St Michaels House

Based on our review of safe and well-led the service was not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture. Staff did not have specific training to support people with learning disability and autism. We observed a staff member speaking to people that did not promote dignity and respect. Care plans identified peoples support needs and were being developed to ensure they maximised people's choice and control. The registered manager acknowledged this and was putting actions into place to educate staff.

Staff received training that covered mandatory training, however, did not receive training that was required for people's specific support needs. This was actioned immediately following the inspection. And staff had their competency assessed. Staff had received training in infection control practices and personal protective equipment was provided for them.

People and their relatives felt the care provided was safe and risks were managed appropriately. This was because staff knew people well, and systems were in place to report any concerns. Risks to people's health, safety and well-being were assessed. People's medicines were managed safely. People were supported by a staff team, who had been safely recruited.

Systems were in place for reporting and responding to accidents and incidents. Incidents were followed up and prompt action taken to ensure people were safe and to prevent reoccurrence.

People and their relatives praised the staff team. Staff had a good understanding of the people they supported. They took the time to get to know people's individual likes and dislikes. People and their relatives told us they would be confident to raise any concerns with the management team.

People, their relatives and staff members and professionals spoke highly of the registered manager and told us that they were available and supportive. The registered manager had a good understanding of their

responsibilities towards the people they supported and was dedicated to continuing to improve the service. A governance system was established, which included various audits and the monitoring of safeguarding concerns, complaints, accidents and incidences. Formal action plans however had not been developed for ongoing monitoring.