Longrun House

People were safe at the home. They were comfortable and relaxed with the staff who supported them. Lessons were learnt, and changes made, when things went wrong.

Eleven relatives thought the home was a safe place for their family members to live; they had no concerns about people's safety. Two relatives had concerns about some aspects of safety which they had discussed. Staff knew how to recognise and report concerns about possible abuse.

Risk assessments were used to ensure people received safe care and support according to their individual needs. Risks to people's physical health had been considered and planned for.

There were adequate numbers of staff to keep people safe and meet their needs. There was consistent staffing and that staff were allocated to specific duties each day at the handover meeting when the shift began. Ten relatives were happy with how staff were allocated and with consistency of staffing. Three relatives were not happy with this.

People received their medicines safely and at the right time. Medicines were stored safely, including medicines which required refrigeration. There were suitable arrangements for ordering, receiving and disposal of medicines. People were protected from catching and spreading infections.

The service was well-organised, with clear lines of responsibility and accountability. There was honesty and accountability when things went wrong.

There was a clear structure within the staff team ensuring staff understood their own roles and responsibilities. Staff had high confidence in the management team.

Ten relatives had confidence in the management of the home and in the provider. Three relatives did not have complete confidence in the service and had made their concerns known.

Audits, surveys and observations were used to try to improve the care and facilities for people; where shortfalls were identified action was taken to make sure improvements were made.

Staff morale and teamwork were good. Staff were positive, energetic and engaged with people, treating them with kindness, dignity and respect.

Staff worked in partnership with other professionals, such as speech and language therapists and GPs to make sure people's individual needs were met.

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.

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.

The service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. People were at the centre of their service and had high levels of staff support so they could lead fulfilling lives. Staff treated each person with dignity, respect and as an individual, respecting their abilities, choices and human rights.

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