Tiverton Drive

Staff were trained in safeguarding and demonstrated a good understanding of recognising signs of abuse. Staff knew how to report any concerns and told us they would be acted on appropriately by the management team.

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 key questions Safe and Well-led, the service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support: Model of care and setting maximises people's choice, control and Independence. People were supported to live their lives how they wanted to and were supported to continue doing things that interested them. Right care: People were supported by staff that were kind and caring. Staff were passionate about their roles and the people they were supporting. They knew people well and knew there likes, dislikes, needs and preferences. This allowed staff to provide personalised care that met people's needs. Right culture: There was a positive culture in the service that promoted independence. The staff team spoke positively about each other and the support they received from the management team.

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's care and support was personalised and tailored to meet their needs. Staff showed a good

understanding of people; their likes/dislikes, routines and their preferred methods of communication.

Staff supported people to access the community, be involved in activities and interests that they wanted to pursue and staff encouraged and prompted people to be as independent as possible.

People were supported to take their medicines and for those people who could, they were encouraged to self-administer their own medicines. People received their medicines by trained and competent staff. Staff understood what action to take should an error occur with medicines. Daily medicine counts ensured errors were kept to a minimum.

Staff were provided with training and regular refresher training which enabled them to carry out their roles effectively. Staff told us they felt they were supported.

The staff team ensured people's health needs were met and sought appropriate healthcare when required. This included working closely with mental health support teams.

A variety of audits and monitoring systems were in place to maintain oversight of the service and to further drive through improvements which supported good care outcomes for people.

Risks to people had been assessed and identified. Staff had information which helped them to understand people's individual risks and how best to support them to reduce these.

The registered manager welcomed the inspection and during our visit, implemented improved ways of recording certain information and risks.