M N Pulse Solutions

We found some improvements were needed. Systems and processes for care call monitoring was not effective and a few people had experienced missed and late calls. Immediate action was taken by the registered manager to make this improvement.

Quality checks, such as audits and spot checks on staff, were undertaken but were not always effective in identifying where improvements were needed. For example, within staff employment records.

Some pre-employment checks were undertaken on staff to ensure they were suitable. Some people and relatives felt staff's induction and training staff had completed did not give them all the skills or knowledge they needed for their role.

Staff were described as having a kind and caring approach and promoted people's independence.

People had individual plans of care and these gave staff information about people. This included how to keep people safe and reduce risks of harm and injury. Some assessments needed additional detail to ensure staff could refer to actions to follow to minimise risks of harm. People received their medicines in a safe way. People and their relatives felt safe with staff in their homes and protected from the risks of abuse.

We expect health and social care providers to guarantee people with a learning disability and autistic people respect, equality, dignity, choices and independence and good access to local communities that most people take for granted. 'Right support, right care, right culture' is the guidance CQC follows to make assessments and judgements about services supporting people with a learning disability and autistic people and providers must have regard to it.

Right support: Model of care and setting maximises people's choice, control and independence

● 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. Right care: Care is person-centred and promotes people's dignity, privacy and human rights. ● Right culture: Ethos, value, attitudes and behaviours of leaders and care staff ensure people using services lead confident, inclusive and empowered lives.