Newton House

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.

Staff received training, but gaps were identified in the training staff had completed. The induction did not support staff to follow the Care Certificate standards expected by providers. Staff had been recruited safely.

Risks associated with a person's health condition and support needs lacked staff guidance. A concern was also identified in how a person's prescribed medicine was being managed.

Infection prevention and control measures needed strengthening, to reduce the risks associated with cross contamination and the spread of infection.

The environment showed areas that needed improving upon. The management team had identified actions required and a plan was in place to address these.

Provider oversight and leadership did not include compliance visits to complete audits and checks. The provider had identified this as an area for improvement and was in the process appointing an external company to complete this.

Right Support: Overall, care plans provided staff with information about how to meet people's individual needs and support. 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.

Right Care: Care staff knew people and what was important to them, including their routines and preferences. People spoke highly of the staff' teams kind and caring approach. Social inclusion was

promoted, enabling people to be a part of their local community. People's communication, religious and cultural needs were supported and respected.

Right Culture: The culture of the service was positive. Staff shared the provider's vision and values and people received support to achieve positive outcomes. People were positive about living at Newton House and felt safe and well cared for. People received opportunities to share their experience of the service they received.