Procare Healthcare Ltd

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. At the time of the inspection, the location did not care or support anyone with a learning disability or an autistic person. However, we assessed the care provision under Right Support, Right Care, Right Culture, as it is registered as a specialist service for this population group.

Right Support: People were safe. Staff had the training and knowledge to identify signs of abuse and escalate concerns as and when required. Risks to people were identified and mitigated. The provider carried out the necessary checks on new staff to ensure they were safe to work with people. People's nutritional and hydration needs were met, and infection control measures reduced the risk of spread of infection. Incidents and accidents were investigated, and lessons learnt.

People's health related risks were assessed so staff knew how to support them. Where people lived with health conditions, care plans contained enough detail to guide staff on signs to monitor potential health deterioration.

People received care personalised to their needs and contributed to their care plans. The registered manager ensured documentation was produced to meet people's communication needs.

The provider was arranging for all staff to attend the Oliver McGowan training. This would ensure readiness if they started to support people with a learning disability or autistic people.

Right Care: Care was person-centred and promoted people's dignity, privacy and human rights Staff were recruited safely; the registered manager had put plans in place to ensure staff had the

appropriate checks before they started employment and supporting people.

People were kept safe from the risk of infection, staff received infection control training and had appropriate personal protective equipment. Staff supported people with medicines safely, they were trained and assessed as competent before being permitted to administer medicines to people. People told us they felt safe, they knew who to speak with if they had any problems. Staff were aware of their safeguarding responsibilities and knew how and where to report concerns.

People were supported by enough staff who knew them well and were trained to meet their needs. Staff completed an induction period which included shadowing an experienced member of staff.

Right Culture: The ethos, values, attitudes and behaviours of leaders and care staff ensured people using services supported by staff to have as much control and independence as possible to continue living in their own homes.

People knew the registered manager and were happy with their leadership style.

Quality assurance processes were effective and there was a clear plan for the future of the service. The management team were keen to develop the service and continually improve care.

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.