Strada Care

People's care and housing were provided under separate contractual agreements. Care Quality Commission (CQC) does not regulate premises used for supported living; this inspection looked at people's personal care and support. Not everyone who used the service received personal care. CQC only inspects where people receive personal care. This is help with tasks related to personal hygiene and eating. Where they do we also consider any wider social care provided.

There were enough staff to provide people with support as per their individual needs. The provider addressed any workforce pressures and implemented contingency plans to address those. Staff were trained and competent to support people. Where people needed help to take their medicines, support was provided safely. New staff were recruited safely.

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.

People's support plans were person-centred, respectful to their own life stories, preferences, wishes, identities and goals. They included clear guidance for staff on how to best support them around their physical and emotional health and how to communicate effectively. People were supported to access healthcare, social care and community services when needed and this was done in a timely way.

People received appropriate support to take care of their homes, prepare meals and to go out when they wished to do so. Staff supported people in a very challenging time when a lot of opportunities were limited by the COVID-19 pandemic and the national guidance on how to stay safe. However, people's relatives told us staff strived to support people to have a meaningful, happy life despite those challenges.

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.

Right support: • Model of care and setting maximised people's choice, control and independence People were supported to live in their own homes with others who had been important to them throughout their lives or when they required specialist support to work on improving their independence. Although the design and location of some of people's homes posed some difficulties to fully adhere to this guidance, the provider had ensured people were not affected and continued to review the model of support. This was as some people's homes were similar in the design and day to day running to a care home environment. However, the provider mitigated the impact on people by ensuring people received personalised support. We saw people were enabled to live in their own homes, to go out and be as independent as possible whilst previously they might have lived in healthcare settings due to their complex needs.

Right care: • Care was person-centred and promoted people's dignity, privacy and human rights People and their relatives told us staff were respectful, caring and understanding around people's individual emotional and physical needs. Staff treated people with dignity and respected their human rights. For example, they actively promoted people's right to family life and helped them to maintain relationships important to them.

Right culture: • Ethos, values, attitudes and behaviours of leaders and care staff ensured people using services lead confident, inclusive and empowered lives The registered manager and team leaders knew people well and created a positive culture where people were recognised as individuals and their representatives were involved and listened to as well. The provider continued to review how they supported people and what could be improved to ensure people led the lives they wanted and were safe.

The registered manager was supported by team leaders. The management team reviewed quality and safety of the support provided to people and supported the staff team on a day to day basis. Where improvement actions were identified, this was discussed and remedied. The provider worked effectively with other healthcare, social care and community services so people received timely, joined-up support.