Beckdale House

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

People's experience of the service and what we found

Right Support Systems and processes to manage people's medicines were not always effective. People were empowered to make meaningful decisions and choices. People's needs were assessed, risks were identified, and steps taken to keep them safe, and these systems were being embedded.

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 Care was person-centred and promoted people's dignity, privacy and human rights. People were protected from all forms of abuse and discrimination by the dedicated staff team. The service had enough skilled staff to meet people's needs and keep them safe. Infection control and prevention systems were in place.

Right Culture Governance oversight and quality assurance systems were not robust enough to identify shortfalls. People and relatives were complementary of the service's compassionate culture. The staff team were well trained and dedicated to meeting people's needs. Staff knew people well and were able to communicate effectively with people using appropriate aids as necessary. Staff supported people to engage in their local community. Care was personalised to people's needs and staff reviewed and adapted support as people's needs or wishes changed.

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