The Bungalow

The accommodation is mainly all on the ground floor, with one bedroom and a small lounge area upstairs. People have access to a garden and the home is close to local amenities.

Risks to people's safety were assessed but improvements were needed in regard to fire safety documentation. Infection and prevention controls were in place. However, some of the identified risks needed further attention. For example, individual staff risk assessments had not been completed.

Systems were in place to ensure lessons were learnt when things went wrong. The processes in place were being reviewed and investigations were underway to establish why some issues had not been highlighted sooner.

People were supported by a sufficient number of staff, although staff felt tired due to having to cover shortfalls in the team. People received their medicine from staff who had received the necessary training.

Plans were in place to increase staff engagement following a noted reduction in staff supervision. The provider was working in partnership with others to make necessary improvements.

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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. A closed culture in the home had begun to develop. A closed culture can be described as poor culture where the risk of harm is increased due to a range of different factors such as poor leadership and restrictive practice.