Select Support Partnerships Ltd - Blackburn

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.

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.

Right Care Medicines were being administered safely and although we identified shortfalls, these were rectified during the inspection process. People's needs were assessed prior to them starting to use the service and these assessments were used to develop person centred risk assessments and support plans. People were treated well and their privacy and dignity was protected. People were encouraged to achieve their goals and felt included in their care planning. Although nobody at the service was receiving end of life care, records identified people's advanced decisions.

Right Culture The registered manager understood the duty of candour. However, we found incidents that should have

been reported had been overlooked. The lessons learnt procedure could be more robust. We made a recommendation about the provider's governance systems. Audits were in place and the registered manager carried out spot checks. Staff attended regular meetings and service users were invited to attend drop-in sessions where they could express their views about the care they received. The service worked well with a number of other professionals to ensure continued learning and information sharing. Staff were aware of the safeguarding procedures and felt comfortable raising concerns should they need to. People's communication needs were considered and there was a complaints procedure in place.