Tigh Coilean

The procedure for completing best interest decisions were not sufficiently detailed. Staff had not fully received training in relation to people's health needs, but action was being taken to address this.

There was not a registered manager in place or a manager due to submit their registered manager application. Systems and processes to assess, monitor and mitigate risks needed some improvement.

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. People received consistent person centred care from staff that knew them well and understood what was important to them. Staff were respectful and treated people with dignity. 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.

There were sufficient staff to meet people's needs and safe staff recruitment checks were completed before staff commenced their role. Staff received opportunities to discuss their work, training and development needs.

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

Overall infection prevention and control best practice guidance was followed. The environment and layout of the service met people's individual needs.

People received sufficient to eat and drink and healthy eating was encouraged. People were supported to access health services.

Staff were kind, caring and promoted people's independence. Effective communication methods were used to support people's different communication needs and preferences. People were supported with their interest and hobbies and encouraged to participate in a wide range of activities and social inclusion opportunities.

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.