St Anne's Community Services - Cardigan Road

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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support: Systems were not robust enough to demonstrate safety was always effectively managed. Staff were inconsistent when recording and reporting incidents. Medicines were not always managed safely. These shortfalls had not been picked up through the provider's governance arrangements although prompt action was taken once we brought this to the attention of the management team.

There was enough staff available to support people when they were at home and in the community.

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.

Right Care: People told us they were happy living at Cardigan Road and we saw people were relaxed in the company of staff and others they lived with.

Care plans had some detailed person-centred information but other information was not up to date. Gaps in care records meant it was sometimes difficult to monitor people's health and well-being.

The service worked effectively with external stakeholders.

Right Culture: People were encouraged to live as full a life as possible in relation to social activities and accessing the community. However, opportunities within the service were less so and routines were sometimes not person centred.

The provider had a range of systems and processes to monitor the quality of the service although they did

not always drive the required outcome.

Everyone had opportunities to share their views. Staff felt well supported by the management team who worked at the service.

The management team was responsive to the inspection findings and keen to deliver a high-quality service.

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