Eversley

The garden areas were in need of maintenance to help improve and enhance living areas for people.

Auditing of the service had not identified appropriate actions to show improvements to managing supervision of staff, improve training uptake of necessary topics and management of each person's one to one hours. Staff had not heard of CQC 's publication, 'Right are, right support, right culture.' The area manager and home manager were responsive and by day two of this inspection had taken some actions to manage training, supervision and responded to fire risks.

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 received care and support that was tailored to their individual needs and wishes. People and their relatives were actively involved in planning and reviewing their care plans. People and relatives shared very positive comments about the staff and the support they received. Staff knew people well and were responsive to changes in their needs.

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. People had the necessary capacity assessments and legal processes in place to ensure their rights were fully respected

People continued to receive care and support that protected them from the risk of harm and abuse. Staff knew how to recognise and report the signs of abuse and poor practice.

Staff monitored people's health and supported them to access and follow healthcare advice. People received their medicines as prescribed and accurate records were maintained.

Rating at last inspection The last rating for this service was rate good published (27/9/2017). The service has been rated requires improvement at this inspection.