Hulton House Care Residence

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.

Staff were recruited safely and there were sufficient staff to meet people's needs, however some concerns were raised from people, staff, and relatives about staffing levels. The provider increased staffing levels in response to the feedback shared during our inspection. Improvements had been made to the quality and the safety of the service, although the provider's systems needed further oversight to ensure they remained effective. People told us they were safe; systems were in place to protect people from abuse and concerns had been appropriately reported.

People received their medicines safely and the provider was working to reduce the use of 'as and when required' medicines. Staff were suitably trained for their roles and understood risks to people's safety and well-being and worked to lessen these risks. The building was clean, tidy and people could visit family members without restriction.

The manager, provider and management team had been responsive in implementing positive change and worked with health and social care professionals to improve people's quality of life. We received positive feedback about the manager, deputy manager and the culture of the service. People and their relatives had been included in the development of the service.