Streatfeild House

We looked at infection prevention and control measures under the Safe key question. We look at this in all care home inspections even if no concerns or risks have been identified. This is to provide assurance that the service can respond to COVID-19 and other infection outbreaks effectively. We were satisfied that effective measures were in place.

The registered manager carried out pre-assessments, making sure people's care and support needs could be met. People's needs were regularly reviewed. Staff received training relevant to support people and meet their needs. Staff supported people to meet their health and social care needs, working with other professionals and with the support of relatives, advocates and loved ones.

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 were treated with respect and dignity by staff that knew them well. Staff told us about the importance of dignity and treated people the way 'you would like to be treated.' Staff were caring and people's privacy was respected. People's independence and choice was promoted without compromising safety.

Care plans had moved to an electronic system and continued to be written in a person-centred way. Care plan notes were updated by staff using handheld devices so the latest information was available to everyone. Consideration had been given to people's communication needs with the use of pictorial representations and signs in support of written information. A complaints policy was in place and accessible to everyone and we saw that complaints made had been addressed within set timeframes. End of life plans were in place for people who were able to take part in those discussions if they wished.

The registered manager had worked at the service in various roles for many years. They invested in a positive culture and everyone we spoke with was full of praise for the registered manager. The registered manager was aware of and had complied with their responsibilities under the duty of candour. Thorough auditing processes were in place overseen by the registered manager and the provider. Systems were in place to capture feedback from people, staff ,relatives and professionals.

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.

Right support: • Model of care and setting maximises people's choice, control and independence. People enjoyed living at the home and were supported every day with a range of activities to suit everyone, some done in groups, others with one to one support and others independently. Independence was promoted with everyone being encouraged and supported to achieve their goals.

Right care: • Care is person-centred and promotes people's dignity, privacy and human rights. Maintaining people's dignity was central to everything we saw during our inspection. People were treated with kindness and had their privacy respected. People were provided with opportunities and were supported to live their lives as they wished.

Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives. Staff knew people well and were passionate about providing the best care and support for people. People, staff and relatives referred to the home as a family of people. Relatives told us of their confidence in the staff and the care provided which was a great comfort to them and that they were involved and were kept informed of even the smallest changes.