Butler House

People received support with their healthcare and nutritional needs. They 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. People's needs were assessed prior to them staying at Butler House. Detailed transition plans were developed to ensure people were comfortable moving into the home. The provider had appropriate arrangements to ensure staff received training relevant to their role. One staff member said, "Despite the pandemic there is an emphasis on training". Staff felt supported by the management team.

Staff treated people with kindness, dignity and respect and spent time to ensure peoples individual needs and wishes were met. Our observations during the inspection were of positive and friendly interactions between staff and people.

The service had a complaints procedure which was made available to people they supported. People we spoke with told us they knew how to make a complaint if they had any concerns. Care was personalised to the individual and social stimulation was an important part of people's lives.

Butler House had auditing systems to maintain ongoing oversight of the service and make improvements where necessary. Quality assurance processes ensured people were able to give their views of Butler House and improvements made when they were identified or suggested.

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.

Right support: • Model of care and setting maximises people's choice, control and independence. Care and support had been developed around individual assessed needs. Staff worked in a way which promoted the persons independence. For example. People told us staff encouraged them to participate in their care and make choices where possible.

Right care: • Care is person-centred and promotes people's dignity, privacy and human rights Care support plans were person centred and ensured the individual and family were involved in the development and review of their plan as far as possible. Training and support for staff ensured human rights was at the heart of the delivery of care and support.

Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives The ethos of the agency was to develop and target support which suited the individual and helped them live the best life possible.