Mapleton

There was a robust and effective quality assurance programme in place. People, relatives and staff were consulted and asked for their views. This enabled the provider and registered manager to identify issues and take prompt action to address them.

People felt safe living at Mapleton. They were supported by a stable and consistent staff team who knew them well. We saw kind and caring interactions during the inspection.

The provider and registered manager used a dependency tool to ensure there were sufficient numbers of staff deployed to meet the needs of the people at the service. Staff were recruited and selected safely.

New staff completed a thorough induction and received the training and supervision necessary to carry out their roles. There was a culture of continued learning and reflection. Staff told us, "If you make mistakes, they don't come down on you like a ton of bricks. They ask what support you need to move forward. To reflect and learn from it."

Risks to people's health and well-being were assessed and reviewed appropriately. There was clear guidance in place for staff to follow. Staff worked closely with a range of external health and social care professionals to meet people's needs and help them work towards their goals.

Measures were in place to prevent the spread of infection, and safety checks on the environment were in place and robust. Medicines were safely managed. Incidents and accidents were appropriately recorded and analysed for patterns and trends. Safeguarding processes were in place to help protect people from abuse.

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.