Beech Trees

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 principles of Right support, right care, right culture are as follows:

Right support: People's ability to make choices about the activities they took part in and how they spent their time were restricted because the service did not have enough staff to provide their commissioned one-to-one support hours.

However, there were enough staff on each shift to keep people safe. Agency staff were used regularly due to vacancies on the staff team, but the provider had minimised the impact of this by using regular agency staff where possible. The provider's recruitment procedures helped ensure only suitable staff were employed.

Accidents and incidents were reviewed, and learning was shared among the staff team. People's medicines were managed safely. Staff maintained appropriate standards of infection prevention and control (IPC).

Right care: Staff understood how to protect people from poor care and abuse. Staff had training on how to recognise and report abuse and they knew how to apply it.

People received kind and compassionate care. Staff understood and responded to people's individual needs. People told us they got on well with the staff who supported them and enjoyed their company.

The care people received promoted their dignity, privacy and human rights. Staff promoted equality and diversity in their support for people. They understood people's cultural needs and provided culturally appropriate care.

Right culture:

The values, attitudes and behaviours of managers and care staff ensured people led confident, inclusive and empowered lives. Staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and inclusivity.

People and their families were involved in planning their care. 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.