Eastlands

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. We considered this guidance as there was one person using the service who have a learning disability and/or who are autistic.

Right Support: Model of Care and setting that maximises people's choice, control and independence

Right Care: Care is person-centred and promotes people's dignity, privacy and human rights

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.

People's needs were assessed prior to them coming to Eastlands, this enabled the provider to be assured they could meet people's needs. People's care was provided in accordance with the Equality Act 2010. Almost all training had a 100% completion rate. Action was being taken to address any shortfalls. Staff felt supported and enjoyed their role. People were supported to maintain a healthy, balanced diet. Good oral health care was encouraged. People were supported to lead healthy lives and staff liaised with and acted on guidance from external health and social care professionals. The environment was suitable and adapted for people living with mental health conditions, physical disabilities and dementia.

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.

People felt staff were kind, caring and respectful. They enjoyed the company of staff.

Staff provided care in a dignified way that respected people's privacy. People were supported to make decisions about their care where able. Easy read documentation was used to support decision making. People's independence was encouraged and supported wherever possible

Support plans were detailed, person-centred and relevant to people's individual needs. A skills coordinator supported people with their activities and life goals. Efforts had been made to provide information for people in accordance with the Accessible Information Standard. The complaints process was clear and understood by people. Complaints had been responded to in accordance with the provider's policy. End of life care not currently provided; however, staff received the training needed to support people if required.

There have been clear, sustained improvement since the registered manager was in post. All breaches from the previous inspection had been addressed and there was a clear structure in place for monitoring risk, assessing staff performance and driving improvement and development. The registered manager was supported by senior management to carry out their role. The registered manager understood and adhered to the regulatory requirements of their role.