Ribble View

Based on our inspection of these aspects of safe care we saw records with clear risk management strategies in place and staff were fully aware of people's risks and how to manage them. Some processes and systems of communications used in the home could be improved to ensure more effective sharing of information.

There was a balancing of people's choices and the management of risk taking. Details in some records could be clearer but did not affect the care and management of choking risks. Staff were very knowledgeable about people's individual clinical presentations and how to manage them. The registered manager told us they were aware from recent learning that more communication with external professionals would be beneficial.

We have made a recommendation about enhancing the detailing in records to ensure absolute clarity and to promote more dialogue in communications both in the home and with external professionals.

Where accidents and incidents had occurred, actions had been taken to prevent them from reoccurring. There were systems and processes used in the home and by the registered manager and provider to ensure lessons learned were shared.

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 very knowledgeable about people's rights to make their own choices including those that may be considered unwise.

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.

For more details, please see the full report which is on the CQC website at www.cqc.org.uk