Step Forward Support

Staff understood who to report concerns to as well as the risks to people's health. People's support needs were risk assessed and care plans provided staff with the information they needed to manage the identified risk. The risks to people's health were reviewed regularly and care plans updated following any changes. The provider carried out recruitment checks to ensure staff were suitable for the role. Staff had the necessary skills to carry out their role. Staff had regular training opportunities and training specific to people's individual needs was provided.

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

People received their prescribed medicines 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. 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. Some people who were identified as lacking capacity did not have capacity assessment. During the inspection this was raised with the registered manager who confirmed capacity assessments would be completed for all service users who lacked capacity.

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.

This service was able to demonstrate how they were meeting the underpinning principles of Right support, right care, right culture. There was a strong focus on supporting people to be independent, develop their skills and access their local community. This enabled people who used the service to live as full as life as

possible and achieve the best possible outcomes. 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.

People's individual communication needs were considered to support them to be involved in their care. Systems and processes in place promoted a positive culture in the home.