Victoria Road

We were only somewhat assured by the provider's infection prevention control measure to prevent the spread of COVID-19. People's known and historical risks were not consistently recorded in their care plans. Medicines were not always managed safely.

People's communication needs were identified in their care plans but there were some missed opportunities to explore why people expressed certain emotions and how staff could best support them.

Incident forms did not contain enough detail as to why staff had administered people's 'as needed' medicines. Incident forms for one person contained details of potential restrictive practices.

People were not always supported to have maximum choice and control of their lives however staff supported them in the least restrictive way possible and in their best interests; The policies and systems in the service did not always support this practice.

People's life histories, wishes and preferences were not consistently recorded. People told us they expressed their views but there was no record of how they were listened to and supported. People's wants, needs and goals were not consistently recorded.

Staff had a good knowledge of what safeguarding meant in their role. People had choice and flexibility about their privacy. Staff told us they supported and encouraged people to be independent.

The registered manager was open and honest and acknowledged improvements were needed to ensure people were receiving good quality person centred care. The registered manager had lots of ideas of how to improve the service to benefit the people living there. Staff told us they felt confident in the management team and they felt able to raise concerns and share ideas.

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 not able to demonstrate how they were meeting some of the underpinning principles of right support, right care, right culture. The model of care did not always maximise people's choice, control and independence. Care was not always person-centred. The Ethos, values, attitudes and behaviours of leaders and care staff was positive, and the registered manager was able to talk about what measures they were putting in place to ensure people using the service led confident, inclusive and empowered lives.