Ducks Halt

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 guidance CQC follows 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 underpinning principles of Right support, right care, right culture. Staff promoted people's independence and care was personalised to each individual person's needs. Staff supported people to develop confidence to live full lives.

We received information of concern that the provider may not have shared information or taken action across the organisation following a specific incident at another location.

We found systems had been put in place to share learning with staff through briefings, guidance, supervisions and meetings. We saw additional support and training had been provided to staff on closed cultures and there was an independent 'Freedom to speak up' guardian. Staff had received further training and information on restricted practices and closed cultures.

There were systems in place to provide a good oversight of the service with additional audits and monitoring by the management team.

The senior management team were more visible and held regular briefings with staff. Registered managers were supported with the providers initiative 'project best', where through regular coaching meetings registered managers were supported to drive improvements and improve outcomes for people.