Tigh Lenach

Safe medicines management processes were in place. Staff had supported people to have their medicines reviewed and reduced in line with the STOMP (Stop overmedicating people with learning disabilities) campaign.

Overall safe infection protection and control processes were in place and the risk to people of catching and spreading the COVID-19 virus had been reduced. However, we found some of the provider's procedures were not in line with current guidance which impacted on visiting arrangements. We continue to work with the provider to seek assurances that their practices are in line with current government guidance.

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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were involved in the design and delivery of the service. A personalised service was provided which gave people as much choice and control as possible over their care. The staff worked with other healthcare professionals to ensure their practice was in line with people's best interests and staff were supported people to be as independent as possible.

The registered manager and staff were clear about their roles and responsibilities. Staff reported any concerns appropriately and the registered manager took accountability for the service. The registered manager was aware of their responsibility under the duty of candour. They told us they had an open and

transparent approach to their management of the service and would communicate with people and their relatives if mistakes had been made.

There was a comprehensive programme in place to review the quality and safety of the service. Where improvements were identified as being required, these were addressed promptly. There was a drive and dedication within the team to continuously develop and improve the service. The staff were in the process of trialling a number of projects on behalf of the provider to further improve practices and provide a more responsive service focused on improving outcomes for the people using the service.