Reach Magnolia

Reach Magnolia accommodates four people in the main house and two people are accommodated in the annex at the rear of the property.

Safe medicine practices were not promoted and risks to people were not identified and mitigated. Alongside this, some staff practice did not mitigate infection control risks.

The required staffing levels were not always provided which impacted on the level of supervision and support people received, including community access. Staff were inducted, but not suitably trained and supervised in their roles to benefit people.

Records were not accurate and suitably maintained. Auditing was taking place. However, this was not carried out in line with the provider's procedure and failed to identify the shortfalls we found.

Systems were in place to safely recruit staff. However, staff recruitment files did not contain evidence of actions taken in respect of chasing references or fully mitigate risks around any potential convictions. We have made a recommendation to address this.

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 Support: Model of Care and setting that maximises people's choice, control and independence. People were not supported to have maximum choice and control of their lives and staff did not support them in the least restrictive way possible and in their best interests; the policies and systems in the service did not support this practice.

Right Care: The provider was committed to promoting people's dignity, privacy and human rights. They had identified a dignity champion and a dignity tree was on display which outlined how this was achieved. However, we observed during the inspection terms of endearment was used when engaging with people, a person was referred to as a "Good boy" and another person was told to "Chop, chop" when being supported to leave the service. These interactions did not promote people's dignity and human rights.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. The provider was proactive in promoting a positive culture within the service. Poor practice was addressed, and some staff had specific training provided to further improve their practice and interactions with people.