Newton House

Right Care • Staff promoted equality and diversity in their support for people. They understood people's diverse needs and provided appropriate care. • People received kind and compassionate care. Staff protected and respected people's privacy and dignity. They understood and responded to their individual needs. • Staff and people cooperated to assess risks people might face. Where appropriate, staff encouraged and

enabled people to take positive risks. • Staff understood how to protect people from poor care and abuse. The service worked well with other agencies to do so. Staff had training on how to recognise and report abuse and they knew how to apply it. • The service had enough appropriately skilled staff to meet people's needs and keep them safe. • People could communicate with staff and understand information given to them because staff supported them consistently and understood their individual communication needs. • We observed people had individual ways of communicating, using body language, sounds, Makaton (a form of sign language), pictures and symbols. They could interact comfortably with staff and the registered manager in their care and support because staff had the necessary skills to understand them. • People's care and support plans reflected their range of needs and this promoted their wellbeing and enjoyment of life. • People could take part in activities and pursue interests that were tailored to them. The service gave people opportunities to try new activities that enhanced and enriched their lives.

Right culture • The registered person did not always follow their quality assurance policy effectively so they could assess, monitor and mitigate any risks relating the health, safety and welfare of people using services, the service and others. • People led inclusive and empowered lives because of the ethos, values, attitudes and behaviours of the management and staff. • People received good quality care, support and treatment because competent and caring staff and the registered manager could meet their needs and wishes. Staff knew and understood people well and were responsive. • People were supported by staff who understood best practice in relation to the wide range of strengths, impairments or sensitivities people with a learning disability and/or autistic people may have. This meant people received compassionate and empowering care that was tailored to their needs. • The registered manager and staff placed people's wishes, needs and rights at the heart of everything they did. • People and those important to them were involved in planning their care. Relatives felt included and well informed about their family member. They felt the service provided great support and care to people. • The service sought views from people and those important to them, and other professionals about the quality of the service. Staff valued and acted upon people's views. • The registered manager and staff ensured risks of a closed culture were minimised so that people received support based on transparency, respect and positive culture in the service.