Langold View

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 some of the underpinning principles of Right support, Right care, Right culture.

Right support: • Model of care and setting maximises people's choice, control and independence. Each person had their own separate apartments. The home was located in a town with easy access to the local community. There was also access to public transport routes to enable people to travel further away from their home if they wished. Right care: • Care and support was person-centred and promoted people's dignity, privacy and human rights. Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives

People were provided with care and support that reduced the risk to their safety. Risks to their safety were assessed and acted on with no unnecessary restrictions made on their lives. Staff understood how to identify, act on and report any allegations of abuse or neglect. There were enough staff in place to provide people with safe care and support and also to enable people to lead active and meaningful lives.

People's medicines were well managed. People were protected from the risk of the spread of infection. This included safe COVID-19 practices. Accidents and incidents were investigated. Staff had received training to

help reduce the risk and effect of behaviours that may challenge.

People received care and support that met current best practice guidelines and adhered to relevant legislation. People's care and support was provided in line with the characteristics of the Equality Act 2010. Staff were well trained and received supervision of their practice. A small number of supervisions were overdue for some staff.

People were supported to make wise food and drink choices. The effect of poor choices was communicated to them in a way they could understand. Staff worked with other health and social care professionals to provide care and support for people. A health and social care professional praised the way staff facilitated a person's smooth transition to living at the home. People had access to healthcare where needed. People were supported with attending these appointments and the reasons why they were important were explained.

People's apartments and communal areas had been developed to promote inclusivity and access for all. 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.

Staff were kind, caring and compassionate. They had people's best interests at heart. People were supported to make decisions about their care and support needs. People's privacy was respected, independence encouraged, and they were treated with respect and dignity. We observed positive interactions between staff and people.

Care and support was person-centred. People were encouraged to lead active lives, to be part of their local community and to meet others to reduce the risk of social isolation. People's goals were encouraged, and their progress was tracked to ensure positive outcomes. People received information in an accessible format that did not discriminate. People felt complaints were handled appropriately. End of life care was not currently provided. There had been minimal discussion with people about this subject. The registered manager acknowledged this was something that they needed to address.

Staff felt able to approach the registered manager with any concerns. The registered manager was knowledgeable about the regulatory requirements of their role and they felt supported by the senior management. Staff were encouraged to provide feedback about how the service could be improved and/or developed. Success was recognised and rewarded. Quality assurance processes helped to identify any areas of concern but also things that were working well. The registered manager was knowledgeable, experienced in the provision of learning disability care and support and people and staff liked and respected them.