Ashleigh 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 new registered manager was continuing to develop and improve the quality of support against their own action plan since taking over the running of the service. The outcomes for people were continuing to better reflect the principles of this guidance of providing; right support, right care, and right culture. The registered manager demonstrated a good understanding about what further action was required to further improve people's support. In order to embed and sustain improvements we have made a recommendation that the provider seeks support from a reputable source in respect of developing the strategic and independent monitoring of the service.

Right support: • Model of care and setting maximises people's choice, control and independence The registered manager was continuing to coach and mentor staff to develop their understanding of people's needs and support them in a more personalised way. Staffing levels had been significantly increased across both day and night and this had improved both the quality and safety of people's lives.

Right care: • Care is person-centred and promotes people's dignity, privacy and human rights Care was continuing to become more person-centred and better promoted people's dignity, privacy and human rights. People's individual needs were now recognised, and diversity celebrated. Staff had a better understanding about people's emotional needs and the link between their anxiety and behaviours.

Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives The new registered manager had continued the creating a more open and transparent culture which promoted learning from incidents and accidents through the process of reflective practice.