Clarence House

Risks to people's care were assessed and managed well. Medication was managed safely. The service followed safe recruitment practices and we found enough staff were available to support people. At the time of our inspection, there was an outbreak of COVID – 19 at the service. We found the provider was following current guidelines in relation to infection prevention and control and visiting, although some staff had to be reminded at times by the registered manager to wear their personal protective equipment appropriately.

Right Care: People had to request staff's support to access some areas at the home. We discussed with the registered manager if people's movements were being restricted and what measures were in place to prevent this happening unnecessarily. We were reassured by the evidence reviewed and feedback gathered from people, relatives and staff this was not an issue and appropriate measures were in place. 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.

The provider completed person-centred assessments and care plans were updated when required. We found some areas of people's care plans were not always written from people's point of view. We discussed this with the registered manager and saw evidence of this being immediately reviewed.

Right Culture: 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.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. There was a person-centred culture at the service. Support provided promoted

people's choice and control. Communication plans had been developed to ensure staff communicated well with people. We observed positive interactions between people and staff. People told us they were able to lead fulfilling lives and develop their interests.