Tall Oaks

The service is a chalet bungalow with four bedrooms downstairs and two bedrooms upstairs, there is a lift. The bedrooms each have an ensuite bathroom and there is a communal lounge/dining room and kitchen. There is an enclosed garden with a patio which is wheelchair accessible.

People were protected from avoidable harm and abuse. Processes were in place to keep them and their belongings safe. Staff reported any incidents which were reviewed to identify any actions required. Potential risks to people had been assessed and measures were in place to manage them . There were sufficient numbers of suitable staff rostered. People's medicines were managed safely. Processes were in place to protect people from the risks of acquiring an infection, including the COVID-19 pandemic.

People's needs were assessed, and the delivery of their care reflected national guidance. People were supported by appropriately trained staff. Staff supported people to eat and drink according to their needs. Staff worked both with and across organisations to ensure people received effective care and their health needs were met. People's needs were met by the design of the service, which was accessible for people who used wheelchairs.

People received personalised care which was responsive to their needs. People were provided with information in a format suitable for their needs. Staff ensured people had sufficient opportunities for stimulation, including regular contact with their families. Processes were in place to enable people or their representatives to raise any issues. Staff had access to relevant policies and guidance for when people required end of life care.

The manager understood the challenges facing the service and was taking relevant actions to ensure these were addressed. The manager monitored the culture and quality of the service. Processes were in place to assess the quality of the service provided and to identify potential areas for improvement.

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 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.

Right support: • The service was located within a residential community and people told us they had ready access to local shops and amenities. The service blended in with the neighbouring properties and there were no obvious signs or indications it was a care home. People's bedrooms were decorated and personalised to their tastes.

Right care: • People received personalised care which reflected their care needs, routines and preferences. Right culture: • The provider and manager promoted a culture focused on meeting people's needs and promoted open and honest communications with people and their families.