Pinecroft and Bristol Outreach

In addition, the service provides personal care as part of an outreach service to people in their own homes. This service was situated in a separate self-sufficient office in the back garden of Pinecroft. It provides a service to older adults and young adults who have a diagnosis of autism.

Not everyone using Bristol Outreach Service receives regulated activity; CQC only inspects the service being received by people provided with 'personal care'; help with tasks related to personal hygiene and eating. Where they do we also take into account any wider social care provided. At the time of the inspection no one was receiving the regulated activity of personal care.

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.

Pinecroft provided people with a homely environment that was safe, clean and well-maintained. People were able to personalise their bedrooms. They had been consulted on the décor of the home. Checks were completed on the environment to ensure it was safe.

Staff supported people with their medicines that promoted their independence.

There were enough staff that were skilled to meet people's needs safely. This was kept under review. Staff recruitment and induction training processes promoted safety.

Right Care: People led inclusive and empowered lives because of the values and the attitudes of the management and staff. People were supported to do the things they liked to do. People were encouraged and supported to gain life skills enabling them to move to more independent living.

People received care and support that was person-centred and promoted their dignity, privacy and human rights.

Staff understood how to protect people from poor care and abuse. Risks to people had been identified and clear plans of care were in place to keep people safe. People were supported with bespoke training in keeping safe and staying healthy.

Right Culture: The registered manager and staff were clear about their roles and responsibilities in supporting autistic people. The ethos and the values were promoted within the service, with people setting clear goals based on their aspirations.

People received person-centred, individualised care because staff knew people and their needs well. There was an inclusive atmosphere in the home, people were fully engaged in the running of the home with regular meetings taking place. Their views were acted upon.

Staff worked well together as a team and sought advice and support from health and social care professionals when required. Feedback from professionals was positive and showed the staff worked in partnership to ensure positive outcomes for people.

Quality was everyone's business. Staff and people and were involved in the quality audits with one person championing in this area in respect of health and safety and the fire checks.