Gorse Hill

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 assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

The service demonstrated how they were meeting the underpinning principles of Right support, right care, right culture.

Right Support People were supported in a kind, sensitive and respectful way. People received person centred support and their needs were met. There were sufficient numbers of staff deployed to meet people's needs and ensure their safety. Staff were recruited safely, and relevant checks had been carried out. People were supported by staff who had been trained and were appropriately supervised. People's needs were assessed prior to the receipt of service. Care and support had been developed around individual assessed needs and preferences. Staff worked in a way which promoted people's independence. People were supported to access healthcare services to ensure their health needs were met. People received their medicines in a safe way.

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 practice.

Right Care People were positive about the care and support they received. People were treated with dignity and respect, and their independence was encouraged. Staff understood how to protect people from poor care and abuse. People had personalised support plans which considered their needs and preferences. Any risks to people's health and well-being had been assessed, recorded and mitigated as much as possible.

People could take part in activities and pursue interests that were tailored to them. The staff gave people opportunities to participate in a wide variety of activities that enhanced and enriched their lives. Staff knew people well and communicated effectively with them to ensure they felt understood and valued.

Right Culture The registered manager and staff promoted a person-centred culture which was focused on meeting

people's individual needs. The registered manager was committed to the continuous improvement of the service. The registered manager and staff sought feedback and worked in partnership with others including health and social care professionals to ensure people received the support they needed. Staff had access to a wide range of relevant training which was refreshed at regular intervals. The provider had established effective systems to monitor the quality of the service.

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

Rating at the last inspection The last rating for this service was good (published 29 September 2017).