Alexandra House

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 assessment and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

People's experience of the service and what we found: Right Support: The environment was clean, tidy and spacious. People's flats reflected the people who lived in them with photographs, artwork, and personalised decorative accessories on display. Ongoing maintenance kept the service to a good standard. People had choice in all aspects of their lives and were supported to do all they wanted to do when they wanted to do it. Staff had a flexible approach and accommodated people's wishes wherever possible. People had an active life which incorporated activities in their local community and where people had shared interests, they went out together. People received their medicines as required and staff worked in-line with recommendations from health professionals. 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; the policies and systems in the service supported this practice.

Right Care: Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided appropriate care and emotional support. The registered manager had a flexible approach to staffing levels to ensure activities, hobbies, individual interests, and outings were catered for. Staff acted quickly when needed to keep people safe, whilst promoting positive risk taking to allow people to build their daily living skills. People spoke highly of the staff team and the level of support they provided.

Right Culture: People received compassionate and empowering care that was tailored to their individual needs. Staff spoke highly of people and went 'above and beyond' for them to live the best lives possible. People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. Management led by example and staff empowered people to do all that they wanted to do safely. The service was committed to a culture of improvement and regularly sought feedback from people, staff and professionals. People were at the centre of the service and staff valued and acted upon people's views.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk

Rating at last inspection The last rating for this service was Good (published 8 August 2018)