HSN Care (Bricket Wood)

People's experience of using this service: People were cared for safely by a staff team who knew how to keep them safe from harm. Relatives said people were safe with one telling us, "The culture has changed completely since the last inspection and a good, open and safe culture is now embedded." Incidents were reported which triggered a review of people's care and where necessary were reported to the local authority. People benefitted from shared learning from incidents which supported safe care.

People's health needs were safely met because assessments identified the key risks to their health and wellbeing. Plans were in place to manage and support people's needs, and staff were aware of how to respond. People received their medicines as prescribed and staff along with the GP and other professionals regularly reviewed people's changing needs.

People were supported by sufficient numbers of staff who also felt supported, appreciated and valued in their role, especially through challenging periods during the COVID-19 pandemic. Staff supported people in the home well through COVID-19 and followed appropriate guidance in relation to infection prevention.

People were supported by a staff team who had received training to care for them with confidence and experience. People only received care when a comprehensive assessment was completed to assure staff that their needs could be met.

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

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 statutory guidance which supports CQC 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. The service was person centred and developed specifically for people to be closer to their families. People were supported to access their local community and were able to develop meaningful friendships with people. Care focused strongly on people's human rights supported by positive behaviour support plans which enabled staff to understand how to provide safe and person-centred care.

People and their relatives were given opportunities to feedback about the service and the provider had put measures in place to address any issues and make improvements to people's care.

Leadership was now visible and accountable across the service with staff and relatives all positive about the improvements. The quality of care found at this inspection was underpinned by the values and ethos of the registered manager, supported by a robust system of governance to monitor the care provided.