23 Valley Road

Risks to people were mostly recorded in their care plans. However, care plans and risk assessments had not always been updated to reflect changes in people's support. The provider had identified this and were prioritising updating records. Staff demonstrated their knowledge of people and how to support them to manage their individual risks. Fire systems, maintenance, and services were in place, with checks in relation to health and safety. However, we found that these checks were not always consistently completed. During the inspection the provider took action to address this.

We were assured that the provider effectively managed or prevented infection outbreaks. People told us they were able to contact their family members and friends when they wanted to. The provider facilitated visits for people living in the home in accordance with government guidance.

People and staff told us there were enough staff to meet people's needs. We observed safe staffing levels throughout the inspection and staff appeared unhurried and responsive to people. Safe recruitment processes were in place.

People received the correct medicines at the right time. Staff mostly followed systems and processes to safely administer, record and store medicines. People received care and support which met their needs. People had confidence in the ability of staff and felt they were well trained. People told us they were supported to access healthcare services when they needed it.

People were able to input into choosing their food and planning their meals. People told us they chose their food, planned meals and ate and drank when they wanted. People told us they had been involved in the decoration of the service. We found that there was some required maintenance that once completed would enhance the environment.

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. Staff were knowledgeable about how to protect people's human rights. During the inspection we observed staff respecting people's decisions.

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 able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. The ethos, values, attitudes and behaviours of the management and staff provided support in the way each person preferred and enabled them to make meaningful choices. The needs and quality of life of people formed the basis of the culture at the service. Staff undertook their role in making sure that people were always put first. They provided care that was genuinely person-centred and directed by each person.

People were positive about the quality of care and support they received. People told us they were involved in making decisions about their care, were treated with respect and their privacy was respected. People, and those important to them, could raise concerns and complaints easily and staff supported them to do so.

We observed staff were friendly and caring when supporting people. Staff spoke with genuine warmth, empathy and compassion when referring to the people they cared for. Staff understood people's different communication support needs.

The provider's vision and values focused on person-centeredness, being passionate about making a difference to people's lives and ensuring positive outcomes for people. We observed that staff understood and cared for people in a manner that was in keeping with these principles.

People, and those important to them, worked with managers and staff to develop and improve the service. There were a number of systems and processes in place for monitoring the quality of care and used to plan improvements. Where issues were identified remedial action was taken. Staff felt respected, supported and valued.