Fisher Close

People's experience of the service and what we found: We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support Some records relating to medicines were not always in place in line with best practice guidance. One person's care plan and risk assessment were not reflective of their current needs and risks. Staff were working to review and update all care plans. Accidents and incidents were reported, however they were not always robustly analysed to identify themes and trends to mitigate risk. Systems were in place to oversee the service, however prompt and effective action was not always taken to address areas for improvement.

Person centred guidance was in place and staff worked with people to plan for when they experienced periods of distress.

The service gave people care and support in a safe, clean, well equipped, well-furnished and well- maintained environment that met their sensory and physical needs.

Right Care People were protected from the risk of abuse because staff understood their responsibilities in relation to safeguarding.

The service had enough appropriately skilled staff to meet people's needs and keep them safe.

Right Culture Feedback was encouraged, and work was underway to ensure equal opportunities to feedback were in place for everyone. People and their relatives felt listened to.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk