19 Lower Dolcliffe Road

People's experience of using this service: Staff routinely promoted choice and independence, and spoke to the person using the service respectfully upholding their dignity. Care plans were highly personalised which indicated that staff understood the person's needs. Care was reviewed regularly to ensure it met the person's needs, and where changes were required these were implemented.

Staff were trained in relation to how to keep people safe from the risks of harm or abuse, and there was information available in the home for people using the service and staff about what action to take if abuse was suspected. The provider had mostly taken appropriate action when untoward incidents or suspected abuse had occurred.

Staff were recruited safely, with appropriate background checks being made. Staff received training in a wide range of relevant areas.

Medicines were well managed, although we identified one area for improvement in relation to "as required" medicines. We discussed this with the registered manager during the inspection and they confirmed this had been addressed appropriately.

There was a complaints process within the home, although we noted the provider had not followed their own procedures when dealing with complaints. We have made a recommendation that the provider assesses the effectiveness of their complaints arrangements.

The person using the service was 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.

The person using the service was encouraged to be involved in meal planning and preparation, and their nutrition and hydration needs had been assessed and were monitored.

There was a system in place for monitoring the quality of service provided, and making ongoing improvements as part of the monitoring system.

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. .

The outcomes for the person using the service promoted choice and control, independence and inclusion; staff were dedicated to providing a person centred service which reflected the person's preferences. The person was supported to give their views about their care, and staff acted on this to ensure the person's needs were met. They used the facilities within their local community, with staff support, and in accordance with their preferences.