Barley Close

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.

Right Support People had not always received the care they needed to live safe, fulfilling and happy lives. There had been a strong focus on improving these areas in recent months.

People had not always been supported with their medicines in a safe, consistent and effective way. Medicine administration had improved and was the focus of ongoing improvements.

Risks to people were considered and planned for. People's risk plans had not always been followed by staff. Risks to people had therefore been focused upon and staff practice was improving and being monitored.

People were supported to make as many of their own decisions as possible.

Recruitment processes were safe. The provider was taking active steps to recruit, mentor and retain staff.

Right Care Staff had not always protected people from poor care, errors, abuse or neglect. The service was currently working with other agencies to ensure people's safety and to improve the quality of care and support provided.

People who spoke with us said they were happy living at Barley Close. People told us, and we saw, they were treated respectfully and with compassion by staff. People clearly trusted staff; they were happy and relaxed in their company.

Right culture People had not received high quality care and support. There had been a significant decline in the quality of

the service. There had been a lack of clear, consistent leadership which had contributed to the decline and lack of structure, support and guidance for staff.

People's quality of life had not been enhanced by a culture of learning and improvement. Neither the provider nor the various managers had effective oversight of the quality of care, staff practice or risk management. This had led to people receiving poor or unsafe care.

People, and those important to them, were working with the acting manager and staff to develop and improve the service. Confidence in the service and in how it was managed was returning as improvements were made and sustained.