Fleetwood House

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 not able to demonstrate how they were meeting some of the underpinning principles of Right support, right care, right culture:

Right support There were enough staff to keep people safe and occupied at home, however, regular staff shortages sometimes led to people not receiving support with going out and fulfilling activities out of the home. The provider was actively recruiting but had not been able to address long term recruitment needs. Records of people's support were not always up to date or completed accurately. Staff knew people well and were committed to supporting people's choices and independence.The home environment was safe and welcoming, IPC and medicine administration was managed safely.

Right care Risk assessments for health and emotional wellbeing did not always provide clear guidance to staff and were not always up to date. This placed people at risk of support errors or changes in needs being missed. However, people experienced support which was kind and caring, staff were well supported with training and development opportunities and were committed to person centred care. People were encouraged to make their rooms personalised and homely. People's relatives saw their loved ones were happy with their support and treated with dignity and respect.

Right culture Management oversight did not always ensure records and processes were followed, this sometimes prevented the professionals supporting people to have confidence that plans and actions were being carried out effectively. Staff understood the values of person-centred and respectful care and felt supported by managers to

provide this. People's relatives felt managers and staff were approachable. People were relaxed and comfortable in the company of staff.