Duxbury House Residential Care Home

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. We found elements of care plans included recorded actions to assist people that were strict in nature, which could infer restrictive practice.

We have made a recommendation about support planning.

The registered manager and staff worked in a multi-disciplinary approach with local services to optimise continuity of care. Care records contained risk assessments to mitigate the risk of malnutrition. The registered manager provided a training programme to develop staff skills.

The registered manager and staff were respectful of people's diverse cultures. Care and communication included detailed recording of people's backgrounds and life stories to increase awareness of each person and their needs.

The registered manager engaged with people to understand their life histories and create personalised care plans. They and their staff provided regular and ad hoc activities to maximise people's wellbeing and social skills. The provider had not received any formal complaints, but provided information to people about raising issues they may have.

People and staff talked about an open culture where they were encouraged to raise any concerns or suggestions about improving the service. The registered manager regularly completed audits to check everyone's safety and welfare.

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.

This service was able to demonstrate how they were meeting the underpinning principles of Right Support, Right Care, Right Culture. Staff supported people to make their own decisions and lead discussions on what they wanted to do. Staff were consistently kind and respectful, ensuring each person maintained their independence and privacy. People confirmed they were happy and settled at Duxbury House.