Swan Court

Quality assurance checks were in place but had not identified some of the concerns raised during the inspection. The management were responsive to concerns highlighted and some changes were made immediately. Staff and relatives spoke highly of the new registered manager and the deputy manager. Relatives gave mixed views on the outcomes for their loved ones. Most told us they were happy with the care people received. One person told us; "I know that [my relative] is happy, I ask if [they] are happy and [they] say "yes I am happy, I want to stay here." Another relative told us their loved one had made slow progress and may be bored at times but felt that improvements had begun since the new registered manager had joined the service.

People were supported to have maximum choice and control of their lives and staff supported them in the least restrictive way possible and in their best interests; most of 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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. Right support: • Model of care and setting maximises people's choice, control and independence Right care: • Care is person-centred and promotes people's dignity, privacy and human rights Right culture:

• Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives