protective equipment (PPE). The service had business continuity and COVID-19 contingency plans in place that made provision for safe care in the event of an emergency, or an outbreak of COVID-19.

Quality assurance processes were robust to give oversight of the service. The registered manager and team leader had ideas of how to continuously improve people's lives and valued working in partnership with others to achieve this.

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. Staff were seen to continuously encourage people to share their views and make choices and it was clear they treated people as individuals.

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.

Based on our review of the safe and well-led key questions, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: • 15 Manor Crescent is a small care home which can accommodate four people. The building is similar to other houses in the area and has no external identifying features. Staff were observed to enable people to make day to day choices, including around food and activities. The care home is located within walking distance of local shops and amenities. Whilst people are not able to travel independently, staff supported them to access the community and there were sufficient car drivers to enable longer trips. The provider engaged with local commissioning partnerships in order to strive for continuous improvement.

Right care: • People received support which kept them safe and encouraged their independence. Risk assessments were in place which identified people's individual health care needs and support. Staff understood how to keep people safe and told us they reported and reviewed significant incidents at the end of each shift in order to consider learning from it.

Right culture: • Leadership and staff showed commitment to those whom they supported. They told us that central to their role was to empower those whom they supported to be as independent as possible. We observed that people moved around their home with confidence and placed trust in the staff team to support them safely and in the least restrictive way.