Moore Care (Registered) Limited, 4 Manchester Road

People's experience of the service and what we found: 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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right Support The service was undergoing a refurbishment, however at the time of inspection it did not always give people care and support in a safe, clean, well equipped, well-furnished and well-maintained environment. Medicines were not always managed safely.

The service made reasonable adjustments for people so they could be fully involved in discussions about how they received support, including support to travel wherever they needed to go. The service had good links with the local community.

Right Care People's care, treatment and support plans did not always reflect their range of needs, in order to promote their health and well-being outcomes. Risks were not always suitably assessed. Some people's care and support had been assessed using positive behavioural support (PBS), whilst others hadn't. This meant we could not be assured staff were following a consistent and evidence-based approach to supporting people with a learning disability.

Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. The service had enough appropriately skilled staff to meet people's needs and keep them safe.

Right Culture Governance processes were not always effective in making improvements to the quality of care and support people received.

People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the staff. Staff knew people and their aspirations and supported them to live a quality life of their choosing. People and those important to them, including advocates, were involved in planning their care. The service enabled people and those important to them share their views and work with staff to develop the service.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk