FitzRoy - Teddington

The home was a safe place for people to live and staff to work in. People's positive responses and body language indicated that they enjoyed living at Fitzroy-Teddington. Risks to people were assessed and reviewed. This enabled them to take acceptable risks, enjoy their lives and live safely. Accidents, incidents and safeguarding concerns were reported, investigated and recorded with any lessons learnt. There were suitable numbers of appropriately recruited staff to meet people's needs. Medicine was safely administered.

People did not experience discrimination against them and their equality and diversity needs were met. Staff, who were well-trained and supervised, spoke to people in a patient, clear way that they could understand. People's health needs were understood by staff who provided them with access to community- based health care professionals, as well as support staff employed at the home. People were protected by staff from nutrition and hydration risks and they were supported to choose healthy and balanced diets that also met their likes, dislikes and preferences. The premises were adapted to people's needs. Transition between services was based on people's needs and best interests.

The service had a warm, welcoming and friendly atmosphere with people enjoying the way staff gave them care and support. The staff we observed were caring and compassionate. Many positive interactions took place between people, staff and each-other. Staff upheld people's privacy, dignity and confidentiality. People had access to advocates and were encouraged and supported to be independent.

People were supported to have maximum choice and control of their lives. 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 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 the underpinning principles of right support, right care, right culture. People received person-centred care in a setting that enabled them to have maximum choice, control and independence and promoted their dignity, privacy and human rights. The positive culture, ethos, values, attitudes and behaviours of leaders and care staff ensured people using service lead confident, inclusive and empowered lives.