Croft Healthcare Ltd

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. However, the provider needed to improve the recording of relevant discussions and decisions about the care of people who lacked capacity to make decisions.

Quality assurance measures in place had not always been effective in identifying or addressing the issues found during this inspection.

Most areas of staff recruitment were safe, however, we found evidence confirming staff had started working before the required DBS checks had been completed. We have made a recommendation for the provider to review this area. The provider was not always recording when equipment used to move people had passed the relevant safety checks. This was discussed during the inspection, and immediate action taken.

Overall, medication was managed safely but there were some aspects were recording of medication support was not in line with the provider's medication policy and good practice guidance.

Although staff had the necessary skills, training and support to carrying out their jobs safely and effectively at the time of the inspection, we reviewed evidence showing staff had started working without completing all the mandatory training.

People received support to maintain good nutrition and hydration and their healthcare needs were met. The provider kept in close contact with relevant healthcare professionals.

Most care plans were detailed, and person centred. Complaints were well managed by the service.

We received positive feedback about the management team being approachable and responsive. During this inspection, they were receptive to the inspection's findings and acted on the issues identified or told us the actions they would take.

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. We considered this guidance as there were people using the service who have a learning disability and or who are autistic.