Eastry House

There was a lack of quality auditing of the service which included provider audits. The premises could not be cleaned properly due to the poor condition of some areas. Staff were not always following good infection control practices or government guidance in relation to COVID-19. Accidents and incidents were not always included in the registered manager's analysis meaning they could not robustly review for themes or trends.

People told us there were sufficient staff on duty each day and they were kind to them which made them feel happy and safe. People received the medicines they required and any risks specific to them were identified and guidance in place for staff to help keep them safe.

People and staff felt involved in the service and felt listened to and we observed an obvious close relationship between staff and people.

The registered manager had started to improve Eastry House and the quality of the service people received. Staff told us they had already had a positive impact despite only being registered since December 2020. The registered provider had good links with external agencies to help ensure people received appropriate care in line with their needs.

We expect health and social care registered 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 guidance CQC follows to make assessments and judgements about services providing support to people with a learning disability and/or autistic people.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture.

Right support:

• The model of care and setting maximises people's choice, control and Independence.

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

Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.