Jigsaw Creative Care Limited - 77 Russell Street

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: 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. Systems in the service supported this practice.

People were put at increased risk of fire. During the inspection we found risks relating to fire safety had not been adequately mitigated. People using the service did not have access to the garden, however, actions were taken by the management team after the inspection to ensure people had access to the garden. There was no cleaning schedule for the entire property and protocols were not in place for cleaning bedrooms in between respite stays.

Care plans were individualised and contained a comprehensive assessment of people's needs and abilities.

Right Care: Medicine administration records were not always fully completed. Safeguarding policies and procedures were in place, and staff knew how to report any concerns. Staff received training in safeguarding adults and children.

Right Support: People were supported by staff who knew them well. Relatives told us and we observed, staff respected people and treated them with dignity and compassion. People were supported to maintain their privacy and promoted their independence. The service had training appropriate to staff roles, this included training in learning disabilities and autism and positive behaviour support.

People were supported to access the community; partake in activities they enjoyed and socialise with peers. Staff at the service knew how to communicate with people effectively to ensure people's views were heard and respected.

Right Culture: Systems and processes did not always effectively ensure good oversight of the service. Audits had not always identified the areas that required improving found on inspection.

Complaints procedures were in place. Staff and relatives told us they knew how to complain, however there had been no complaints raised.

The management team were open and transparent throughout the inspection process. Feedback from relatives was positive.

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