Hillcrest

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 Care Staff had training on how to recognise and report abuse and they knew how to apply it. People did not always lead empowered lives. There was a lack of evidence to show people had received all their funded hours and had used hours how they wished. Staff told us they received training and support but records to monitor this were not effective. Staff spoke about people with kindness and warmth. Overall, people were engaged in activities but records regarding this needed strengthening.

Right Culture Audits and systems to check the quality and safety of the service were not robust and needed strengthening. Leaders of the service used slang terms to refer to people which was not respectful. Policies were in place but had not been reviewed to show they were up to date. Feedback from relatives and staff was positive about the leadership and management of the service. The provider worked with a range of external professionals to ensure people received joined up support.

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