Thurleston Residential Home

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 had a learning disability.

Right Care: People's privacy, dignity and human rights were promoted and respected.

Right Culture: People received care and support with was person centred, caring and responsive.

Since our last inspection, there had been a change of provider for the service. There were plans in place for improvement to the service and the environment. The provider and registered manager were fully aware of improvements required and these improvements had started to be made. However, not all improvements were fully implemented and embedded in practice at the time of this inspection. There was an action plan in place which identified how the improvements were being driven and this was kept under review.

Improvements were ongoing in how people received their medicines as prescribed, ensuring staff received the training they needed to meet people's needs, learning lessons when things went wrong and care plans and risk assessments were in the process of being reviewed.

Systems were in place to reduce the risks of abuse and avoidable harm. Staff were available when people needed support. The staffing levels were kept under review and staff were recruited safely. The service was visibly clean. People were supported to have visits from their family and friends.

People were supported to maintain good health and had access to health professionals. Systems were in

place to support and meet people's dietary and hydration needs.

People received the opportunity to participate in activities, however, this was not always captured in their care records.

There was a complaints procedure in place. People's views were sought and listened to about how they wanted to be cared for. People received care which was responsive to their needs. Improvements were ongoing with regards to people's care plans and risk assessments. People's end of life decisions were recorded, where they had chosen to discuss this.