The Bungalow

We assessed the service against ‘Right support, right care, right culture’ guidance to make judgements about whether the provider guaranteed people with a learning disability and autistic people respect, equality, dignity, choices, independence and good access to local communities that most people take for granted.

People were protected and kept safe. Staff understood and managed risks to people’s health and safety. However, the provider’s processes for recording incidents and safeguarding information required further development to demonstrate how concerns were investigated and managed.

There were enough staff available to meet people’s needs. Staff knew people well and understood how they like to be supported. Staff ensured people’s medicines were safe and met their needs. However, the provider’s medicines administration checks were not always sufficiently detailed and this meant relevant information was not always recorded.

People were involved in assessments of their needs. Staff reviewed assessments taking account of people’s communication, personal and health needs.

Staff worked with all agencies involved in people’s care for the best outcomes and smooth transitions when moving services. They monitored people’s health to support healthy living. Staff made sure people understood their care to enable them to give informed consent. Staff involved those important to people and took decisions in people’s best interests where they did not have capacity.

People were treated with kindness and compassion. Staff protected their privacy and dignity. They treated them as individuals and supported their preferences. People had choice in their care and were encouraged to maintain relationships with family and friends. Staff responded to people in a timely way. The provider supported staff wellbeing.

People were involved in decisions about their care. Staff provided information people could understand. People knew how to give feedback and were confident the provider took it seriously and acted on it. People received fair and equal care and staff worked to reduce health and care inequalities.

Leaders and staff had a shared vision and culture based on listening, learning and trust. Leaders were visible, knowledgeable and supportive. Staff understood their roles and responsibilities and were given the time and resources to try new ideas. Governance processes were in place to monitor the safety and quality of the service. However, these were not always implemented effectively. Managers were responsive to feedback and there was a culture of continuous improvement within the service.