Trafalgar House

Staff received the training and support they needed to care for people effectively. People were supported to eat and drink what they wished. A healthy diet was encouraged and people were supported to make their own decisions.

We observed staff talking and engaging with people. People enjoyed staff company and were comfortable and confident around staff that were supporting them. Staff knew people well and understood what was important to each person. Staff were passionate about supporting people in line with their individual preferences and unique abilities.

The service was well led by a registered manager and regional manager who inspired and supported their staff team. They ensured that people, staff and those important to people worked in partnership. The culture of the service empowered people to improve their independence and make their own decisions about how they wanted to spend their time and live their lives.

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.

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 underpinning principles of Right support, right care, right culture.

Right support: Model of care and setting maximises people's choice, control and Independence; Staff worked with people to increase their independence and confidence to try new things and make their

own decisions. People were supported to be involved in the running of the service. One person told, "This is our home, it's up to us."

Right care: Care is person-centred and promotes people's dignity, privacy and human rights; People were supported in the way they chose and were treated as an individual by staff. Staff knew people well and understood how to support them. Staff told us about the rapport they had built with people which enabled them to provide the appropriate support even when people were anxious of distressed.

Right culture: Ethos, values, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives; The home had been through a period of change. There was a new registered manager who, along with staff was passionate about supporting people to be as independent and live as least restrictive lives as possible. Staff advocated for people's rights to ensure they had the freedoms and choices they were entitled to Staff were positive about the registered manager, the support they received and the positive changes at the service.