Spinney Hill House

There was a positive and empowering culture established within the service. This meant people were supported by exceptionally caring and attentive staff that knew them well and helped them to achieve their potential. People were encouraged to live as full a life as possible and supported to achieve the best possible outcomes.

Staff had formed positive relationships with people they supported and looked for ways to develop their independence. Care was person-centred and delivered by committed and dedicated staff. Care and support was designed by people, relatives, the staff team and external professionals collaboratively.

Staff were very caring and knowledgeable about how best to communicate with people and to advocate for them to ensure their views were heard. There was a strong culture within the service of treating people with dignity and respect and staff spent time getting to know people and their specific needs before they provided them with care and support.

Staff received outstanding support from the management team both at a professional and personal level. Staff had completed high quality training that ensured they were confident and competent at delivering person centred care. Staff were encouraged and supported to develop their skills and follow a career progression within the service. The provider ensured their practices were in line with current good practice, guidance and legislation. There was a focus on continuous development.

Staff and the management team were passionate and motivated about their roles and understood their responsibilities. They actively engaged and included people, their relatives and professionals in the ongoing design and delivery of their care and support.

There were comprehensive systems in place to make sure the service was safe. People were empowered to take positive risks, to ensure they had greater choice and control of their lives. The positive risk-taking approach showed staff respected people's right for independence and their right to take risks.

People were fully involved and supported to recruit staff. This ensured that successful applicants had the

right values and skills to match the values that were at the heart of the service.

People were supported to have their nutritional needs met. Healthcare needs were met, and people had access to health professionals as required. Care plans outlined any support people required to manage their healthcare needs.

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.

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 home was situated in a residential area, with no signs from the exterior that it was a care home. People were supported to be as independent as possible and encouraged and supported to make their own decisions and choices. People had either private rooms or flats and staff were respectful of people's privacy and dignity. People were supported with job applications and empowered to challenge legal restrictions if they wished to.

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