CareTech Community Services Limited - 68 West Park Road

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and 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 supporting people with a learning disability and autistic people and providers must have regard to it.

Right Care People's care records were not always up to date regarding the possible need for the use of restrictive practice as a last resort. This led to confusion amongst staff. Although staff could tell us about some people's wishes and plans, it was not easy to see how their long-term goals and aspirations were being met.

Right Culture Staff did not always receive regular supervision, which meant some opportunities to identify gaps in their knowledge could be missed. Agency staff were not given the same training in restrictive practices as the established staff team. This could create a risk of confusion about appropriate practice amongst the staff team.

People were not always supported to have maximum choice and control of their lives. It was not always clear staff supported them in the least restrictive way possible and in their best interests; the policies and systems in the service did not always support this practice.