The Grove

The Grove is a large, adapted house situated in a residential area, close to transport links, shops and open spaces. It has its own private enclosed gardens which all people can use if they require quiet time or a safe space.

Some accidents and incidents were analysed to learn lessons and improve outcomes for people. We found some behavioural incident records lacked detail. There was an inconsistent approach to the management of debrief sessions with staff to support their reflection and learning from incidents. We have made a recommendation about this.

The provider and registered manager monitored quality, acted quickly when change was needed, sought people's views, and planned ongoing improvements to the services. Audits of incident records had not found the inconsistent approach to how staff recorded and reflected on their practices when managing behaviours that were challenging. We have made a recommendation about this.

Medicines were managed safely. Enough staff were working at the home to ensure people received safe and effective levels of care. Risks to people's health were identified and managed safely by a staff team who understood their responsibilities to protect people from discrimination, abuse, and avoidable harm. Staff felt well supported by the management team and received effective training, competency assessments, supervision and appraisal.

People were treated with dignity and respect. Staff knew people's interests and preferences. People were supported to have a voice, be independent and take positive risks. People were supported to access a wide range of community activities of their choice, which enriched the quality of their lives. People were supported to have regular health check-ups and maintain relationships with people close to them.

Staff, in line with current national guidance for COVID-19 and the provider's infection control policy, maintained high standards of cleanliness and hygiene in the home.

People were supported to have maximum choice and control of their lives and staff them in the least

restrictive way possible and in their best interests; the policies and systems in the service supported this practice. The service used some restrictive intervention practices as a last resort, these were used in line with people's individual positive behaviour support plans and staff training.

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.

This service was able to demonstrate how they were meeting the underpinning principles of right support, right care, right culture. The model of care and support provided to people living at the home maximised their choice, control and independence. People were involved in all aspects of their care and future planning. Care provided at the home was centred around the person and promoted people's dignity, privacy and human rights. People moving into the home had their own individually tailored, person centred transition plan. The ethos, values, attitudes and behaviours of the management team and support staff ensured people lead confident, inclusive and empowered lives.