New Street

Staff had received training in the Mental Capacity Act however, further improvement was required to enable staff to fully understand how to work within the principles of the Act. We raised the issue with DoLS requests and improvements to training with the provider and they confirmed DoLS requests would be issued and refresher MCA training provided for staff members.

The provider had developed a range of audits and quality assurance checks however improvements were required due to issues found during the inspection not being identified by the provider.

People were comfortable, relaxed and happy around care staff and staff understood how to keep people safe.

Staff understood who to report concerns to as well as the risks to people's health.

Staff had very good knowledge and understood people's health conditions and the support they required.

The risks to people's health were reviewed regularly and care plans updated following any changes.

Safe recruitment and background checks were carried out prior to staff commencing employment.

People received their prescribed medications safely and in accordance with their specific guidance.

People were supported to attend appointments with healthcare professionals and guidance was sought.

Staff followed the infection control procedures the provider had in place. 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 working towards meeting the underpinning principles of Right support, right care, right culture, however improvements were required in relation to maximising people's choice, control and independence due to issues around DoLS identified during the inspection. Right support: • Model of care and setting maximises people's choice, control and independence Right care: • Care is person-centred and promotes people's dignity, privacy and human rights Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.