Rosemary Cottage

Some care files contained out of date information which made it difficult to find the most relevant information. For example, some files contained different versions of care plans. Care plan audits had not been completed regularly. Parts of the kitchen were an infection control risk due to peeling cupboards. The kitchen is due to be replaced in January 2023.

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:

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.

People were supported to make day to day choices and set goals and aspirations. When people needed support to make decisions with them, or on their behalf, staff followed appropriate processes to make sure decisions were made, with relevant people, in the person's best interest.

Right Care:

Staff had good knowledge about keeping people safe and how to report any concerns. Staff completed training about how to recognise and report abuse. People's care plans reflected their individual needs. There were enough skilled staff who knew people well. People had their medicines on time and as prescribed. Rosemary Cottage was clean, and people were generally protected from the risks of infection.

Right Culture:

Staff told us they felt valued and were supported well by the management team. There was a positive culture within the staff team and people were at the heart of the service. People and their relatives were closely involved in the planning of their care and support.

The management team completed checks and audits, such as environmental, medicines and infection control.