Merecroft

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

The assessment was carried out in part in response to concerns received about how people were supported when experiencing heightened distress and anxiety. During the inspection, we found no evidence of these concerns which placed people at risk of harm. Accidents and incidents were reviewed, lessons were shared, and improvements were made to reduce future risks. Safeguarding systems were robust, staff understood how to keep people safe, and concerns were reported appropriately. People were involved in managing risks, with support tailored to their individual needs while maintaining choice and independence.

The environment was safe and well maintained, with fire safety measures, personalised evacuation plans, and appropriate risk controls in place. There were sufficient staffing levels, safe recruitment practices, and ongoing training and supervision to support staff in their roles.

Infection prevention and control measures were effective, and medicines were managed safely, with regular reviews and clear guidance for staff to ensure people received them safely.

People’s needs were assessed and care was generally planned and delivered in line with current legislation and evidence-based practice. Care plans reflected people’s assessed needs and provided staff with guidance to support positive outcomes. Effective systems were in place to support communication between staff and partner agencies, helping to ensure continuity of care and support people to maintain their health and wellbeing. Staff monitored people’s wellbeing, supported access to healthcare services, promoted healthier lifestyles, and sought consent in line with the principles of the Mental Capacity Act.

People were treated with kindness, compassion and respect, and received care and support which reflected their individual needs, preferences and backgrounds. Staff knew people well, promoted independence, choice and control, and responded promptly and sensitively to changing needs and signs of distress. Care plans provided clear guidance to support consistent care, and staff demonstrated a good understanding of people’s preferences and support needs. Staff felt valued and well supported by the registered manager, which helped promote a positive culture and the delivery of person-centred care.

People received care from staff who tailored their support to meet individual needs, preferences and communication styles. People were involved in decisions about their care and had access to healthcare and support services. However, end-of-life planning needed to be developed to ensure people’s preferences were recorded for the future.

The service was led by a registered manager who promoted a positive, person-centred culture based on openness, inclusion and respect for people’s rights. Staff spoke positively about the support they received and felt confident raising concerns, with systems in place to ensure feedback was listened to and acted upon. Relatives provided positive feedback about the leadership and communication. Effective governance arrangements, clear accountability, partnership working and a commitment to learning and continuous improvement helped ensure people received safe, high-quality care.