Tigh Bruadair

Risk assessments associated with people's individual care and support needs to mitigate known risks had been completed. However, guidance for staff was inconsistent in places. The management team agreed to amend this immediately where required.

Staff turnover was high, the provider was taking action to review staff retention difficulties, and staff recruitment was ongoing. Agency staff were used to cover staff shortfalls. Staff recruitment checks were completed before staff commenced their role. Staff received opportunities to discuss their work, training and development needs.

The provider had safeguarding procedures to protect people against abuse and avoidable harm. Where safeguarding allegations had been made, action had been taken to report these to external agencies and they were investigated.

We expect health and social care 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. People were involved in their care and treatment as fully as possible and care and support maximised their choice, control, and independence.

Whilst there had been staff retention difficulties and new staff were being recruited, the staff team overall were an established and experienced team. Staff knew people well and understood what was important to them. Staff were respectful and treated people with dignity and respect. People were empowered to live active and fulfilling lives. Opportunities to engage in stimulating and meaningful activities, interest and hobbies including social inclusion were provided.

People were supported to have maximum choice and control of their lives and staff them in the least restrictive way possible and in their best interests; the policies and systems in the service supported this

practice. People received their prescribed medicines when required. Some people had experienced positive outcomes in the reduction of their medicines.

Infection prevention and control best practice guidance was followed, the service was clean and hygienic. The environment and layout of the service met people's individual needs.

People's dietary needs and preferences were assessed and planned for. Healthy eating was encouraged, and people were involved in menu planning. People were supported to access health services.

Effective communication methods were used to support people's different communication needs and preferences.

The provider had systems and processes to assess, review and monitor quality and safety. An action plan was in place to develop the service. Relatives were positive their family member received person centred care. Feedback from people who lived at the service was positive.